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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 built an automated intervention that recognized critical imaging results that require additional testing and populated a discharge summary with recommendations, resulting in improved patient followup.
This project worked to develop and implement two health information technology (IT) applications to improve care transitions from the hospital setting to the ambulatory and home settings.
This project developed an automated email notification system of tests pending at discharge and conducted an evaluation of the tool's impact on provider awareness of these tests.
This study evaluated the effectiveness of an electronic medication reconciliation intervention by comparing outcomes pre- and post-implementation in six community-based primary care clinics and two inpatient facilities.
The project team successfully developed and implemented an automated system for measuring the rate of adverse drug events in pediatric patients.
Developed a plan for enhancing communication at care transitions through an implementation plan for a community- and patient-shared EMR abstract that is available at the point of care.