National Healthcare Quality and Disparities Report
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Search All Research Studies
AHRQ Research Studies Date
Topics
- Alcohol Use (1)
- Behavioral Health (1)
- Care Coordination (1)
- Chronic Conditions (2)
- Clinical Decision Support (CDS) (1)
- Clinician-Patient Communication (1)
- Diabetes (1)
- Electronic Health Records (EHRs) (10)
- Emergency Department (1)
- Emergency Medical Services (EMS) (1)
- Healthcare Delivery (2)
- Healthcare Utilization (1)
- (-) Health Information Technology (HIT) (13)
- Hospitals (1)
- Medication (1)
- Obesity (1)
- Patient-Centered Healthcare (1)
- Patient Safety (1)
- (-) Primary Care (13)
- Quality Indicators (QIs) (1)
- Quality of Care (1)
- Rural Health (1)
- Screening (1)
AHRQ Research Studies
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Research Studies is a compilation of published research articles funded by AHRQ or authored by AHRQ researchers.
Results
1 to 13 of 13 Research Studies DisplayedWexler R, Hefner JL, Sieck C
Connecting emergency department patients to primary care.
The researchers developed and evaluated a system change innovation designed to remove system barriers to primary care access for Medicaid patients. The intervention did not decrease ED visits nor increase primary care use over the 12 months of the study period. The qualitative results provide insight into nonurgent ED utilization by patients with Medicaid, suggesting potential future interventions.
AHRQ-funded; HS020693.
Citation: Wexler R, Hefner JL, Sieck C .
Connecting emergency department patients to primary care.
J Am Board Fam Med 2015 Nov-Dec;28(6):722-32. doi: 10.3122/jabfm.2015.06.150044.
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Keywords: Emergency Department, Emergency Medical Services (EMS), Primary Care, Health Information Technology (HIT), Healthcare Utilization
Phillips RL, Jr., Bazemore AW, DeVoe JE
A family medicine health technology strategy for achieving the triple aim for US health care.
To inform the Family Medicine for America's Health (FMAHealth) initiative, this paper explores strategies and tactics that family medicine could pursue to improve the utility of technology for primary care and to help primary care become a leader in rapid development, testing, and implementation of new technologies. These strategies were also designed with a broader stakeholder audience in mind, intending to reach beyond the work being done by FMAHealth.
AHRQ-funded; HS022583.
Citation: Phillips RL, Jr., Bazemore AW, DeVoe JE .
A family medicine health technology strategy for achieving the triple aim for US health care.
Fam Med 2015 Sep;47(8):628-35.
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Keywords: Electronic Health Records (EHRs), Healthcare Delivery, Primary Care, Health Information Technology (HIT)
Baer HJ, Wee CC, DeVito K
Design of a cluster-randomized trial of electronic health record-based tools to address overweight and obesity in primary care.
The researchers described the design of a trial to examine the effectiveness of electronic health record-based tools for the assessment and management of overweight and obesity among adult primary care patients, as well as the challenges encountered. New features included reminders to measure height and weight, and an alert asking providers to add overweight or obesity to the problem list.
AHRQ-funded; HS019789.
Citation: Baer HJ, Wee CC, DeVito K .
Design of a cluster-randomized trial of electronic health record-based tools to address overweight and obesity in primary care.
Clin Trials 2015 Aug;12(4):374-83. doi: 10.1177/1740774515578132..
Keywords: Health Information Technology (HIT), Primary Care, Obesity, Electronic Health Records (EHRs), Clinician-Patient Communication
Williams EC, Achtmeyer CE, Thomas RM
Factors underlying quality problems with alcohol screening prompted by a clinical reminder in primary care: a multi-site qualitative study.
The researchers aimed to understand factors that might contribute to low sensitivity of alcohol screening. Their qualitative study in nine clinics found that implementation of alcohol screening facilitated by a clinical reminder resulted primarily in verbal screening in which questions were not asked verbatim and were otherwise adapted.
AHRQ-funded; HS022800; HS013853.
