scholarly journals Team-Based Health Information Exchange Use Increased Mammography Documentation and Referral in an Academic Primary Care Practice: An Interrupted Time Series

2018 ◽  
Vol 33 (5) ◽  
pp. 710-714
Author(s):  
Samantha I. Pitts ◽  
Nisa M. Maruthur ◽  
Xiao Wang ◽  
Melinda D. Sawyer ◽  
Renee Grimes ◽  
...  
Keyword(s):  
Primary Care ◽  
Time Series ◽  
Health Information ◽  
Information Exchange ◽  
Primary Care Practice ◽  
Health Information Exchange ◽  
Interrupted Time Series ◽  
Care Practice ◽  
Academic Primary Care

scholarly journals Interest in Health Information Exchange in Ambulatory Care: A Statewide Survey

2010 ◽  
Vol 01 (01) ◽  
pp. 1-10 ◽  
Author(s):  
S. E. Ross ◽  
B. K. Mellis ◽  
B. L. Beaty ◽  
L. M. Schilling ◽  
A. J. Davidson ◽  
...  
Keyword(s):  
Primary Care ◽  
Health Information ◽  
Information Exchange ◽  
Health Information Exchange ◽  
Value Proposition ◽  
Data Types ◽  
Clinical Notes ◽  
Childhood Immunizations ◽  
Problem Lists ◽  
Discharge Summaries

SummaryObjective: Assess the interest in and preferences of ambulatory practitioners in HIE.Background: Health information exchange (HIE) may improve the quality and efficiency of care. Identifying the value proposition for smaller ambulatory practices may help those practices engage in HIE.Methods: Survey of primary care and specialist practitioners in the State of Colorado.Results: Clinical data were commonly (always [2%], often [29%] or sometimes [49%]) missing during clinic visits. Of 12 data types proposed as available through HIE, ten were considered “extremely useful” by most practitioners. “Clinical notes/consultation reports,” “diagnosis or problem lists,” and “hospital discharge summaries” were considered the three most useful data types. Interest in EKG reports, diagnosis/problem lists, childhood immunizations, and discharge summaries differed among ambulatory practitioner groups (primary care, obstetrics-gynecology, and internal medicine subspecialties).Conclusion: Practitioners express strong interest in most of the data types, but opinions differed by specialties on what types were most important. All providers felt that a system that provided all data types would be useful. These results support the potential benefit of HIE in ambulatory practices.

scholarly journals Interest in Health Information Exchange in Ambulatory Care: A Statewide Survey

2010 ◽  
Vol 01 (01) ◽  
pp. 1-10 ◽  
Author(s):  
S. E. Ross ◽  
B. K. Mellis ◽  
B. L. Beaty ◽  
L. M. Schilling ◽  
A. J. Davidson ◽  
...  
Keyword(s):  
Primary Care ◽  
Health Information ◽  
Information Exchange ◽  
Health Information Exchange ◽  
Value Proposition ◽  
Data Types ◽  
Clinical Notes ◽  
Childhood Immunizations ◽  
Problem Lists ◽  
Discharge Summaries

SummaryObjective: Assess the interest in and preferences of ambulatory practitioners in HIE.Background: Health information exchange (HIE) may improve the quality and efficiency of care. Identifying the value proposition for smaller ambulatory practices may help those practices engage in HIE.Methods: Survey of primary care and specialist practitioners in the State of Colorado.Results: Clinical data were commonly (always [2%], often [29%] or sometimes [49%]) missing during clinic visits. Of 12 data types proposed as available through HIE, ten were considered “extremely useful” by most practitioners. “Clinical notes/consultation reports,” “diagnosis or problem lists,” and “hospital discharge summaries” were considered the three most useful data types. Interest in EKG reports, diagnosis/problem lists, childhood immunizations, and discharge summaries differed among ambulatory practitioner groups (primary care, obstetrics-gynecology, and internal medicine subspecialties).Conclusion: Practitioners express strong interest in most of the data types, but opinions differed by specialties on what types were most important. All providers felt that a system that provided all data types would be useful. These results support the potential benefit of HIE in ambulatory practices.

