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digital.ahrq.gov/ahrq-funded-projects/statewide-implementation-electronic-health-records/annual-summary/2008
January 01, 2008 - quality and safety of medication management via the integration and utilization of medication management systems … A randomized controlled trial assessed the effects of academic detailing on the uptake of new EHR systems … academic detailing in fostering successful implementation and usage of EHRs among physicians adopting such systems … Medinfo 2007: Building Sustainable Health Systems.
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digital.ahrq.gov/ahrq-funded-projects/medication-reconciliation-improve-quality-transitional-care/annual-summary/2012
January 01, 2012 - Relatively little is known, however, about the extent to which MR systems improve clinical outcomes. … being collected on satisfaction with care, managing medications, and usefulness of local information systems … New reviewers were trained and granted access to both the EHR and REDCap systems for data entry. … quality and safety of medication management via the integration and utilization of medication management systems
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digital.ahrq.gov/2019-year-review/research-summary/using-aviation-technology-prevent-healthcare-errors-health-it
January 01, 2019 - another high-risk industry—aviation—that has examined why and what types of errors occur, and then put in systems … system design and preventing predictable errors in aviation, be applied to healthcare to improve EHR systems … Yet by studying errors across systems, the researchers are confident implementing active surveillance … , like the health IT black box, will result in a collaborative approach to designing systems that facilitate
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digital.ahrq.gov/ahrq-funded-projects/health-information-technology-and-improving-medication-use/annual-summary/2011
January 01, 2011 - (Achieved)
Evaluate effects of multiple vendor-based prescribing systems on medication safety among … Project 5: Impact of Vendor Systems on Ambulatory Medication Safety . … The human factors principles were developed by the research team and are established for use in other systems … They have not yet been applied to clinical information systems. … quality and safety of medication management via the integration and utilization of medication management systems
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digital.ahrq.gov/2019-year-review/executive-summary
January 01, 2019 - Digital Healthcare Research Program provides foundational research to ensure that digital healthcare systems … health information technology works best” for its key stakeholders: patients, clinicians, and health systems … to support clinicians’ decision making, and $36 million to improve the delivery of healthcare at the systems … Decision Making and Patients’ Care
Improving the Delivery of Health Services at the Health Systems … Vandenberg
Creating Age-Friendly Health Systems: Implementing Decision Support in the ED to Improve
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digital.ahrq.gov/sites/default/files/docs/publication/r18hs018183-weiner-final-report-2013.pdf
January 01, 2013 - Key Words: medication reconciliation; decision making; medical records systems,
computerized; medication … Context
Although implementation of formal MR systems improves the fraction of cases undergoing
MR, … we know relatively little about the extent to which MR systems alter clinical outcomes. … Several institutions have created electronic systems to
3
streamline MR, but systems described … , and systems for registration
and scheduling.
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digital.ahrq.gov/ahrq-funded-projects/effective-use-e-prescribing-physician-practices-and-pharmacies/annual-summary/2010
January 01, 2010 - Limited research on the topic suggests that not all e-prescribing systems have the full range of features … electronic transmission of prescriptions, both physician practices and pharmacies must routinely use systems … quality and safety of medication management via the integration and utilization of medication management systems
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digital.ahrq.gov/sites/default/files/docs/20130913-health-it-enabled-quality-measurement-presentation-slides.pdf
September 13, 2013 - Measures are developed for various
stakeholders and purposes
• Accelerates innovation in information
systems … be limited to measures
that can be populated from data readily
available in current information systems … ▪ Perspectives on prioritization varied based on whether data
is currently available in existing systems … ▪ Stakeholders would like to access a wide variety of data
beyond EHRs, such as claims systems, … registries,
pharmacy systems, and lab systems
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digital.ahrq.gov/sites/default/files/docs/hit-eqm-slides-091313.pdf
September 13, 2013 - Measures are developed for various
stakeholders and purposes
• Accelerates innovation in information
systems … be limited to measures
that can be populated from data readily
available in current information systems … ▪ Perspectives on prioritization varied based on whether data
is currently available in existing systems … ▪ Stakeholders would like to access a wide variety of data
beyond EHRs, such as claims systems, … registries,
pharmacy systems, and lab systems
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digital.ahrq.gov/sites/default/files/docs/publication/r18hs017190-chueh-final-report-2011.pdf
January 01, 2011 - Implementation of the ACCORD systems included: definition of ACCORD
temporal concepts; determination … , but also to be connected to those systems later for operations … This issue is not unique to ACCORD, as almost any
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clinical systems innovation that has a … systems such as ACCORD. … Policies at the national level to promote
such systems characteristics are therefore critical.