Citation: Williams EC, Achtmeyer CE, Thomas RM .
Factors underlying quality problems with alcohol screening prompted by a clinical reminder in primary care: a multi-site qualitative study.
J Gen Intern Med 2015 Aug;30(8):1125-32. doi: 10.1007/s11606-015-3248-z..
Keywords: Alcohol Use, Screening, Primary Care, Health Information Technology (HIT)
Dalal AK, Pesterev BM, Eibensteiner K
Linking acknowledgement to action: closing the loop on non-urgent, clinically significant test results in the electronic health record.
This study measured use of an acknowledgment tool by 146 primary care physicians (PCPs) at 13 network-affiliated practices that use the same EHR. It then surveyed PCPs to assess use of, satisfaction with, and desired enhancements to the acknowledgment tool. Most (64 percent) were satisfied with the tool. Both satisfied and nonsatisfied PCPs reported that enhancements linking acknowledgment to routine actions would be useful.
AHRQ-funded; HS019603.
Citation: Dalal AK, Pesterev BM, Eibensteiner K .
Linking acknowledgement to action: closing the loop on non-urgent, clinically significant test results in the electronic health record.
J Am Med Inform Assoc 2015 Jul;22(4):905-8. doi: 10.1093/jamia/ocv007..
Keywords: Patient Safety, Electronic Health Records (EHRs), Primary Care, Health Information Technology (HIT)
Morton S, Shih SC, Winther CH
Health IT-enabled care coordination: A national survey of patient-centered medical home clinicians.
This study assessed the feasibility and acceptability of 6 proposed care coordination objectives for stage 3 of the Centers for Medicare and Medicaid Services electronic health record incentive program (Meaningful Use) related to referrals, notification of care from other facilities, patient clinical summaries, and patient dashboards. It found that the activity most frequently supported by health IT was providing clinical summaries to patients.
AHRQ-funded; HS022693.
Citation: Morton S, Shih SC, Winther CH .
Health IT-enabled care coordination: A national survey of patient-centered medical home clinicians.
Ann Fam Med 2015 May-Jun;13(3):250-6. doi: 10.1370/afm.1797..
Keywords: Health Information Technology (HIT), Electronic Health Records (EHRs), Primary Care, Patient-Centered Healthcare
Ornstein SM, Nemeth LS, Nietert PJ
Learning from primary care meaningful use exemplars.
This report presents the results of a multimethod study combining an EHR-based clinical quality measurements (CQM) performance assessment, a provider survey, and focus groups among high CQM performers. It concluded that purposeful use of EHR functionality coupled with staff education in a milieu where Quality Improvement is valued and supported is associated with higher performance on CQM.
AHRQ-funded; HS022701; HS018984.
Citation: Ornstein SM, Nemeth LS, Nietert PJ .
Learning from primary care meaningful use exemplars.
J Am Board Fam Med 2015 May-Jun;28(3):360-70. doi: 10.3122/jabfm.2015.03.140219..
Keywords: Electronic Health Records (EHRs), Health Information Technology (HIT), Primary Care, Quality Indicators (QIs), Quality of Care
Tannenbaum D, Doctor JN, Persell SD
Nudging physician prescription decisions by partitioning the order set: results of a vignette-based study.
The purpose of this study was to examine whether the grouping of menu items systematically affects prescribing practices among primary care providers. It found that provider treatment choice appears to be influenced by the grouping of menu options, suggesting that the layout of EHR order sets is not an arbitrary exercise.
AHRQ-funded; RC4 AG039115 (NIA/AHRQ).
Citation: Tannenbaum D, Doctor JN, Persell SD .
Nudging physician prescription decisions by partitioning the order set: results of a vignette-based study.
J Gen Intern Med 2015 Mar;30(3):298-304. doi: 10.1007/s11606-014-3051-2..
Keywords: Electronic Health Records (EHRs), Primary Care, Clinical Decision Support (CDS), Health Information Technology (HIT), Medication
Jones JB, Weiner JP, Shah NR
The wired patient: patterns of electronic patient portal use among patients with cardiac disease or diabetes.
