This project developed and evaluated a medication reconciliation intervention for medication monitoring and followup of elderly patients discharged from a skilled nursing facility.
This project looked at the ability of EHRs to facilitate patient outcomes tracking, improve provider communication, reduce medical errors, and improve quality of care.
This project established an integrated information and communication technology system to help older adults age in place and live independently for as long as possible, and found that the system improved user quality of life.
Expanded an established Web-based, interactive Diabetes Mellitus Registry that provides patient histories and needed tests at the point of care among public, private, and not-for-profit health care providers; also tracks the diabetes population to identify trends in key indicators of care.
Evaluated the effects of staggered installation of an Epic health IT system that includes an EMR with provider order entry and clinical decision support in primary care settings on quality, safety, and resource use within a large integrated delivery system on cohort of 780,000 members with chronic illnesses.
Assesses the value of health IT to clinicians through creation of CDSS tools integrated with clinical documentation workflow and physician performance feedback, its impact on clinical decision support and quality assessment, and its cost-effectiveness.
This project investigated the feasibility and impact of novel approaches to clinician decision support in multidisciplinary ambulatory care, emphasizing high-risk transitions of care.
Identified essential technological needs for accessing and sharing data and information between patients and health care providers; developed an implementation plan to expand the transmission of referral information electronically in a closed health system to an open system.
This study compared the use of home blood pressure monitoring to an eHealth blood pressure system of care that integrated the former into a provider’s electronic medical record via a Web portal.
This project assessed the effectiveness of the Telephone-Linked Care for Complex Patients (TLC-C) automated telephony system to reduce preventable hospitalizations and improve quality of life in patients who have multiple chronic diseases.
