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Primary care provider perceptions and use of a novel medication reconciliation technology

Blake Lesselroth, Patricia Holahan, Kathleen Adams, Zhen Sullivan, Victoria Church, Susan Woods, Robert Felder, Shawn Adams, David Dorr
2011 Journal of Innovation in Health Informatics  
This work was supported in part by a grant from the VA National Center for Patient Safety, the Portland Informatics Center, the Portland VA Research and Development Service VA, and the Veterans Health  ...  They also wish to thank David M Douglas MD and the Technology Information Management Systems division for technology resources and support.  ...  [30] [31] [32] [33] [34] Setting The Portland Veterans Affairs Medical Center (PVAMC) is one of 156 US federally supported and managed tertiary care faciilities delivering care to an estimated 8 million  ... 
doi:10.14236/jhi.v19i2.802 fatcat:yyioibe3u5efddyntvjlvrm6ba

A cross-cutting approach to enhancing clinical trial site success: The Department of Veterans Affairs' Network of Dedicated Enrollment Sites (NODES) model

Debra L. Condon, Danielle Beck, Tawni Kenworthy-Heinige, Karen Bratcher, Meghan O'Leary, Aliya Asghar, Cyenthia Willis, Marcus R. Johnson, Grant D. Huang
2017 Contemporary Clinical Trials Communications  
VAMC VA Medical Center VA EMR VA Electronic Medical Record VINCI VA Informatics and Computing Infrastructure CBOC Community Based Outpatient Clinic CDW Corporate Data Warehouse CSP Cooperative Studies  ...  Use of electronic medical records The VA health care system has a distinct advantage for clinical trials research given its data sources which include an electronic medical record (EMR) and a national  ... 
doi:10.1016/j.conctc.2017.03.006 pmid:29740639 pmcid:PMC5936861 fatcat:igbvpe6t35gppduqaqqwjsrwki

Abstract PS1-45: The Johns Hopkins Hospital at Home Care for Acutely Ill Older Persons: A Model for Managed Care

B. Leff, L. Burton, S. Guido, S. Mader, B. Naughton, K. Frick, J. Burl, J. Burton, D. Steinwachs
2008 Clinical Medicine & Research  
Increased provider awareness, supported by an EMR has built a team approach to education, medical management, and care coordination resulting in improved glycemic control.  ...  Implementation: An electronic medical record (EMR) and tablet computers improved the information that providers and other members of the care team could use to access at the point of service.  ...  Aim: Describe results of a national demonstration study of a HaH model of care in Medicare managed care and Veterans Administration (VA) settings.  ... 
doi:10.3121/cmr.6.3-4.140-c fatcat:zazmm22rs5hq3n63t7f6xgjvje

Design and Implementation of a Medication Reconciliation Kiosk: the Automated Patient History Intake Device (APHID)

B. J. Lesselroth, R. S. Felder, S. M. Adams, P. D. Cauthers, D. A. Dorr, G. J. Wong, D. M. Douglas
2009 JAMIA Journal of the American Medical Informatics Association  
The authors designed a primary care process that supported reconciliation without compromising clinic efficiency.  ...  Results from the roll-in phase indicate the device is easy for patients to use and integrates well with clinic workflow.  ...  Description of Project Implementation Our project team used health failure mode and effect analysis, a proactive model for system risk assessment, 8 to understand VA primary care workflow and identify  ... 
doi:10.1197/jamia.m2642 pmid:19261949 pmcid:PMC2732234 fatcat:pnvebeqx5jbqtimt2wzb37ynby

"We've Not Gotten Even Close to What We Want to Do": a Qualitative Study of Early Patient-Centered Medical Home Implementation

