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This project will design and implement a care coordination system using a smartphone application that sends location-based alerts to care managers when high-risk patients receive care at a regional hospital or emergency room.
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 enhanced the information system MedTrak with an intervention called Virtual Continuity to improve communication between physicians of hospitalized patients and their primary care providers.
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.
This project developed, implemented, and evaluated a care transition information transfer system to improve provider-to-provider communication and standardize the discharge process.
Develops a secure, comprehensive, virtual health record for medically underserved patients that will lead to the implementation of a health IT infrastructure necessary to support a single, shared EMR application to promote the community-wide exchange of patient information for clinical decision support, research, and disease management on behalf of low-income, uninsured people.
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.
The purpose of this project was to examine the feasibility of developing an electronic health information network to provide clinicians with patients' medical information during care transfers and found that, while feasible, there are significant barriers to information exchange.