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digital.ahrq.gov/ahrq-funded-projects/virtual-patient-advocate-reduce-ambulatory-adverse-drug-events/annual-summary/2010
January 01, 2010 - The team is also developing links between the VPA system, Boston Medical Center’s Certified Commission … The system has now been completed, debugged, and tested with hospitalized patients. … A variety of clinicians and patients reviewed the system and made recommendations about how the system … A codification system was designed to categorize alerts. … Of these 47 randomized patients, four logged into the system.
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digital.ahrq.gov/sites/default/files/docs/activity/2011_017248_adams_pdf_3.pdf
January 01, 2011 - Funding Amount: $1,159,609
Summary: This project developed and evaluated an automated telephony system … The system gathers personal health data and counsels
parents before scheduled visits, integrates the … The system was evaluated via a three-armed randomized controlled trial (PHP only, PHP assessment
with … Specific Aims:
• Develop an automated telephony system that uses fully automated conversations to … , data exchange between the PHP system and the EHR, and completion of followup surveys.
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digital.ahrq.gov/health-it-tools-and-resources/health-it-costs-and-benefits-database/consultation-use-computer
December 01, 1984 - 1984 Dec Volume: 34 Issue: 269 Pages: 649-54 HIT Description: An ambulatory computer information system … Intervention: A rudimentary computer information system was implemented. … The system allowed for patient scheduling, documentation, and an electronic protocol for hypertension … HIT System: As described above in the intervention. … The system was implemented over a two year period.
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digital.ahrq.gov/sites/default/files/docs/page/Zimmerman_1.ppt
June 09, 2005 - implement and evaluate a Master Patient Index as a core component of an interconnected information system … Progressive design and implementation to encourage broad acceptance, adoption and use of the HIT system … Establish project structure and roles
Engage subcontractors and data partners
Identify HIT system … Continue progressive system enhancements
Continue active user outreach; build support
Perform rigorous … standards based
Design system to be flexible/adaptable to different workflow environments
Value- fast
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digital.ahrq.gov/sites/default/files/docs/page/Zimmerman_0.ppt
June 09, 2005 - implement and evaluate a Master Patient Index as a core component of an interconnected information system … Progressive design and implementation to encourage broad acceptance, adoption and use of the HIT system … Establish project structure and roles
Engage subcontractors and data partners
Identify HIT system … Continue progressive system enhancements
Continue active user outreach; build support
Perform rigorous … standards based
Design system to be flexible/adaptable to different workflow environments
Value- fast
-
digital.ahrq.gov/sites/default/files/docs/page/Zimmerman_2.ppt
June 09, 2005 - implement and evaluate a Master Patient Index as a core component of an interconnected information system … Progressive design and implementation to encourage broad acceptance, adoption and use of the HIT system … Establish project structure and roles
Engage subcontractors and data partners
Identify HIT system … Continue progressive system enhancements
Continue active user outreach; build support
Perform rigorous … standards based
Design system to be flexible/adaptable to different workflow environments
Value- fast
-
digital.ahrq.gov/sites/default/files/docs/page/Zimmerman.ppt
June 09, 2005 - implement and evaluate a Master Patient Index as a core component of an interconnected information system … Progressive design and implementation to encourage broad acceptance, adoption and use of the HIT system … Establish project structure and roles
Engage subcontractors and data partners
Identify HIT system … Continue progressive system enhancements
Continue active user outreach; build support
Perform rigorous … standards based
Design system to be flexible/adaptable to different workflow environments
Value- fast
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digital.ahrq.gov/health-it-tools-and-resources/health-it-costs-and-benefits-database/take-notes-differential-ehr
September 01, 2001 - Jan-Feb Volume: 11 Issue: 1 Pages: 43-9 HIT Description: Ambulatory Electronic medical record system … Teaching clinic for medicine and pediatric residents Intervention: Implementation of an ambulatory EHR system … HIT System: Vendor-based ambulatory electronic medical records system, implemented in the pediatrics … System Penetration: 100% use for documentation Facilitators: Use of health maintenance encounter templates … Outcome: Internal medicine residents (vs. pediatric residents) were more likely to believe that the system
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digital.ahrq.gov/sites/default/files/docs/page/ImpactHealthITPrimaryCareWorkflow.pdf
September 19, 2011 - Ballard; MD,
MSPH, PhD.
2
©2009 Baylor Health Care System
3
Study Description
Purpose: To … Setting: 26 HealthTexas primary care practices as part of the Baylor
Health Care System, (in North Texas … ©2009 Baylor Health Care System
Study Data
Data related to individual patient visits … and revenues were collected
from the network billing and collection administrative system … Net Income per Work RVU.
6
©2009 Baylor Health Care System
Covariates
Patient:
Age.
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digital.ahrq.gov/sites/default/files/docs/publication/uc1hs016152-wheeler-final-report-2009.pdf
January 01, 2009 - and install a
McKesson EHR system for their medical center. … A prototype
system was created to demonstrate patient identification system and its association with … to each of the selected site’s electronic medical record system. … to each of the selected site’s electronic medical record system. … This system includes:
1.