Anaïs Tuepker, Devan Kansagara, Eleni Skaperdas, Christina Nicolaidis, Sandra Joos, Michael Alperin, David Hickam
2014 Journal of general internal medicine  
KEY WORDS: primary care redesign; patient-centered medical home; team-based care; Veterans; health services research; qualitative research.  ...  BACKGROUND: The Veterans Health Administration (VA) Patient Aligned Care Team (PACT) initiative is designed to deliver a medical home model of care associated with better patient outcomes, but success  ...  With an initial focus on primary care, PACT emphasizes common features of the PCMH model: team-based care for a defined patient panel, proactive population management, and improved continuity and coordination  ... 
doi:10.1007/s11606-013-2690-z pmid:24715393 pmcid:PMC4070227 fatcat:q5ywzjtnqnbuvm3ugylazde4km

Study protocol for "Study of Practices Enabling Implementation and Adaptation in the Safety Net (SPREAD-NET)": a pragmatic trial comparing implementation strategies

Rachel Gold, Celine Hollombe, Arwen Bunce, Christine Nelson, James V. Davis, Stuart Cowburn, Nancy Perrin, Jennifer DeVoe, Ned Mossman, Bruce Boles, Michael Horberg, James W. Dearing (+3 others)
2015 Implementation Science  
Methods/design: This cluster-randomized trial compares how three increasingly hands-on implementation strategies support adoption of an evidence-based diabetes quality improvement intervention in 29 community  ...  for supporting implementation of an intervention and explore contextual factors that impact the strategies' effectiveness in the community health center setting.  ...  Gold developed the concept for this study as a trainee at the 2012 NIH/VA Training Institute for Dissemination and Implementation Research in Health, and is very grateful to Russ Glasgow, David Arons,  ... 
doi:10.1186/s13012-015-0333-y pmid:26474759 pmcid:PMC4609090 fatcat:mxknd3ay3jgltcxh3uu2x4mdma

Proceedings from the 11th Annual Conference on the Science of Dissemination and Implementation

2019 Implementation Science  
to support from the Fogarty Center).  ...  be integrated in real time to promote the implementation of personalized care.  ...  We compared how effectively several implementation strategies supported community health centers' (CHCs) adoption of a suite of electronic health record (EHR) clinical decision support tools that targeted  ... 
doi:10.1186/s13012-019-0878-2 pmid:31416469 pmcid:PMC6432743 fatcat:4tqzvh45k5bndl757vcgtw224i

Simulation Modeling of a Check-in and Medication Reconciliation Ambulatory Clinic Kiosk

Blake Lesselroth, William Eisenhauer, Shawn Adams, David Dorr, Christine Randall, Paulette Channon, Kas Adams, Victoria Church, Robert Felder, David Douglas
2011 Journal of Healthcare Engineering  
Gaps in information about patient medication adherence may contribute to preventable adverse drug events and patient harm.  ...  This manuscript describes the implementation of a self-service patient kiosk intended to check in patients for a clinic appointment and collect a medication adherence history, which is then available through  ...  ACKNOWLEDGEMENTS This work was supported in part by the Portland VA Medical Center Technology and Information Management Section, the Portland VA Office of Systems Engineering, the VA Chief Business Office  ... 
doi:10.1260/2040-2295.2.2.197 fatcat:yhb6po7amrajpiznpwe5pe5z2y

Proceedings from the 9th annual conference on the science of dissemination and implementation

David Chambers, Lisa Simpson, Gila Neta, Ulrica von Thiele Schwarz, Antoinette Percy-Laurry, Gregory A. Aarons, Gila Neta, Ross Brownson, Amanda Vogel, Shannon Wiltsey Stirman, Kenneth Sherr, Rachel Sturke (+633 others)
2017 Implementation Science  
For implementation science, this star is the knowledge base on how to optimally disseminate evidence related to health and health care, how to implement interventions to improve care within the many settings  ...  VA).  ...  MISSION is being implemented in VA Greater Los Angeles' (GLA) patient-centered medical home for homeless Veterans (Homeless Patient Aligned Care Team, HPACT), comparing implementation as usual (IU) to  ... 
doi:10.1186/s13012-017-0575-y fatcat:qlai6rpdhffivnljy72jc3a62m

Pushing palliative care upstream: Integration into a community-based oncology practice

