Created an information management environment that integrated patient care data, standardized practice variation and use of best practices, and supported the delivery of a seamless continuum of patient care throughout the health system through CPOE.
Computerized Provider Order Entry System
Implements an emergency medical records system that will provide shared access to patient records across various community health care providers and incorporates electronic tools for prescription distribution and management.
Assessed the value of a computerized clinic order entry tool in rural primary care practices for appropriateness of antimicrobial therapy for acute respiratory infections, frequency of hemoglobin A1c in diabetics, incidence of outpatient adverse drug events, and influenza vaccine immunizations.
Implemented a series of new health information technologies in carefully staged processes over 2 years to include an Inpatient Pharmacy System, Electronic Medication Administration Record, Bar Coding System, and a CPOE System; evaluated the impact of these systems on safety, quality, and efficiency.
Implemented an ambulatory computer physician order entry (ACPOE) system with clinical decision support capabilities in an ambulatory, community-based, integrated health-system; evaluated the impact of the system both internally, on organizational processes and human factors, and externally, on patient safety as measured by medication errors and adverse drug events.
Developed a regional collaborative and business plan for implementing health IT in a rural region; also conducted a telemedicine demonstration project to assess the barriers and issues of broad health IT intervention including telemedicine/teleradiology, scan/store medical record, chronic disease registry and personal health record, and linking the region's partners.
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.
This project developed, implemented, and evaluated the impact of a computerized tool to automatically identify tests with pending results at hospital discharge, and assist in communicating those to followup providers.
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.
This project reviewed the evidence on use and impact of health information technology in assisting all of the phases of medication management.