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digital.ahrq.gov/health-it-tools-and-resources/health-it-costs-and-benefits-database/use-patient-accessible
congestive heart failure in Denver, CO Intervention: Patient-accessible electronic medical record system … Description: SPPARO (System Providing Patients Access to Records Online) is a secure Web interface to … three components: medical records, a guide to heart failure, and a messaging system. … Healthcare Utilization: Patients used the HIT system a medium of 8 days per year. … There was a trend for higher use of the system by whites and those with more clinic visits.
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digital.ahrq.gov/health-it-tools-and-resources/health-it-costs-and-benefits-database/evaluating-capability
January 01, 2002 - Purpose of Study: Develop a simulation model and use it to estimate the effectiveness of information system … Settings: A large private teaching hospital Intervention: Give hypothetical interventions in the system … ) Provision of information at the prescribing stage; 2) Physician computer order entry; 3) Pharmacy system … ; 4) Automated medication dispensing systems; 5) Comprehensive medication delivery system assuming changes … The model estimated that the implementation of a comprehensive medication delivery system (Intervention
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digital.ahrq.gov/sites/default/files/docs/workflowtoolkit/BenchmarkingQuestions.pdf
January 01, 2010 - The following questions can be used to better understand others’ experiences with the health IT
system … – e.g., practice management system)
• What type of system (if any) did you have before choosing your … current system? … • What workflows, if any, were adversely affected by the health IT system? … • Do you consider your health IT system implementation a success? Why or why not?
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digital.ahrq.gov/ahrq-funded-projects/past-initiatives/transforming-healthcare-quality-through-health-it/sarah-bush-lincoln-health
September 29, 2009 - In today's health care delivery system, it is not uncommon to be seen by a primary care provider in one … As part of the new EMR system, each patient has a "problem list," to let emergency staff know if they … Although the system provided many benefits to physicians and patients, one of the biggest challenges … with implementing the EMR system was finding a way to afford the technology costs. … the system.
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digital.ahrq.gov/sites/default/files/docs/activity/value_of_new_drug_labeling_2009_update_2.pdf
January 01, 2009 - provider order entry (CPOE) systems and e-
prescribing tools on the Regenstrief Medical Gopher CPOE system … (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 … The Regenstrief Institute, which
hosted this grant, is currently undertaking a CPOE system redesign … project, revising an existing in-house
CPOE system.
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digital.ahrq.gov/ahrq-funded-projects/past-initiatives/transforming-healthcare-quality-through-health-it/integrated-reporting
September 29, 2008 - Now, with a new integrated reporting system, doctors at Mt. … The system allows doctors at Dartmouth or at Mt. … The new system has been used to provide information on diabetes to the Vermont Department of Health's … For example, the system might prompt the doctor to order a vaccine that protects against pneumonia. … Under the old system, patients being treated in the Mt.
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digital.ahrq.gov/health-it-tools-and-resources/health-it-costs-and-benefits-database/computerized-physician-order-1
January 01, 2004 - Volume: 113 Issue: 1 Pt 1 Pages: 59-63 HIT Description: computerized provider order entry (CPOE) system … occurrences of errors in the medication ordering process before and after implementation of the CPOE system … makes recommendations for dose adjustments Interoperability: interfaces with Pyxis Medstation 2000 system … and the pharmacy computer system. … errors (MPs) and rule violations (RVs) all decreased significantly after implementation of the CPOE system
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digital.ahrq.gov/ahrq-funded-projects/exploring-clinically-relevant-image-retrieval-diabetic-retinopathy-diagnosis/annual-summary/2012
January 01, 2012 - Additionally, the team plans to develop a prototypical DR image management system to improve reviewers … Specific Aims:
Develop a content-based retrieval system for referencing diabetic retinal images to … access so that clinicians may use the system outside the office. … Significant effort will be required to adapt the system to provide end-user Web-based access. … Project delays are due to the additional time required to incorporate Web-based access to the system.
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digital.ahrq.gov/ahrq-funded-projects/ambulatory-electronic-medical-record-and-shared-access/annual-summary/2009
January 01, 2009 - The system implementation’s success was measured through direct user feedback. … failure. ( Achieved )
Implement the system at 20 clinics in the local area. ( Partially Achieved * … The system has a complete billing module including electronic billing. … Efforts to expand system implementation beyond the initial 10 clinics to 10 other practices continue. … However, although the users do not view the system as ideal, they would not choose to return to paper
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digital.ahrq.gov/sites/default/files/docs/workflowtoolkit/ehr_implementation_checklist.pdf
January 01, 2006 - of EHR
Handling of Existing Data
Identify key information and documents that need to be in system … Develop plan for entering them into system
Develop plan for handling new, outside documents and … additional training sessions
Allow staff on-the-job learning time to familiarize themselves with system … EHR Implementation Checklist
System Testing
Conduct unit testing (i.e., single module)
Conduct … from backups prior to go-live
Ensure system backup plan in place and running
Arrange for regularly