scholarly journals Longitudinal, multidisciplinary, resident-driven intervention to increase immunisation rates for Medicaid, low-income and uninsured patients

2020 ◽  
Vol 9 (4) ◽  
pp. e000986
Author(s):  
Cynthia Cantu ◽  
Kristopher Koch ◽  
Ramon S Cancino
Keyword(s):  
Primary Care ◽  
Low Income ◽  
Primary Care Practice ◽  
Care Practice ◽  
Waiting Room ◽  
Improvement Project ◽  
Vaccination Rates ◽  
Initial Intervention ◽  
Risk Patients ◽  
Academic Primary Care

IntroductionMore payers are closely linking reimbursement to high-value care outcomes such as immunisation rates. Despite this, there remain high rates of pneumonia and influenza-related hospitalisations generating hospital expenditures as high as $11 000 per hospitalisation. Vaccinating the public is an integral part of preventing poor health and utilisation outcomes and is particularly relevant to high-risk patients. As part of a multidisciplinary effort between family and internal medicine residency programmes, our goal was to improve vaccination rates to an average of 76% of eligible Medicaid, low-income and uninsured (MLIU) patients at an academic primary care practice.MethodsThe quality improvement project was completed over 3 months by three primary care resident groups. The setting was a suburban academic primary care practice and eligible patients were 18 years of age or older. Our aim was to increase immunisation rates of pneumococcal, influenza, varicella, herpes zoster virus and tetanus and diphtheria vaccination. There were 1690 patients eligible for the vaccination composite metric. Data were derived from the electronic health record and administrative data.InterventionsCohort 1 developed an initial intervention that consisted of a vaccine questionnaire for patients to complete while in the waiting room. Cohort 2 modified questionnaire after reviewing results from initial intervention. Cohort 3 recommended elimination of questionnaire and implementation of a bundled intervention approach.ResultsThere were minimal improvements in patient immunisation rates after using a patient-directed paper questionnaire. After implementation of multiple interventions via an improvement bundle, there were improvements in immunisation rates which were sustained and the result of special cause variation.ConclusionA key to improving immunisation rates for MLIU patients in this clinic was developing relationships with faculty and staff stakeholders. We received feedback from all the medical staff and then applied it to the interventions and made an impact in the average of vaccinations.

scholarly journals Using the Teamlet Model to Improve Chronic Care in an Academic Primary Care Practice

2010 ◽  
Vol 25 (S4) ◽  
pp. 610-614 ◽  
Author(s):  
Ellen H. Chen ◽  
David H. Thom ◽  
Danielle M. Hessler ◽  
La Phengrasamy ◽  
Hali Hammer ◽  
...  
Keyword(s):  
Primary Care ◽  
Chronic Care ◽  
Primary Care Practice ◽  
Care Practice ◽  
Academic Primary Care

scholarly journals Preventive Health Care Among Older Women in an Academic Primary Care Practice

2008 ◽  
Vol 18 (4) ◽  
pp. 249-256 ◽  
Author(s):  
Mara A. Schonberg ◽  
Meghan York ◽  
Nisha Basu ◽  
Daniele Ölveczky ◽  
Edward R. Marcantonio
Keyword(s):  
Primary Care ◽  
Health Care ◽  
Older Women ◽  
Primary Care Practice ◽  
Preventive Health Care ◽  
Preventive Health ◽  
Care Practice ◽  
Academic Primary Care

scholarly journals Connecting Medical Records: An Evaluation of Benefits and Challenges for Primary Care Practices

2017 ◽  
Vol 24 (2) ◽  
pp. 204 ◽  
Author(s):  
Deborah Ruth Compeau ◽  
Amanda Terry
Keyword(s):  
Primary Care ◽  
Health Information ◽  
Information Exchange ◽  
Information Quality ◽  
Health Information Exchange ◽  
Limiting Factor ◽  
Exchange System ◽  
Quality Of Reports ◽  
Limited Health ◽  
Primary Care Practices

