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This project will examine health information exchange (HIE) usage patterns, the barriers and facilitators of HIE use, and the impact of HIE use by emergency department clinicians.
This project studied the impact of changing the computing layout in a clinical exam room and evaluated its impact on workflow and patient centeredness.
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.
Implemented and trained users of a Web-based electronic record system in the emergency departments of two small community hospitals, one medium-sized community hospital, one rural hospital, and three private primary care physician practices; evaluated the reduction in medical errors, waiting time, and costs as well as patient and physician satisfaction.
Identified essential technological needs for accessing and sharing data and information between patients and health care providers; developed an implementation plan to expand the transmission of referral information electronically in a closed health system to an open system.
Created a secure infrastructure for communication among providers to allow electronic sharing of patient clinical information with hospitals and other physicians/health providers in the county, region, and State; also assessed the effectiveness of the system in improving workflow, timeliness and completeness of information, patient safety, continuity of care, and health outcomes.
Implemented and trained staff on the use of an EMR system in a rural integrated health care delivery system in an integrated rural healthcare delivery system serving approximately 20 counties throughout Eastern Kentucky and Southern West Virginia.
Created a prescribing tool with decision support (checking dosage, contraindications, and drug interactions) that can be easily integrated into a provider's practices; implemented and piloted tests the tool to evaluate its benefits and costs.
The Indiana Network for Patient Care, an operational health information exchange (HIE) in central Indiana, is one of six AHRQ sponsored State and Regional demonstration projects begun in late 2004 and early 2005 to create State or regional HIEs.