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A Rural Health Information Technology Cooperative to Promote Clinical Improvement
Project Final Report (PDF, 203.76 KB) Disclaimer
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Project Details -
Completed
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Grant NumberR01 HS015188
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Funding Mechanism(s)
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AHRQ Funded Amount$1,498,916
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Principal Investigator(s)
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Organization
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LocationDavenportWashington
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Project Dates09/17/2004 - 08/31/2008
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Technology
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Care Setting
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Medical Condition
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Population
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Health Care Theme
The Rural Healthcare Quality Network (RHQN) of Washington State and American Institutes for Research (AIR) joined forces to demonstrate the value of health IT in improving the quality of emergency and inpatient care in rural hospitals by facilitating the adoption of national clinical guidelines and their adaptation to rural settings. This project conducted a quasi-experimental evaluation of a Rural Health Information Technology Cooperative (RHITC), based in network computing, designed to improve the practice patterns of physicians and nurses in two clinical areas that are particularly relevant to rural hospital practice: emergency department (ED) stabilization of acute myocardial infarction (AMI) patients and inpatient care of patients with community-acquired pneumonia (CAP). The project's broad goal was to demonstrate the value and foster the widespread deployment of health IT to promote rural clinical best practices and overcome barriers to the adoption of quality-improvement innovations in rural hospitals. The project's specific objectives were to: 1. Design and implement the RHITC intervention: (a) identify rural best clinical practices for AMI and CAP, based on national guidelines; and (b) develop appropriate health IT interventions to achieve standardized adoption of these best practices in each of the hospitals exposed to the intervention. 2. Network and hospital-level evaluation: Examine (a) how the characteristics of rural hospitals impede or facilitate the adoption of the health IT intervention; and (b) how the intervention influences hospital culture and performance. 3. Staff-level evaluation: Determine the impact of the health IT intervention on physician, mid-level practitioner, and nurse knowledge, attitudes, behavior, and practice culture in rural hospitals. 4. Patient-level evaluation: Examine the associations between the use of the HIT intervention by hospital staff and quality of hospital care and utilization of hospital services. 5. Disseminate the results: Disseminate the health IT intervention model for use by small rural hospitals nationwide.
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