Background: Implementation of systems to support health information sharing has lagged other areas of healthcare IT, yet offers a strong possibility for benefit.  Clinical acceptance is a key limiting factor in health IT adoption.Objectives:  To assess the benefits and challenges experienced by clinicians using a custom-developed health information exchange system, and to show how perceptions of benefits and challenges influence perceptions of productivity and care-related outcomes.Methods: We used a mixed methods design with two phases. First, we conducted interviews with stakeholders who were familiar with the health information exchange system to inform the development of a measure of benefits and challenges of the use of this system. Second, using this measure we conducted a survey of current and former users of the health information exchange system using a modified Dillman method.Results: 105 current and former users completed the survey. The results showed information quality, ease of completing tasks and clinical process improvement as key benefits that reduced workload and improved patient care.  Challenges related to system reliability, quality of reports and service quality increased workload and decreased impact on care, though the effect of the challenges was smaller than that of the benefits.Conclusions:  Even very limited health information exchange capabilities can improve outcomes for primary care users.  Improving perceptions of benefits may be even more important the removing challenges to use, though it is likely that a threshold of quality must be achieved for this to be true.

Improving the Implementation of Lung Cancer Screening Guidelines at an Academic Primary Care Practice

2017 ◽  
pp. 1 ◽  
Author(s):  
Alison T. Brenner ◽  
Laura Cubillos ◽  
Katherine Birchard ◽  
Caleb Doyle-Burr ◽  
John Eick ◽  
...  
Keyword(s):  
Lung Cancer ◽  
Primary Care ◽  
Cancer Screening ◽  
Primary Care Practice ◽  
Lung Cancer Screening ◽  
Care Practice ◽  
Screening Guidelines ◽  
Academic Primary Care

scholarly journals Drivers of information disclosure on health information exchange platforms: insights from an exploratory empirical study

2015 ◽  
Vol 22 (6) ◽  
pp. 1183-1186 ◽  
Author(s):  
Niam Yaraghi ◽  
Raj Sharman ◽  
Ram Gopal ◽  
Ranjit Singh ◽  
R Ramesh
Keyword(s):  
Primary Care ◽  
New York ◽  
Health Information ◽  
Information Exchange ◽  
Information Disclosure ◽  
Primary Care Physicians ◽  
Medical Information ◽  
Health Information Exchange ◽  
Care Physician ◽  
Willingness To Disclose

Abstract Objective The objective of this research is to empirically explore the drivers of patients’ consent to sharing of their medical records on health information exchange (HIE) platforms. Materials and Methods The authors analyze a dataset consisting of consent choices of 20 076 patients in Western New York. A logistic regression is applied to empirically investigate the effects of patients’ age, gender, complexity of medical conditions, and the role of primary care physicians on patients’ willingness to disclose medical information on HIE platforms. Results The likelihood of providing consent increases by age (odds ratio (OR) = 1.055; P  < .0001). Female patients are more likely to provide consent (OR = 1.460; P  = .0003). As the number of different physicians involved in the care of the patient increases, the odds of providing consent slightly increases (OR = 1.024; P  = .0031). The odds of providing consent is significantly higher for the patients whom a primary care physician has been involved in their medical care (OR = 1.323; P  < .0001). Conclusion Individual-level characteristics are important predictors of patients’ willingness to disclose their medical information on HIE platforms.

scholarly journals Evaluating a Model to Predict Primary Care Physician-Defined Complexity in a Large Academic Primary Care Practice-Based Research Network

2015 ◽  
Vol 30 (12) ◽  
pp. 1741-1747 ◽  
Author(s):  
Clemens S. Hong ◽  
Steven J. Atlas ◽  
Jeffrey M. Ashburner ◽  
Yuchiao Chang ◽  
Wei He ◽  
...  
Keyword(s):  
Primary Care ◽  
Primary Care Physician ◽  
Primary Care Practice ◽  
Care Physician ◽  
Research Network ◽  
Care Practice ◽  
Practice Based Research ◽  
Academic Primary Care
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