The researchers described the types and patterns of portal users in an integrated delivery system. They found naturally occurring groups of EHR Web portal users within a population of adult primary care patients with chronic conditions. More than half of the patient cohort exhibited distinct patterns of portal use linked to key features.
AHRQ-funded; HS016228.
Citation: Jones JB, Weiner JP, Shah NR .
The wired patient: patterns of electronic patient portal use among patients with cardiac disease or diabetes.
J Med Internet Res 2015 Feb 20;17(2):e42. doi: 10.2196/jmir.3157..
Keywords: Health Information Technology (HIT), Electronic Health Records (EHRs), Primary Care, Healthcare Delivery, Chronic Conditions
Hsiao CJ, King J, Hing E
AHRQ Author: Hsiao CJ
The role of health information technology in care coordination in the United States.
This study used 2012 national data to explore the extent to which office-based physicians in the United States receive patient health information (electronically or non-electronically) needed to coordinate care with providers outside their practice, as well as with hospitals. It found that a higher percentage of physicians using health information technology (HIT) received patient information necessary for care coordination than those who did not use HIT.
AHRQ-authored.
Citation: Hsiao CJ, King J, Hing E .
The role of health information technology in care coordination in the United States.
Med Care. 2015 Feb;53(2):184-90. doi: 10.1097/mlr.0000000000000276..
Keywords: Health Information Technology (HIT), Care Coordination, Primary Care, Hospitals
Herrin J, da Graca B, Aponte P
Impact of an EHR-based diabetes management form on quality and outcomes of diabetes care in primary care practices.
The researchers assessed the impact of a diabetes management form (DMF) accessible within an electronic health record on the quality and outcomes of diabetes care. They found that although tests (microalbumin, eye and foot exams) increased more for DMF-exposed patients, these patients had less improvement in achieving outcomes.
AHRQ-funded; HS020696
Citation: Herrin J, da Graca B, Aponte P .
Impact of an EHR-based diabetes management form on quality and outcomes of diabetes care in primary care practices.
Am J Med Qual. 2015 Jan-Feb;30(1):14-22. doi: 10.1177/1062860613516991..
Keywords: Diabetes, Electronic Health Records (EHRs), Health Information Technology (HIT), Primary Care, Chronic Conditions
Anderson HD, Pace WD, Brandt E
Monitoring suicidal patients in primary care using electronic health records.
The objective of this study was to estimate the use of diagnostic codes in EHRs to document suicidal ideation and attempt among patients seen in primary care. It found that few cases of suicidal ideation and suicide attempt as documented in a primary care setting using a clinician’s notes field or a patient-reported PHQ-9 were also documented in the patient’s EHR using diagnostic codes.
AHRQ-funded; HS019464.
Citation: Anderson HD, Pace WD, Brandt E .
Monitoring suicidal patients in primary care using electronic health records.
J Am Board Fam Med 2015 Jan-Feb;28(1):65-71. doi: 10.3122/jabfm.2015.01.140181..
Keywords: Behavioral Health, Primary Care, Electronic Health Records (EHRs), Health Information Technology (HIT)
Green LA, Potworowski G, Day A
Sustaining "meaningful use" of health information technology in low-resource practices.
The objective of this paper was to identify potential barriers to maintenance of meaningful use of EHRs in priority primary care practices using a qualitative observational study for federally qualified health centers and priority practices in Michigan. The authors concluded that priority practices, especially in rural areas, are at high risk for falling on the wrong side of a digital divide as payers and regulators enact increasing expectations for EHR use and information management.
AHRQ-funded; HS018170.
Citation: Green LA, Potworowski G, Day A .
Sustaining "meaningful use" of health information technology in low-resource practices.
Ann Fam Med 2015 Jan-Feb;13(1):17-22. doi: 10.1370/afm.1740.
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Keywords: Electronic Health Records (EHRs), Health Information Technology (HIT), Primary Care, Rural Health