Care Coordination
The Effect of Health Information Technology on Health Care Provider Communication
The purpose of this study is to describe how communication technologies make it easier or more difficult for nurses and physicians to communicate with each other, with a goal of finding ways to support effective communication.
Using Location-Based Smartphone Alerts Within a System of Care Coordination
This project will design and implement a care coordination system using a smartphone application that sends location-based alerts to care managers when high-risk patients receive care at a regional hospital or emergency room.
Use of Patient Buddy™ Application to Disseminate Knowledge & Prevent Readmission
This project will test a mobile health application’s impact on reducing readmissions in patients with cirrhosis within 30 days of hospital discharge.
Electronic Health Record Solutions for Accurate Reporting of Data on Interprofessional Intensive Care Unit rounds
This project will develop a series of standards for electronic health records to ensure adequate and accurate data communication for care team members in the intensive care environment.
Clinical Information Needs of Community Health Centers for Health Information Technology
This project will identify the information needs required to ensure effective care coordination for complex patients through extensive ethnographic assessment and interviews, and employ user-centered design methods to rapidly develop and test tools that address these needs.
Coordinating Transitions: Health Information Technology Role in Improving Multiple Chronic Disease Outcomes
This project will evaluate the use of a care transitions dashboard and a hierarchical algorithm to improve the quality of transitions from hospital to primary care.
A Community Health Information Exchange-based Hospital Readmission Risk Prediction & Notification System
This project developed and validated a 30-day readmission risk prediction model that incorporated data from a health information exchange.
Addressing the Personal Health Information Management Needs of Older Adults
This project will examine the health information needs of older adults to inform the design of systems to support their health and independence.
Evaluation of Stage 3 Meaningful Use Objectives: Analysis in Oklahoma and the District of Columbia
This project provided input to inform the development of nine proposed Stage 3 MU objectives focused on patient engagement, interoperability, and care coordination.
Care Coordination Enabled by Health Information Technology: What Will It Take?
This project assessed the feasibility and measurability care coordination activities and found that the electronic health record was infrequently used to support care coordination.