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digital.ahrq.gov/ahrq-funded-projects/closing-feedback-loop-improve-diagnostic-quality/annual-summary/2010
January 01, 2010 - In the ED study, the systems are the CCHIT-certified McKesson Horizon Patient Folder and a proprietary … feedback report uses an interface between the EHR and a database that can be integrated with a variety of systems … process, the impact on diagnostic and therapeutic quality, response to use of the IVR and ED feedback systems … Specific Aims:
Develop a system within three different ambulatory EHR systems in three different
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digital.ahrq.gov/ahrq-funded-projects/critical-access-hospital-partnership-health-information-technology/annual-summary/2009
January 01, 2009 - Plan, test, and integrate local health IT to the regional HIE. ( Achieved )
Implement regional HIE systems … unable to expand the Marquette HIE system (UP-Care) to include other electronic health record (EHR) systems … Eleven of these rural community hospitals acquired and installed EHR systems within their facilities. … The creation of interfaces between the central HIE and each of the four separate EHR vendor systems was
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digital.ahrq.gov/ahrq-funded-projects/optimizing-medication-history-value-clinical-encounters-elderly-patients/annual-summary/2010
January 01, 2010 - These systems promote clinician-patient partnerships, empower patients to participate in treatment decisions … Some e-prescribing systems are integrated with pharmacy chains, making medication histories and information … The research team also hypothesizes that additional clinical information systems must be used in conjunction … quality and safety of medication management via the integration and utilization of medication management systems
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digital.ahrq.gov/sites/default/files/docs/citation/r18hs022693-scholle-final-report-2014.pdf
January 01, 2014 - Incentive programs should also allow use of other non-
EHR systems. … Respondents report the use of a variety of EHR systems, with eClinicalWorks, Allscripts,
Nextgen, and … Only 38.8% of practices identified emergency
department visits using computerized systems. … On average practices conducted 6 of 10 items using EHR or non-EHR computerized systems. … warehouses and
electronic reports generated by systems outside of the practice).
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digital.ahrq.gov/sites/default/files/docs/citation/r21hs022583-phillips-final-report-2018.pdf
January 01, 2018 - Results: Health systems varied considerably by patient demographics and payer mix. … Of 19 measures negotiated for use, five were used by all
systems. … We developed partnerships with four clinical systems for this study: Kaiser Permanente
Colorado, OCHIN … Quality
Measures (eCQMS) were negotiated with the goal of having standardized, common data across
systems … Conclusions
While quality measurement has long been a function in many mature health systems and the
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digital.ahrq.gov/sites/default/files/docs/citation/u18hs022789-edmunds-final-report-2017.pdf
January 01, 2017 - stakeholders who create data, methods and evidence to shape the next generation of learning
health systems … build methods, informatics, and
governance strategies that contribute to building learning health systems … that are also
“doing” systems capable of improving patient care and outcomes. … The
initiative was originally scoped to support investigators conducting the Prospective Outcome
Systems … The DALHS Community of
Practice supports the efforts of health systems and stakeholders who strive for
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digital.ahrq.gov/sites/default/files/docs/survey/ccd-functionality-colorado-chc-emr.pdf
September 01, 2008 - of Care Document (CCD) Functionality of Colorado
Community Health Center Electronic Medical Record Systems … permission from the authors.
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Report on CCD Functionality of Colorado Community Health Center
EMR Systems … Document title: Report on CCD Functionality of Colorado Community Health Center EMR Systems
Table of
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digital.ahrq.gov/sites/default/files/docs/publication/uc1hs016151-mathews-final-report-2008.pdf
January 01, 2008 - to allow for 1) sharing population
demographic data between systems, and 2) sharing of relevant data … Vendor selection to develop software able to integrate partners’ registration
systems into a common … Baseline measure - Survey of current policies and systems for data back-
up/security.
4. … Baseline measure - Survey of current policies and systems for data back-
up/security. … before and after measure - reduction in information sharing cost
through interoperable systems.
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digital.ahrq.gov/sites/default/files/docs/publication/uc1hs015354-rachman-final-report-2007.pdf
January 01, 2007 - Partners in the project included the American Medical Association, Health Information
Management Systems … Society, and GE Medical Systems. … • Interface engine secured to construct interfaces with major lab vendors and practice
management systems … systems
• End user devices selected procured and deployed
Goal II Milestones: Develop a data … • Systems currently live at five Health Centers with feeds from 3 practice management
systems
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digital.ahrq.gov/sites/default/files/docs/library/d06750.pdf
August 30, 2006 - Without proper safeguards, systems
are unprotected from individuals and groups with malicious intent … Boundary protections demarcate logical or physical boundaries between
protected information and systems … Additionally, CMS requires that
any connections to the Internet or to other external systems be through … CMS policy requires the enforcement of auditing and
accountability by configuring information systems … CMS
policy requires the maintenance of system hardware and software on all
CMS information systems.