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digital.ahrq.gov/sites/default/files/docs/page/08-0084_cdm_0.pdf
August 01, 2008 - •Another project used a telehealth system to improve the management of wound care in rural
areas for … The system connected home health workers with wound care
specialists, allowing real-time consultation … By providing better feedback between patients and providers, the telehealth system
not only led to a … One grantee customized an EHR system to identify patients
whose diabetes was not under control. … When the system detected dramatic
changes in a patient’s health, the system alerted the patient and providers
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digital.ahrq.gov/sites/default/files/docs/publication/uc1hs014882-ferranti-final-report-2008.pdf
January 01, 2008 - The system focused on the detection and intervention of medication-related patient harm. … into the medication safety programs of a three
hospital health system. … The system is not currenly
being used for any clinical pharamacy interventions. … ADE Surveillance System Performance. … buy-in
for the system, rather than at the onset of the project.
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digital.ahrq.gov/sites/default/files/docs/HealthITandUnderservedPopulations.pdf
September 17, 2010 - KeyHIE
Geisinger
Health System
Geisinger
Health System
Geisinger
Health System
Evangelical … Living
Moses Taylor
Health Care
System Schuylkill
Health System
KeyHIE
Geisinger … Health System
Geisinger
Health System
Geisinger
Health System
KeyHIE® Extension
Bloomsburg … Schuylkill
Health System
Geisinger
Health System
Grandview
Health Homes
VNA
Health System … Geisinger Health System and Health Plan Presence
Geisinger Health System
Keystone Beacon Community
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digital.ahrq.gov/health-it-tools-and-resources/health-it-costs-and-benefits-database/factors-affecting-and-affected
January 01, 2003 - Purpose of Study: Evaluated the effects of computer-based nursing documentation system. … Intervention: A computer-based nursing documentation system offering flexible forms for data entry, … Evaluation Method: Measures of system use, and provider satisfaction and acceptance of system. … and previous acceptance of nursing process as well as task requirements and the functionality of the system … the diverse acceptance scores heavily declined after the introduction of the nursing documentation system
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digital.ahrq.gov/sites/default/files/docs/workflowtoolkit/MGMA_IT_Assessment_Part_I.pdf
January 01, 2003 - W Evaluate the efficiency of your information system. Does it live up to expectations? … The tools of
IT extend beyond just your practice
management system. … She specializes in system imple
mentation and practice operations. … Do we have a written policy for need-to
know system access procedures? … Our system integration and/or system interfaces does not
require redundant data entry across systems
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digital.ahrq.gov/health-it-tools-and-resources/health-it-costs-and-benefits-database/finding-value-emrs-electronic
July 01, 1997 - Strategy: Used a turnaround document printed by the computer system, which contains a concise summary … Charting is done directly on the document and crucial data elements are added to the system by physicians … HIT System Sustainability: System development since 1989 and data collection since 1991, the system … Cost of HIT systems: Estimated the cost of system development to be $10 million, which involved the … Time needed to accrue benefit: Expected the system to pay for itself 13 years from its initiation.
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digital.ahrq.gov/health-it-tools-and-resources/health-it-costs-and-benefits-database/computer-surveillance-hospital
infections and utilization of services Summary: Settings: Academic-affiliated 520-bed hospital HIT System … : The HIT system was locally developed, beginning in the 1970s and had been in place for 15 years at … The system was known as ÒHealth Evaluation through Logical Processing.Ó It is a computerized medical … The HIT system identified 140 (90%) of the confirmed cases, whereas the infection control clinicians … During the 2-month study period, the HIT system generated 108 antibiotic-related alerts, of which 40
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digital.ahrq.gov/sites/default/files/docs/survey/health-information-technology-value-project-chief-executive-officer-interview-guide.pdf
October 03, 2014 - What was the process to arrive at the decision to implement this system?
3. … Is your organization connected to a larger health system? … Has this system improved physician, patient and staff satisfaction?
9. … Is the system connected to physician offices? … What future considerations do you think the system can help you with?
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digital.ahrq.gov/ahrq-funded-projects/impact-office-based-e-prescribing-prescribing-processes-and-outcomes/annual-summary/2011
January 01, 2011 - The team identified physician characteristics that may predict use of the system and developed models … As last self-reported in the AHRQ Research Reporting System, project progress and activities were on … system. … The majority (88 percent) of physicians were satisfied with their e-prescribing system. … Use of the e-prescribing system increased with duration of experience with the system.
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digital.ahrq.gov/ahrq-funded-projects/pharmaceutical-safety-tracking-phast-managing-medications-patient-safety/annual-summary/2010
January 01, 2010 - It is an automated system for monitoring medication adherence, side effects, and patient symptoms using … PhaST does not directly store information in an electronic health record (EHR) system. … This is primarily due to the fact that the complete EHR system has not yet been fully implemented for … as confidence in the system grew, less supervision was required. … The system has also been very reliable, with virtually no downtime.
