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Evaluated the effects of staggered installation of an Epic health IT system that includes an EMR with provider order entry and clinical decision support in primary care settings on quality, safety, and resource use within a large integrated delivery system on cohort of 780,000 members with chronic illnesses.
Integrated an office-based EMR within an acute care hospital, rural community health centers, a community mental health center, a family medicine residency, private physician practices, and a home nursing service for improving use of the EMR as a clinical tool, integrate clinical data, and increase access to the data.
Developed a database that includes diagnoses, health records, and educational information on children with special health care needs, with emphasis on children with genetic conditions and developmental disabilities. This information was made available to physicians via a secure Web-based system.
Assesses the value of health IT to clinicians through creation of CDSS tools integrated with clinical documentation workflow and physician performance feedback, its impact on clinical decision support and quality assessment, and its cost-effectiveness.
Disseminated strategies targeted toward increasing immunizations and preventive care, including a computer reminder system to practices in a Practice-based Research Network (PBRN). Assessesed, using a randomized controlled trial methodology, the relative adoption success of academic detailing combined with and without practice facilitation and technology implementation assistance, on the delivery of preventive services.
Developed a shared electronic repository for patient-level prescription medication data that enables real-time access for patients receiving health care services and plans a model system designed to electronically link prescription medication data across hospitals and physician practices.
Implemented and evaluated a community-wide EHR for health care providers in pediatric primary care, school health, specialty care, and emergency medicine who provide care for inner city children with asthma.
Systematically assessed improvements in patient safety and experience of care associated with implementation of four decision support function embedded in an electronic health record: 1) the influence of weight based dosing on pediatric adverse drug events; 2) the influence of a test result tracking system on appropriate followup of ordered tests; 3) the influence of automated reminders on symptom monitoring and medications for children with asthma and attention deficit disorder.
Implemented an integrated electronic patient medical record, electronic medication administration record, computerized physician order entry (CPOE), and clinical decision support software that is accessible at all participating facilities which include an acute care hospital, home health care agency, ambulatory clinics, a rehab facility, and to the patient/resident from home.
Implemented an ambulatory EMR in multiple rural primary and specialist care provider settings and measures the impact of health information technology on clinical practice, organizational structure, and financial benefits; integrated ambulatory electronic medical record case scenarios into the curricula of the Health Science and Human Services Department to ensure that future health care providers have adequate training and exposure to ambulatory EMR technology.