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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 will develop decision support tools that integrate with electronic health records to increase the quality and effectiveness of chronic pain care.
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 applied a user-centered design process to understand the needs and attitudes for sharing patient-collected lifelog data with providers to improve management and decision making.
This project determined care priorities for patients with multiple chronic conditions based on patient needs, preferences, and capabilities and developed a set of recommendations for patients and providers.
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 evaluated the use and benefits of an electronic medical record shared between patients with diabetes and their health care providers.
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.
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.