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digital.ahrq.gov/ahrq-funded-projects/improving-safety-and-quality-outpatient-order-entry/annual-summary/2008
January 01, 2008 - Business Goal: Knowledge Creation
Summary: The United States health care system continues to face … As of August 2008, seven practices are using the system. … Specific Aims
Evaluate physicians’ use of the EMR system in chronic disease management, preventive … The functional and technical specifications for the Advanced Results Manager module of the ACPOE system … test results, 62 percent did not have a system to detect a missed ordered test, and 32 percent were
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digital.ahrq.gov/az-index/P
Outcomes
Personal Health Record
Personalized Medicine
Pharmacy Information System … Picture Archiving and Communication System
Practice Management System … Sharing
Provider Burden
Public Health Informatics
Public Health Reporting System
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digital.ahrq.gov/ahrq-funded-projects/accessing-cutting-edge-implementing-technology-transform-quality-se-kern/annual-summary/2009
January 01, 2009 - A Web-based PHR system (MyHealthKeeper) was implemented as a diabetes self-management tool. … Three primary care practices have Web links to EKCITA but read-only access to the system because they … registration, training, and system marketing. … Despite the large amount of data in the system, utilization has been light to date. … Five providers have viewed a total of 55 patient records through the system.
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digital.ahrq.gov/ahrq-funded-projects/enhancing-quality-patient-care-equip-project/annual-summary/2009
January 01, 2009 - The project implemented advanced EHR system functionality including decision support, care management … The system is live in all four health centers, and at the end of the grant period, the system was being … All system sites were using standardized data capture forms. … An end user survey indicated high acceptance and satisfaction with the system. … Additional dashboards on patient satisfaction, system use, and access to care are being developed.
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digital.ahrq.gov/health-it-tools-and-resources/health-it-costs-and-benefits-database/evaluation-computerized-decision
September 01, 1996 - 1996 Sep Volume: 46 Issue: 410 Pages: 533-5 HIT Description: Computerized-based decision support system … Purpose of Study: To test the effectiveness of using a computerized decision-support system for oral … Intervention: Warfarin dosing assisted by computerized decision-support system. … HIT System: Anticoagulation management decision-support software (DOS-based) on stand-alone dedicated … estimated at £436 in the first year of use, and £2604 for each subsequent year with the computerized system
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digital.ahrq.gov/sites/default/files/docs/activity/2011_017157_carrow_pdf_3.pdf
January 01, 2011 - Concurrently, the project is developing and testing a data interface between
the e-prescribing system … Specific Aims:
• Develop, implement, and verify a system of safe and secure electronic transmission … (Achieved)
• Develop and test the interfacing of this e-prescribing system with the Massachusetts PMP … As last self-reported in the AHRQ Research Reporting System, the
project is now completely on track … Providers who do not have the opportunity to extend their use of the current system to electronically
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digital.ahrq.gov/sites/default/files/docs/citation/EHRVendorPracticesPerspectives.pdf
May 01, 2010 - an automated patient
communications system; and (4) PayerView, a system that contains payer rankings … PowerWorks EMR is a Web-based system. … Online system updates. … Selected system characteristics
EHR system
Practice
management
Patient
comm. … S =separately purchased system that integrates with EHR system.
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digital.ahrq.gov/sites/default/files/docs/publication/r18hs018161-atlas-final-report-2013.pdf
January 01, 2013 - Methods
Study Design
Development of the TopCare HIT system involved creating a generic system architecture … , an
automated system, and an intervention system (Specific Aim 1). … All other patients were removed
from the active system for the remainder of the year. … Other outcomes included measures of system usage. … Use of the Population Management IT System.
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digital.ahrq.gov/sites/default/files/docs/activity/conversational_information_technology_for_better__safer_pediatric_primary_care_2010_pdf__2.pdf
January 01, 2010 - Underserved, Pediatric*
Summary: This project seeks to develop and evaluate an automated telephony system … The system gathers personal health data
and counsels parents before scheduled visits, integrates the … The internally
developed interactive voice response (IVR) telephony system interfaces with the providers … The system is being evaluated via a three-armed randomized controlled trial (PHP
only, PHP assessment … the
system is now fully operational.
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digital.ahrq.gov/sites/default/files/docs/survey/health-information-technology-value-project-chief-information-officer-interview-guide.pdf
October 02, 2014 - What was the process to arrive at the decision to implement this system?
3. … Is order entry integrated with the pharmacy system? … Does the system allow for entering outside meds? Dose checking? Duplicate
ordering? … What, if anything, would you like the system to do for you that isn’t done today?
23. … What future considerations do you think the system can help you with?
