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This project will clarify the relationship between “pull” and “push” health information exchange usage in primary care settings, and determine the impact of each approach on potentially avoidable and costly health care utilization.
This project integrated a validated anxiety-specific screening tool in an existing clinical decision support system and tested it with a randomized feasibility pilot that found the tool did not increase detection of anxiety in pediatric primary care.
This project developed a patient-centric tool called the Surgical Risk Preoperative Assessment System to estimate the risk of adverse operative outcomes.
This project developed, implemented, and assessed a patient data collection and clinician feedback system for depression care management in primary care practices, and found improvements in patient medication filling and adherence.
This project expanded and modified the Child Health Improvement through Computer Automation (CHICA) system to assist pediatricians in identifying and managing four common medical-legal problems that may adversely impact child health, and found initial findings to be inconclusive.
This project implemented clinical decision support and clinical messaging to improve clinician reporting of notifiable conditions to public health agencies.
This project evaluated the usability of medication fulfillment data obtained from electronic health records and piloted a clinical decision support tool that alerted physicians to potential hypertensive medication adherence lapses.
This project evaluated whether the adoption of a community-wide health information exchange reduces utilization and costs of laboratory and radiology testing.
Created a secure infrastructure for communication among providers to allow electronic sharing of patient clinical information with hospitals and other physicians/health providers in the county, region, and State; also assessed the effectiveness of the system in improving workflow, timeliness and completeness of information, patient safety, continuity of care, and health outcomes.
The Indiana Network for Patient Care, an operational health information exchange (HIE) in central Indiana, is one of six AHRQ sponsored State and Regional demonstration projects begun in late 2004 and early 2005 to create State or regional HIEs.