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.
Implemented a Complete Medical Record (a computerized emergency department communication, documentation, passive tracking, and medical records system) in an emergency department and evaluated the use of this technology toward improving patient safety and quality of care.
Implemented a bar-coding application to an existing integrated health IT network that alerts providers to potential drug interactions and allergic reactions, tracks "near misses," and provides a permanent record of the patient's medication history that is accessible by providers at any site.
This project developed and evaluated the Secure Architecture For Exchanging Health Information (SAFEHealth), a health information exchange in Massachusetts.
Added a health care portal to the existing community-wide electronic data exchange which will allow for use of the current electronic messaging system along with migration to a full EMR; evaluated physician office efficiency improvement and cost reduction, payer return on investment, and safety and quality improvement.
Implemented a computer decision-support system in a 23-county service area in both inpatient and outpatient settings, including several rural clinics; included a training component for physicians and other health care providers, as well as a hospital pharmacy component for adverse drug event management and prevention strategies.
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 the newly developed Electronic Vision Rehabilitation Record and its tools to evaluate the effectiveness of current best practices and help refine practice as the evidence indicates.
Implemented the time-insensitive predictive instruments built into the computerized electrocardiograph in emergency medical service settings and emergency departments; also evaluated its impact on reducing errors and avoidable delays in emergency care.
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.
