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The overall objective of this project was to study the impacts of health information technology implementation on workflow processes in six primary and specialty ambulatory care practices.
In this project, the Center for Studying Health System Change conducted research exploring the effective use of electronic prescribing (e-prescribing) in physician practices and pharmacies.
Drs. Pascale Carayon and Ben-Tzion Karsh led a team that studied the existing research related to the impacts of health IT on workflow in outpatient settings and how health IT can be used to assess workflow in these settings. The information led to the development of a toolkit to help small and medium-sized medical practices assess their workflows before implementing a health IT system.
This project developed the capability to electronically create and securely transmit prescriptions for controlled substances, thus improving medication management at the point of care.
This study investigated the experiences of physician practices using e-prescribing, examining physicians’ perceptions of benefits of use, and the reasons for the lag between policy goals and actual use.
Planned the implementation of an HIE using a secure fiber optic connection between community care providers to share patient demographic, medical records, laboratory results, and radiographic images.
Implemented an ambulatory computer physician order entry (ACPOE) system with clinical decision support capabilities in an ambulatory, community-based, integrated health-system; evaluated the impact of the system both internally, on organizational processes and human factors, and externally, on patient safety as measured by medication errors and adverse drug events.
The Rhode Island Statewide Health Information Exchange, known as Currentcare, facilitated the development of the capability to deploy health information infrastructure at a statewide scale.