Jennifer Blechman, Janet Bull
2015 Journal of Clinical Oncology  
, hospice aides' perceptions of team-based patient care is unknown.  ...  This study seeks to examine how hospice aides perceive their roles in the IDT and their contributions to patient-centered, end-oflife care. Methods.  ...  in an electronic medical record.  ... 
doi:10.1200/jco.2015.33.29_suppl.134 fatcat:dijafula2jc53ldgddo5cri5q4

Abstracts From the 25th Annual Health Care Systems Research Network Conference, April 8–10, 2019, Portland, Oregon

2019 Journal of Patient-Centered Research and Reviews  
Journal of Patient-Centered Research and Reviews ( JPCRR) is a peerreviewed scientific journal whose mission is to communicate clinical and bench research findings, with the goal of improving the quality  ...  of human health, the care of the individual patient, and the care of populations.  ...  P1.07 Positive Predictive Value and Sensitivity of ICD-9 Codes for Childhood Leukemia in Integrated Health Plans  ... 
doi:10.17294/2330-0698.1706 fatcat:4ahgmdjaujevpg2wclvycxkspq

Proceedings from the 12th Annual Conference on the Science of Dissemination and Implementation

2020 Implementation Science  
We continued to see recordbreaking attendance with over 1,400 researchers, practitioners, and policymakers convening in Arlington, VA to reflect on advancing the science.  ...  , the National Cancer Institute's Center for Global Health and the Fogarty International Center, enabling 14 attendees from low and middle-income countries, bringing our total of non US based registrants  ...  care Providers in Opioid Risk reduction and Treatment (SUPPORT) Center uses internal facilitation with a stepped care approach based on the Chronic Care Model to support primary care providers in identifying  ... 
doi:10.1186/s13012-020-00985-1 pmid:32384899 fatcat:set54khjcbgfjcull3oy5xv7hi

Abstracts From the 22nd Annual Health Care Systems Research Network Conference, April 13–16, 2016, Atlanta, Georgia

2016 Journal of Patient-Centered Research and Reviews  
of human health, the care of the individual patient, and the care of populations.  ...  Journal of Patient-Centered Research and Reviews ( JPCRR) is a peerreviewed scientific journal whose mission is to communicate clinical and bench research findings, with the goal of improving the quality  ...  A5-3: Universal Screen for Lynch Syndrome in an  ... 
doi:10.17294/2330-0698.1413 fatcat:dvytsofskrh5bb7r2atlpyogmm

Implementation of a Medication Reconciliation Assistive Technology: A Qualitative Analysis

Theodore B Wright, Kathleen Adams, Victoria L Church, Mimi Ferraro, Scott Ragland, Anthony Sayers, Stephanie Tallett, Travis Lovejoy, Joan Ash, Patricia J Holahan, Blake J Lesselroth
2018 AMIA Annual Symposium Proceedings  
Objective: To aid the implementation of a medication reconciliation process within a hybrid primary-specialty care setting by using qualitative techniques to describe the climate of implementation and  ...  Discussion: A more complete, qualitative understanding of existing barriers and facilitators helps to guide critical decisions on the design and implementation of a successful medication reconciliation  ...  Medical support assistants emphasized the primacy of fostering patient-centered care: "I think that the veteran has had a very positive experience, and they're very happy to see it, and I think it's great  ... 
pmid:29854251 pmcid:PMC5977680 fatcat:jss73dczpvbv7dji6y3j2dgcua

Abstracts From the 23rd Annual Health Care Systems Research Network Conference, March 21–23, 2017, San Diego, California

2017 Journal of Patient-Centered Research and Reviews  
The Agency for Healthcare Research and Quality's Clinical Classifications Software tool was applied to identify prevalent conditions based on diagnosis codes attached to outpatient visits, laboratory and  ...  Our objective was to describe the multimorbidity profile of urologic patients in a large, integrated health care delivery system.  ...  The ED-PACT tool uses the electronic health record to send messages from Veterans Health Administration ED providers to nurse care managers of patients' VA Patient-Aligned Care Team (PACT) when patients  ... 
doi:10.17294/2330-0698.1583 pmid:31413982 pmcid:PMC6664347 fatcat:mupi235mffhrjgvpemph7zcubq
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