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This project will test the effectiveness of using patient-reported outcomes for cirrhosis collected with Patient Buddy and EncephalApp on hospital readmissions.
This project tested a mobile health application’s impact on reducing readmissions among patients with cirrhosis within 30 days of hospital discharge, and found it to be usable and feasible.
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.
Developed approaches to share data on patient clinical and diagnostic information across systems and created an implementation plan for systems integration.
Examined automation of the continuity of care record for use in patient referrals, hospital admission, and hospital discharge; e-prescribing in physician practices, hospital discharge medications, and long-term care facilities with links to community pharmacies; and disease registries for managing preventive care interventions and chronic diseases.