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This project determined care priorities for patients with multiple chronic conditions based on patient needs, preferences, and capabilities and developed a set of recommendations for patients and providers.
This study aimed to improve care transitions for low-income patients with multiple chronic conditions using health information exchange, and found significant reductions in inpatient and emergency department utilization.
This project implemented a patient portal that improved patient functional status and decreased health care utilization.
The goal of this study was to develop and evaluate electronic health record-based tools to improve diagnosis and treatment of overweight and obesity in primary care.
This project developed and tested electronic health record elements to improve the delivery, documentation, and tracking of self-management support services and developed a personal health record for patients to access their medical record and enter goals.
This project developed the Patient Readiness to Engage in Health Information Technology Scale (PRE-HIT), which allows the examination of preferences for use of Web-based health resources among patients who have chronic diseases.
Develops a patient Master Visit Registry (MVR), addressing the need for better information sharing among clinical organizations and enhancing their ability to give patients continuous high-quality care when they change providers. The MVR will expand upon an existing patient record-keeping system, while improving local handling and exchange of records.