Electronic Records to Improve Care for Children
Project Final Report (PDF, 84.66 KB) Disclaimer
The findings and conclusions in this document are those of the author(s), who are responsible for its content, and do not necessarily represent the views of AHRQ. No statement in this report should be construed as an official position of AHRQ or of the U.S. Department of Health and Human Services.
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Project Details -
Completed
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Grant NumberUC1 HS015420
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AHRQ Funded Amount$1,178,958
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Principal Investigator(s)
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Organization
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LocationNew HavenConnecticut
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Project Dates09/30/2004 - 09/29/2007
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Medical Condition
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Population
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Type of Care
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Health Care Theme
The purpose of this project was to implement a shared, community-wide electronic health record for health care providers in pediatric primary care, school health, specialty care, and emergency medicine; to demonstrate improvements in quality of care for children with asthma; to understand organizational barriers and factors that enhance information technology (IT) acceptance; and to provide administrative and technical elements of a community-wide health network infrastructure that can be further extended to additional health partners. Information technology can promote improved quality of care, but obstacles to the realization of an information infrastructure are formidable. Improved management of a prevalent chronic disease can serve as a focus for community-wide improvements in care. The following were part of the evaluation process: (1) measured successes in creating and extending information linkages; (2) performed a retrospective record review to define baseline continuity of information error raters between the Pediatric Emergency Department and two community health centers; (3) implemented clinical decision support for chronic asthma management and combined it with audit and feedback to measure changes in processes of care; (4) conducted a qualitative investigation of personal hopes and concerns and organizational supports and barriers to health IT implementation; and (5) created an infrastructure for a community-wide health information exchange.
Disclaimer
Disclaimer details
Citation:
Hsiao AL, Shiffman RN. Dropping the baton during the handoff from emergency department to primary care: pediatric asthma continuity errors. Jt Comm J Qual Patient Saf 2009 Sep;35(9):467-74.
Principal Investigator:
Shiffman, Richard N.
Project Name:
Electronic Records to Improve Care for Children
Document Type:
Journal Publication
Research Method:
Cross-Sectional (Prevalence) Study
Technology:
Data Warehouse, Computerized Provider Order Entry System, Electronic Health Record/Electronic Medical Record, Health Information Exchange
Population:
Individuals with Chronic Care Needs, Infants, Children
Citation:
Shiffman R. Electronic Records to Improve Care for Children - Final Report. (Prepared by Yale University under Grant No. UC1 HS015420). Rockville, MD: Agency for Healthcare Research and Quality, 2008.
Link:
PDF (84.66 KB)
The findings and conclusions in this document are those of the author(s), who are responsible for its content, and do not necessarily represent the views of AHRQ. No statement in this report should be construed as an official position of AHRQ or of the U.S. Department of Health and Human Services.
Principal Investigator:
Shiffman, Richard N.
Project Name:
Electronic Records to Improve Care for Children
Document Type:
Report
Disclaimer
Disclaimer details