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Key strategies for smooth EHR transitions in health care

KevinMD

Healthcare organizations continue to face financial and operational efficiency pressures to implement or upgrade their electronic health record (EHR) systems, driven largely by the push for greater interoperability and the need to consolidate disparate systems.

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A Multisite CFIR Study of Readiness to Implement Collaboration Oriented Approach to Controlling High Blood Pressure (COACH) [Dissemination and implementation research]

Annals of Family Medicine

Setting: Three academic health systems with EPIC and Oracle electronic health records. Intervention: COACH — a patient-facing decision support tool integrated into the electronic record. Study design: Deductive qualitative analysis. Population Studied: Primary care team members involved in high blood pressure management.

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Exploring Primary Care Provider eConsult Utilization Trends [Health care services, delivery, and financing]

Annals of Family Medicine

It includes templated eConsult exchange data extracted from the electronic health record. Intervention/Instrument: eConsult platform and electronic health record. Study Design and Analysis: This retrospective analysis of program data spans from 2018 through 2023. Setting or Dataset: CUSOM and University Hospital.

Utilities 130
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Exploring Iron Deficiency in Alberta: Following up on Clinical Observations [Population health and epidemiology]

Annals of Family Medicine

Study Design: Retrospective analysis of electronic medical data obtained from the Canadian Primary Care Research Network, Southern Alberta Primary Care Research Network (SAPCReN-CPCSSN). Instrument: Secondary data were extracted from de-identified SAPCReN-CPCSSN electronic medical records. serum ferritin below 15 μg/mL).

Clinic 130
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Advancing Primary Care through a Model Unit for Innovative Practice Enhancement [Practice management and organization]

Annals of Family Medicine

Setting or Dataset: Data includes secondary data gathered through Epic electronic medical records system as well as primary data collected from physicians, APPs, and staff working in the MU. Outcome Measures: Our evaluation is focused on intervention-specific measures (e.g., measures of provider and staff satisfaction).

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Factors Associated with Documenting Social Determinants of Health in Electronic Health Records by Family Physicians [Social determinants and vulnerable populations]

Annals of Family Medicine

Understanding SDOH documentation in electronic health records (EHRs) is crucial for care management to improve patient outcomes and mitigate health inequities. Context: Social determinants of health (SDOH) significantly impact health outcomes more than medical care alone, yet their integration into decision-making is inconsistent.

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Feasibility,reliability,validity of an electronic Frailty Index based on Comprehensive Geriatric Assessment in Primary Care [Community based participatory research]

Annals of Family Medicine

To promote early management of frailty, we developed an electronic Frailty Index based on deficit accumulation in a Comprehensive Geriatric Assessment (eFI-CGA) from electronic health records. Here, we examined the feasibility, reliability, and validity of the eFI-CGA by primary care providers (PCP). at baseline and 0.87