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The project team implemented a Web-based service clinical decision support application to detect care transitions, and produce and send care event summary reports to patients, patients’ assigned medical homes, and care managers.
The goal of this project was to promote increased adherence to evidence-based pharmacotherapy guidelines through both traditional clinic-based and newer models of care.
Identified essential technological needs for accessing and sharing data and information between patients and health care providers; developed an implementation plan to expand the transmission of referral information electronically in a closed health system to an open system.
Assessed the costs and benefits of health IT in an established community-wide network of academic, private and public healthcare facilities created to share clinical information for the purpose of population-based care management of Medicaid beneficiaries.