This project was designed to evaluate and improve the quality of screening and diagnostic colonoscopies in ambulatory care settings. Defined quality measures for colonoscopy were used in individual quality report cards with 15 measures created.
Built upon an existing infrastructure to construct a fully integrated EMR to give clinicians real-time access to patient data through pharmacy management, laboratory management, patient scheduling, barcoding, clinical physician order entry, electronic signature, insurance eligibility, and Pyxis medication-dispensing units at nursing stations.
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.
Design of a Toolkit to Add Electronic Clinical Data to Statewide Hospital Administrative Claims Data
This project designed the Adding Clinical Data Toolkit to help statewide data organizations enhance the clinical content of their administrative data.
This project conducted an evaluation of the implementation of the eReferral system developed by the University of California San Francisco (UCSF) and San Francisco General Hospital (SFGH).
Implemented the time-insensitive predictive instruments built into the computerized electrocardiograph in emergency medical service settings and emergency departments; also evaluated its impact on reducing errors and avoidable delays in emergency care.
Assessed opportunities to decrease adverse drug events and medication errors in frontier Montana Critical Access Hospitals; identified appropriate, cost effective health IT solutions to challenges in medication use.
This project developed the Care Coordination Measures Atlas, which catalogues 61 measures of care coordination, maps them to elements of a care coordination measurement framework, and summarizes key measure properties.
Implemented and evaluated a voluntary system for reporting medical errors and adverse drug events in eight small rural hospitals; identified barriers to technology, described the epidemiology and root causes of the errors, formulated quality-improvement interventions, and disseminated the results of the project.
Implemented advanced information technology in rural and small community hospitals including Web-based business intelligence tools, Internet connectivity, and standardized national measures of patient safety and quality; also provided education intervention to support implementation efforts and evaluate its effects on patient safety and quality.