Chronic Conditions

The role of telehealth and clinical informatics in data driven primary care redesign.

Citation

Brown JL, Hewner S. The role of telehealth and clinical informatics in data driven primary care redesign. J Inform Nurs. 2022;6(4):jin_21N4_A3. PMID: 35733915; PMCID: PMC9211055.

Project Name

Implementing Personalized Cross-Sector Transitional Care Management to Promote Care Continuity, Reduce Low-Value Utilization, and Reduce the Burden of Treatment for High-Need, High-Cost Patients

Identifying high need primary care patients using nursing knowledge and machine learning methods.

Citation

Hewner S, Smith E, Sullivan SS. CIC 2022: Identifying high need primary care patients using nursing knowledge and machine learning methods. Appl Clin Inform. 2023 Mar 7. doi: 10.1055/a-2048-7343. Epub ahead of print. PMID: 36882152.

Principal Investigator

Hewner, Sharon

Project Name

Implementing Personalized Cross-Sector Transitional Care Management to Promote Care Continuity, Reduce Low-Value Utilization, and Reduce the Burden of Treatment for High-Need, High-Cost Patients

Using smart displays to implement an eHealth system for older adults with multiple chronic conditions: Protocol for a randomized controlled trial.

Citation

Gustafson DH Sr, Mares ML, Johnston DC, Landucci G, Pe-Romashko K, Vjorn OJ, Hu Y, Gustafson DH Jr, Maus A, Mahoney JE, Mutlu B. Using smart displays to implement an eHealth system for older adults with multiple chronic conditions: Protocol for a randomized controlled trial. JMIR Res Protoc. 2022 May 5;11(5):e37522. doi: 10.2196/37522. PMID: 35511229; PMCID: PMC9121223.

Principal Investigator

Gustafson, David H.

Mares, Marie-Louise

Project Name

Using Smart Devices to Implement an Evidence-based eHealth System for Older Adults

Advancing Health Information Exchange During Inter-Hospital Transfer to Improve Patient Outcomes

Description

This research will refine a current health information exchange platform to improve data exchange for inter-hospital transfers, evaluate its impact, and create a dissemination toolkit so that others may adopt this model.

Grant Number

R01 HS028982

Principal Investigator(s)

Mueller, Stephanie

Care Transitions App for Patients with Multiple Chronic Conditions

Description

This study will develop, evaluate, and disseminate a multicomponent intervention including a mobile health application and digital navigator training to support safe care transitions for patients with multiple chronic conditions.

Grant Number

R01 HS028007

Principal Investigator(s)

Samal, Lipika

Dykes, Patricia

Scaling E.Q.U.I.P.P.E.D. Clinical Decision Support - Final Report

Citation

Vandenberg A. Scaling E.Q.U.I.P.P.E.D. Clinical Decision Support - Final Report. (Prepared by Emory University under Grant No. R18 HS026877). Rockville, MD: Agency for Healthcare Research and Quality, 2022.

Principal Investigator

Vandenberg, Ann E.

Project Name

Scaling E.Q.U.I.P.P.E.D. Clinical Decision Support

Early prescribing outcomes after exporting the EQUIPPED medication safety improvement programme.

Citation

Vaughan CP, Hwang U, Vandenberg AE, Leong T, Wu D, Stevens MB, Clevenger C, Eucker S, Genes N, Huang W, Ikpe-Ekpo E, Nassisi D, Previl L, Rodriguez S, Sanon M, Schlientz D, Vigliotti D, Hastings SN. Early prescribing outcomes after exporting the EQUIPPED medication safety improvement programme. BMJ Open Qual. 2021 Nov;10(4):e001369. doi: 10.1136/bmjoq-2021-001369. PMID: 34750188; PMCID: PMC8576471.

Principal Investigator

Vandenberg, Ann E.

Project Name

Scaling E.Q.U.I.P.P.E.D. Clinical Decision Support

Use of Electronic Health Record Metadata to Assess Hospital Discharge Planning for Post-Acute Transitions

Description

This research will develop and test novel approaches for using electronic health record metadata to characterize and evaluate hospital discharge planning practices, with the long-term goal of providing tools to monitor and strengthen specific behaviors within discharge workflows that optimize post-acute transitions of care.

Grant Number

R21 HS028865

Principal Investigator(s)

Cross, Dori

Not home alone: Leveraging telehealth and informatics to create a lean model for COVID-19 patient home care.

Citation

Ford D, Warr E, Hamill C, He W, Pekar E, Harvey J, DuBose-Morris R, McGhee K, King K, Lenert L. Not home alone: Leveraging telehealth and informatics to create a lean model for COVID-19 patient home care. Telemed Rep. 2021 Oct 28;2(1):239-246. doi: 10.1089/tmr.2021.0020. PMID: 34841422; PMCID: PMC8621622.

Principal Investigator

Simpson, Kit N.

Harvey, Jillian Beree

Project Name

Leveraging Health System Telehealth and Informatics Infrastructure to Create a Continuum of Services for COVID-19 Screening, Testing, and Treatment: A Learning Health System Approach

Incorporating patient-reported outcomes into shared decision-making in the management of patients with osteoarthritis of the knee: a hybrid effectiveness-implementation study protocol.

Citation

Lin E, Uhler LM, Finley EP, Jayakumar P, Rathouz PJ, Bozic KJ, Tsevat J. Incorporating patient-reported outcomes into shared decision-making in the management of patients with osteoarthritis of the knee: a hybrid effectiveness-implementation study protocol. BMJ Open. 2022 Feb 21;12(2):e055933. doi: 10.1136/bmjopen-2021-055933. PMID: 35190439; PMCID: PMC8860037.

Principal Investigator

Bozic, Kevin John

Project Name

Incorporating Patient-Reported Outcomes into Shared Decision Making with Patients with Osteoarthritis of the Knee

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