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digital.ahrq.gov/health-it-tools-and-resources/health-it-costs-and-benefits-database/effect-computerized-charting
June 01, 1995 - Publication Date: 1995 Jun Volume: 23 Issue: 6 Pages: 1067-73 HIT Description: Clinical information system … intensive care units in a VA hospital Intervention: Implementation of an ICU documentation/charting system … HIT System: Vendor licensed intensive care monitoring and documentation system. … productivity: ¤ Charting and data gathering--Before installation of the computerized clinical information system … After implementation of the HIT system, this overall figure was unchanged at 24%. ¤ Time in patients
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digital.ahrq.gov/ahrq-funded-projects/ambulatory-care-compact-organize-risk-and-decisionmaking-accord/annual-summary/2011
January 01, 2011 - health records (EHRs), increasing capacity to identify and track patient populations within a health system … These advances facilitate the design of new models of primary care delivery that employ system-level … The system, titled Ambulatory Care Compact to Organize Risk and Decisionmaking (ACCORD), allowed patients … As last reported in the AHRQ Research Reporting System, project progress was mostly on track and project … from the patient and provider perspectives; and 4) perceived benefits and concerns of the ACCORD system
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digital.ahrq.gov/ahrq-funded-projects/automated-adverse-drug-event-detection-and-intervention/annual-summary/2008
January 01, 2008 - The surveillance system leveraged technology and information systems already in place at each of the … three hospitals, and included three unique vendor-based systems, a centralized health system clinical … . ( Achieved )
Study the implementation and operational utility of an automated surveillance system … In order to improve the safety profile of the health system, it is essential that safety leaders have … prompt and accurate access to aggregate safety reports generated from the ADE surveillance system.
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digital.ahrq.gov/sites/default/files/docs/activity/2011_019092_buis_pdf_3.pdf
January 01, 2011 - This project is developing and testing
an automated text message system to improve medication management … It is theorized that individuals who use a mobile phone-based
automated text message system will have … The system underwent robust testing to ensure that all of its components functioned properly. … System tests confirmed that text messages were properly sent and received. … The system will then be evaluated in a randomized
controlled trial.
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digital.ahrq.gov/ahrq-funded-projects/value-new-drug-labeling-knowledge-e-prescribing/annual-summary/2008
January 01, 2008 - . ( Achieved )
Develop a standards-based e-prescribing system that would use SPL, the underlying HL7 … Fragmentation of the environments in which this system was to be deployed made its actual deployment … Thus, the initial plan to deploy the system remotely on stand-alone server computers was not completed … , revising an existing in-house CPOE system. … architecture, this project will play an integral role in the development of a new Regenstrief system
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digital.ahrq.gov/health-it-tools-and-resources/health-it-costs-and-benefits-database/improving-response-critical
June 01, 1994 - Purpose of Study: Assess the effect of an automatic alerting system on the time until treatment is ordered … Intervention: A computer system to detect critical conditions and automatically notify the responsible … physician via the hospital's paging system was compared to no system present. … HIT System: The Brigham Integrated Computing System (BICS) was used in this study, and the clinical … alerting system had been in use since June 1994.
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digital.ahrq.gov/health-it-tools-and-resources/health-it-costs-and-benefits-database/creating-and-managing-paperless
August 01, 2002 - Evaluation Method: Observational and external benchmarking Description: An electronic document management system … identification, 2) cost-benefit analysis, 3) research, seminars, and tours to evaluate products, 4) system … purchase, 5) system installation, and 6) system implementation. … Full system implementation lasted approximately two years to get people used to the EDMS, stabilize the … EDMS, streamline processes, gain benefits from the system, and for paper system to fade out gradually
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digital.ahrq.gov/sites/default/files/docs/publication/r18hs017010-bailey-final-report-2011.pdf
January 01, 2011 - system
With PharmD & MD
assessment:
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24
Automated system
With PharmD & MD
assessment: … system & chart review
PharmD & MD
assessments
+
Gold Standard:
Combination of automated
system … 29 39
Automated system
With PharmD & MD
assessment:
-
4
Automated system
With PharmD & … system & chart review
PharmD & MD
assessments
+
Gold Standard:
Combination of automated
system … 74
Automated system
With PharmD & MD
assessment:
-
20
Automated system
With PharmD & MD
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digital.ahrq.gov/sites/default/files/docs/overcoming-barriers-slides-090512.pdf
September 05, 2012 - Selecting System
7. Planning and Preparing for the Setup and Launch
8. Setting up the System
9. … Selecting a System
51
6. Selecting a System
52
6. Selecting a System
53
6. … Selecting a System
54
6. Selecting a System
55
6. Selecting a System
56
6. … Selecting a System
6. Selecting a System
6. Selecting a System
6. Selecting a System
6. … Selecting a System
6. Selecting a System
6. Selecting a System
7.
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digital.ahrq.gov/health-it-tools-and-resources/health-it-costs-and-benefits-database/prospective-controlled-trial
April 01, 1996 - Intervention: 21 of 25 practices were given the decision support system and their data were compared … Description: PRIMED system which is described as a Òrule based system written in C and running on DOSÓ … The inability of the software to import and export data successfully from the practice medical system … In an analysis of usage based on only 14 practices, most practices used the system fairly infrequently … Healthcare Utilization: There was no effect of having a system on the gross rate of requests for lipid