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digital.ahrq.gov/sites/default/files/docs/page/Lord.ppt
July 21, 2004 - In implementing an “electronic medical record” in a clinical entity:
Simply trying to automate the system … Also, some elements of the proposed system may need to be customized to the institution. … Reaching the Goal:
2) Throw out the legacy systems and replace them with a single system from one vendor … Ascutney Consortium
X-ray films are still hard copy, as are reports
Radiologists want PACS system that … involving urban and rural parts of a health system (Edmonton, Alberta
Case Study: Progress
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digital.ahrq.gov/sites/default/files/docs/page/forging-pathway-for-electronic-prescribing-of-controlled-substances.pdf
March 01, 2014 - As a result, prescribing has become a fractured system,
comprising a combination of electronic prescriptions … To establish a system for EPCS, Dr. … • Providers were satisfied with the EPCS system
and found it to have value. … • Development of an EPCS system that complies
with DEA requirements is feasible but challeng-
ing. … A driverless system, such as
a one-time password, would likely be more scalable.
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digital.ahrq.gov/sites/default/files/docs/activity/r18hs017157-carrow-annual-summary-2012.pdf
January 01, 2012 - technology (IT) solution providers DrFirst,
Inc. and Emdeon to design, implement, and field-test a system … for EPCS in a contained ambulatory care
environment within the Berkshire Health System (Berkshire County … Concurrently, the project
developed and tested a data interface between the e-prescribing system and … Specific Aims:
• Develop, implement, and verify a system of safe and secure electronic transmission … (Achieved)
• Develop and test the interfacing of this e-prescribing system with the Massachusetts PMP
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digital.ahrq.gov/sites/default/files/docs/publication/uc1hs016146-nocella-final-report-2009.pdf
January 01, 2009 - system. … Despite the large amount of data contained in the system, utilization of the system to date has
been … The active consent requirement created a significant barrier to robust use of the system. … registration and training and system marketing. … The system was adapted from FollowMe, a PHR platform developed
by Access Strategies.
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digital.ahrq.gov/sites/default/files/docs/activity/improving_safety_and_quality_with_outpatient_order_entry_2009_update_pdf_2.pdf
January 01, 2009 - Business Goal: Knowledge Creation
Summary: The United States health care system continues to face … As of August 2008, seven
practices are using the system. … Specific Aims
Evaluate physicians’ use of the EMR system in chronic disease management, preventive … The functional and technical specifications for
the Advanced Results Manager module of the ACPOE system … test results, 62 percent did not have
a system to detect a missed ordered test, and 32 percent were
-
digital.ahrq.gov/sites/default/files/docs/activity/accessing_the_cutting_edge__implementing_technology_to_transform_quality_in_se_kern_2009_pdf__2.pdf
January 01, 2009 - A Web-based PHR system (MyHealthKeeper) was implemented as a diabetes self-management
tool. … Two other primary care practices with EHR systems will be connected
to the system post-project when … registration, training, and system marketing. … Despite the large amount of data in the system, utilization
has been light to date. … Five providers have viewed a total of 55 patient records through the system.
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digital.ahrq.gov/sites/default/files/docs/activity/2011_018288_zhou_pdf_3.pdf
January 01, 2011 - Natural
language processing (NLP) is any system that manipulates free-form text or speech. … , the ambulatory care EHR at Partners HealthCare
System. … Zhou and her project team completed the development of the NLP system at the
beginning of the year. … The system, called the Medical Text Extraction, Reasoning and Mapping System
(MTERMS), applies a modular … As last self-reported in the AHRQ Research Reporting System, project progress and activities were on
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digital.ahrq.gov/sites/default/files/docs/publication/uc1hs016156-obrien-final-report-2009.pdf
January 01, 2009 - Results: The EHR system was successfully implemented. … ’s staged
activation throughout its system. … or Pharmacy Information System. … If the medication order is
entered in the CPOE system directly by the prescriber, the system automatically … The EHR system was successfully implemented.
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digital.ahrq.gov/sites/default/files/docs/activity/enhancing_quality_in_patient_2009_update_2.pdf
January 01, 2009 - The project implemented advanced EHR system functionality including decision support, care
management … The system is live in all four
health centers, and at the end of the grant period, the system was being … The data warehouse supports regular reporting on National performance measures and aspects of
system … All system sites were using standardized data capture
forms. … An end user survey indicated high acceptance and satisfaction with the system.
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digital.ahrq.gov/sites/default/files/docs/page/2006Muller_052411comp.pdf
May 26, 2011 - Muller, MD
Medical Director, Legacy Clinics
Medical Director of Quality for Primary
Care
Legacy Health System … with
representatives from systems across the area
Membership
Kaiser Permanente
Legacy Health System … Oregon Health &
Sciences University
Providence Health
System
Southwest Washington
Medical … gerontologist for appropriateness –
changed font, color of sheet, adjusted wording
Area for each system … with marketing at various
institutions to “get the word out” internally
and externally about the system