Transitions in Care

Health Information Exchange Utilization and Inter-Hospital Transfer Outcomes

Description: 
This research’s goal is to show that interoperability, including adoption of regional health information exchanges, improves mortality rates and care efficiency at the population and patient levels.
Principal Investigator: 
Project Dates: 
April 1, 2019 to January 31, 2023

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, 2019

Using Social Knowledge Networking (SKN) Technology To Enable Meaningful Use of EHR Technology

Description: 

This pilot project implemented a Social Knowledge Networking system and concluded that it supported progress toward meaningful use of medication reconciliation technology in an electronic health record.

Principal Investigator: 
Project Dates: 
September 30, 2016 to September 28, 2018

Interactive Patient-Centered Discharge Toolkit To Promote Self-Management During Transitions

Description: 

This project will implement and evaluate a previously developed, interactive, patient-centered discharge toolkit to improve the transition of care from the inpatient to outpatient settings.

Principal Investigator: 
Project Dates: 
September 1, 2016 to August 31, 2019

Electronic Medication Adherence Reporting and Feedback During Care Transitions

Description: 

This project will implement and evaluate a “smart” pillbox given to patients in order to understand its ability to minimize discrepancies in prescribed regimens and to improve patients’ medication adherence after hospital discharge.

Principal Investigator: 
Project Dates: 
May 1, 2016 to April 30, 2019

Information Needs of Homecare Nurses During Admission and Care Planning

Description: 

This project will analyze and model the information requirements, decisionmaking, and workflow of homecare nurses admitting patients and characterize if and how health information technology systems support their needs.

Principal Investigator: 
Project Dates: 
April 1, 2016 to March 31, 2020

Developing an Interactive, Patient-Centered mHealth Tool to Enhance Post-Cystectomy Care

Description: 

This project will develop a mobile health tool that will prospectively collect patient-centered outcomes data on key symptoms of postoperative bladder cancer patients.

Principal Investigator: 
Project Dates: 
April 1, 2016 to March 31, 2019

Open & Act: Tracking Health Care Team Response to EHR Asynchronous Alerts

Description: 

This project analyzed secondary data to identify factors associated with timely opening of electronic health record-based asynchronous alerts, timely response to the alerts, and patient outcomes.

Principal Investigator: 
Project Dates: 
September 30, 2014 to September 29, 2017

Care Transitions and Teamwork in Pediatric Trauma: Implications for Health Information Technology Design

Description: 

This project seeks to develop an understanding of the cognitive work of clinician teams and family members involved in pediatric trauma care transitions in order to design usable and useful health information technologies.

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

Automated Notification for Followup Testing Recommendations Across Care Settings

Description: 

This project built an automated intervention that recognized critical imaging results that require additional testing and populated a discharge summary with recommendations, resulting in improved patient followup.

Principal Investigator: 
Project Dates: 
July 1, 2014 to June 30, 2017