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Designed a county-wide health information system that allowed health information sharing and permitted real-time order placement by hospitals, health departments, private physicians' offices, clinics, and long-term care facilities.
Assessed the effects of clinical decision support systems in nursing homes on medication ordering and monitoring for residents in long term care setting; also tracked costs and assessed productivity, impact, and nursing home culture and organization.
Developed new systems and a high level of integration and cooperation in four significant areas: medication management, patient discharge, high-level integration of information, and the development of a new paradigm for evaluating, selecting, and implementing new technologies.
Implemented a health IT system with added best-practices decision support modules in 7 nursing homes and evaluated the impact on care processes, resident health outcomes, and staff efficiency and satisfaction.
Planned the development and implementation of a health IT infrastructure throughout three rural counties, including high-speed Internet access, CPOE, CDSS, EHR, and continuity of care record templates.
Implemented a Patient-Centered Medication Information System (PCMIS) to provide secure access to accurate, complete, and current medication information for patients, clinicians, pharmacists, and nurses, reconciled differences in medication information, and provided a platform for evidence-based decision support; assessed the benefits and costs of the system.
Created a community-wide EMR with integrated clinical decision support that is available across the continuum of care including a rural hospital, a home health agency, 14 physician clinics, and 5 long-term care facilities.
The Rhode Island Statewide Health Information Exchange, known as Currentcare, facilitated the development of the capability to deploy health information infrastructure at a statewide scale.