Medication errors, especially those that may be preventable, are among the most serious medication use concerns in older persons cared for in ambulatory care settings. The introduction of health IT into such complex settings can improve patient safety, but its adoption in outpatient offices is only just beginning, and increased use of IT alone will not be enough to deal with the many complex cognitive processes that are intricately interlinked with human factors. This proposal will implement an IT-based Crew Resource Management (CRM) tool.

The NYC Department of Health and Mental has identified citywide electronic health record adoption and standardized quality measurement as key strategies in achieving population-level improvements in preventive care and chronic disease management. The quality measures and tools validated in this project address priority public health issues and will be deployed in a citywide network designed to improve care for disadvantaged populations.

Existing metrics for measuring quality of care do not capture many of the expected effects of health information technology with health information exchange. Our proposal aims to develop, validate, and implement a new set of metrics that will rely on electronic retrieval of data to measure these effects.

Evaluation of a Computerized Clinical Decision Support System and Electronic Health Record-Linked Registry to Improve Management of Hypertension in Community-based Health Centers Project Summary/Abstract This proposal aims to address the need for more empirical outcome data on effective information technology strategies for improving control of hypertension among low income immigrant populations.