Care Coordination

The Effect of Health Information Technology on Health Care Provider Communication

Description: 

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.

Principal Investigator: 
Project Dates: 
September 30, 2014 to September 29, 2018

Using Location-Based Smartphone Alerts Within a System of Care Coordination

Description: 

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.

Principal Investigator: 
Project Dates: 
September 30, 2016 to September 29, 2018

Use of Patient Buddy™ Application to Disseminate Knowledge & Prevent Readmission

Description: 

This project will test a mobile health application’s impact on reducing readmissions in patients with cirrhosis within 30 days of hospital discharge.

Principal Investigator: 
Project Dates: 
April 6, 2015 to March 31, 2017

Electronic Health Record Solutions for Accurate Reporting of Data on Interprofessional Intensive Care Unit rounds

Description: 

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.

Principal Investigator: 
Project Dates: 
July 1, 2015 to April 30, 2020

Clinical Information Needs of Community Health Centers for Health Information Technology

Description: 

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.

Principal Investigator: 
Project Dates: 
May 1, 2015 to April 30, 2019

Coordinating Transitions: Health Information Technology Role in Improving Multiple Chronic Disease Outcomes

Description: 

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.

Principal Investigator: 
Project Dates: 
July 15, 2014 to December 31, 2016

A Community Health Information Exchange-based Hospital Readmission Risk Prediction & Notification System

Description: 

This project developed and validated a 30-day readmission risk prediction model that incorporated data from a health information exchange.

Principal Investigator: 
Project Dates: 
September 30, 2013 to September 29, 2015

Addressing the Personal Health Information Management Needs of Older Adults

Description: 

This project will examine the health information needs of older adults to inform the design of systems to support their health and independence.

Principal Investigator: 
Project Dates: 
September 30, 2013 to August 31, 2018

Evaluation of Stage 3 Meaningful Use Objectives: Analysis in Oklahoma and the District of Columbia

Description: 

This project provided input to inform the development of nine proposed Stage 3 MU objectives focused on patient engagement, interoperability, and care coordination.

Principal Investigator: 
Project Dates: 
September 26, 2013 to September 25, 2014

Care Coordination Enabled by Health Information Technology: What Will It Take?

Description: 

This project assessed the feasibility and measurability care coordination activities and found that the electronic health record was infrequently used to support care coordination.

Principal Investigator: 
Project Dates: 
September 30, 2013 to September 29, 2014