Connected urban medical center disease experts with rural general practitioners and community health representatives over a telehealth network to effectively treat patients with chronic, common and complex diseases who do not have direct access to specialty health care providers.
Implemented an ambulatory computer physician order entry (ACPOE) system with clinical decision support capabilities in an ambulatory, community-based, integrated health-system; evaluated the impact of the system both internally, on organizational processes and human factors, and externally, on patient safety as measured by medication errors and adverse drug events.
Implemented an electronic health records system in a network of community health centers and developed a data warehouse to monitor, aggregate, and provide data for quality improvement.
Performed a rigorous evaluation of the impact of a statewide implementation program on EHR adoption by rural and non-rural ambulatory care practices and its impact on medication errors and the quality of ambulatory care as a collaborative effort among providers, insurers, and businesses in cooperation with the state government.
Integrated health services research, clinic redesign, and electronic practice management through the implementation of electronic health records and clinical decision support systems (CDSS) by partnering with three rural Tribal Health Programs to implement electronic health records with clinical decision support systems.
Developed a community-wide HIE collaborative in a rural area that gave patients and providers access to comprehensive clinical data on the Internet; developed disease-management prototypes on diabetes, pediatric asthma, depression, and low back pain and evaluated the development, implementation, and outcomes of the collaborative.
Implemented an EMR system that allows 24-hour data sharing across 7 rural health care delivery sites for clinicians to access current and completed patient information using either Personal Digital Assistants or a Web portal.
Established an automated surveillance system for detecting, reporting, and intervening as well as measuring the incidence and nature of adverse drug events suffered by patients.
Implemented and evaluated the results of the Consolidated Imaging—Picture Archiving and Communication System (a shared, standards-based, interoperable health information technology) that makes radiology images available for review within minutes of when they are acquired.
Implemented a systematic care program to improve cancer management in rural communities by building upon an innovative approach to total clinical decision support to provide access to oncology, hematology, and other specialists through a dedicated telehealth network.
