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					                        PROGRAM BRIEF

                                                  AHRQ’s Ambulatory
                                                  Safety and Quality
                                                  Program: Health IT
                                                  Portfolio
The mission of AHRQ is to improve the quality,    Introduction                                 Key Acronyms
safety, efficiency, and effectiveness of health
care by:                                          The purpose of the Agency for                CDS - clinical decision support
•   Using evidence to improve health care.        Healthcare Research and Quality’s            CHC - community health center
•   Improving health care outcomes through
                                                  (AHRQ) Ambulatory Safety and                 CHN - community health network
    research.
                                                  Quality (ASQ) program is to improve
                                                                                               EHR - electronic health record
                                                  the safety and quality of ambulatory
•   Transforming research into practice.                                                       EMR - electronic medical record
                                                  health care in the United States. For the
                                                  purpose of this program, AHRQ defines        Health IT - health information
                                                  ambulatory care as health services           technology
                                                  provided by health care professionals in     HIE - health information exchange
                                                  outpatient settings. These settings
                                                  include practitioner offices, clinics,       PHR - personal health record
                                                  outpatient departments of hospitals,
                                                  large or small group practices,             especially for patients with chronic
                                                  community health centers (CHCs),            illnesses. The opportunity to turn the
                                                  emergency departments, diagnostic           potential of health information
                                                  imaging centers, dialysis centers, home     technology (health IT) toward
                                                  care, mental health centers,                improving safety and quality in the
                                                  occupational health centers, and school     ambulatory care setting, especially
                                                  health facilities.                          within care transitions, forms the
                                                  The scope of ambulatory care has            cornerstone of the ASQ program. The
                                                  increased over the past decade, as the      program accentuates the role of health
                                                  volume and complexity of interventions      IT through the following funding
                                                  have expanded. Safe, high-quality           opportunity announcements (FOAs):
                                                  ambulatory care requires complex            • Enabling Quality Measurement
                                                  information management and                    Through Health IT (also includes a
                                                  coordination across multiple settings,        patient safety focus)




                                                                      Agency for Healthcare Research and Quality
                                                                      Advancing Excellence in Health Care • www.ahrq.gov
    • Improving Quality Through                   American Gastroenterological
      Clinician Use of Health IT                  Association, and the Ambulatory Care
    • Enabling Patient-Centered Care              Quality Alliance (AQA). A variety of
      Through Health IT                           ambulatory settings and organizations
                                                  are addressed, from large integrated
    • Improving Management of
                                                  delivery systems to small provider
      Individuals With Complex Health
                                                  practices and from urban settings to
      Care Needs Through Health IT
                                                  small rural communities.
    Overall, 65 health IT grants have been
                                                  Surveillance for Adverse Drug Events
    awarded, totaling approximately $35
                                                  in Ambulatory Pediatrics
    million.
                                                  Estimated Total Funding: $992,699
    Enabling Quality Measurement                  Uses a computerized system to detect
    Through Health IT                             and report adverse drug events (ADEs)
                                                  that occur in the outpatient setting, in
    The purpose of this FOA is to develop         the emergency department, and during
    safety and quality measures in                the transitions of hospital admission and
    ambulatory care settings, automate            discharge.
    quality measurement, demonstrate the          Focus Area(s): ADEs for pediatric
    ability of electronic data systems (such as   patients in ambulatory settings,
    electronic health records [EHRs] or           emergency departments, and transitions
    claims data merged with EHR data) to          of care
    expand potential safety and quality           Type of Health IT: Operational decision
    measures, and demonstrate improved            support – quality of care
    ability to export data for reporting          Principal Investigator: Thomas Bailey
    performance on measures and                   Grant No. 1R18HS017010
    improvement.                                  Applicant Institution: Washington
    Applicants were encouraged to consider        University, St. Louis, MO
    projects that focus on a variety of aspects   Estimated Dates: 9/20/2007–2/28/2011
    of quality measurement. Some aspects of       Closing the Feedback Loop To
    interest include process, data elements,      Improve Diagnostic Quality
    value and accuracy, creation of               Estimated Total Funding: $998,509
    meaningful information, and timeliness
                                                  Develops ways to close the loop of
    of data integration.
                                                  outpatient diagnosis in an effort to
                                                  improve the quality of diagnostic and
    Enabling Quality Measurement
                                                  therapeutic decisionmaking in
    Grants                                        ambulatory settings.
    In total, 17 health IT grants were            Focus Area(s): Quantitative scale to
    awarded under this FOA. Of these, four        determine quality of diagnosis in the
    grants were funded through a patient          clinical setting
    safety set-aside. The projects described      Type of Health IT: Clinical decision
    focus on common chronic illnesses and         support (CDS)
    prevention. There is prominent                Principal Investigator: Eta Berner
    involvement of national organizations         Grant No. 1R18HS017060
    and initiatives such as the American          Applicant Institution: University of
    Medical Association, the National             Alabama at Birmingham, Birmingham,
    Committee for Quality Assurance, the          AL
                                                  Estimated Dates: 11/27/2007–8/31/2011


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Colorado Associated Community              Developing and Using Valid Clinical             Electronic Support for Public Health -
Health Information Exchange                Quality Metrics for Health IT With              Vaccine Adverse Event Reporting
(CACHIE)                                   HIE                                             System
Estimated Total Funding: $986,302          Estimated Total Funding: $974,545               Estimated Total Funding: $999,995
Designs, develops, implements, and         Proposes to derive a set of quality             Seeks to improve the quality of
evaluates an interoperable quality         metrics that can capture the effects of         vaccination programs by improving the
information system for a collaborative     health IT with HIE and be retrieved             quality of physician adverse vaccine
network of CHCs that permits real-time     electronically through the contributions        event detection and reporting to the
and synchronous quality reporting to       of the Health Information Technology            national Vaccine Adverse Event
inform patient care, quality               Evaluation Collaborative, the New York          Reporting System.
interventions, and health policy and       State Department of Health, and four            Focus Area(s): Vaccine adverse effects
advocacy efforts.                          regional health information                     Type of Health IT: Registry
Focus Area(s): Specific measures to be     organizations that are implementing             (vaccination), clinical/medication
determined                                 health IT with HIE and focusing on the          reminders (provider-focused)
Type of Health IT: Health information      ambulatory setting.                             Principal Investigator: Ross Lazarus
exchange (HIE), quality of care decision   Focus Area(s): Ambulatory quality               Grant No. 1R18HS017045
support                                    metrics responsive to the effects of            Applicant Institution: Harvard Pilgrim
Principal Investigator: Arthur Davidson    health IT and HIE                               Health Care, Inc., Boston, MA
Grant No. 1R18HS017205                     Type of Health IT: HIE                          Estimated Dates: 12/07/2007–9/29/2010
Applicant Institution: Denver Health       Principal Investigator: Rainu Kaushal           Medication Monitoring for Vulnerable
and Hospital Authority, Denver, CO         Grant No. 1R18HS017067                          Populations via IT
Estimated Dates: 9/30/2007–6/30/2010       Applicant Institution: Weill Medical            Estimated Total Funding: $994,325
                                           College of Cornell University, New
Automating Assessment of Asthma                                                            Demonstrates the ability of health
                                           York, NY
Care Quality                                                                               information interoperable exchange and
                                           Estimated Dates: 9/17/2007–3/31/2011
Estimated Total Funding: $871,711                                                          EHRs to provide useful quality and
                                           Cardio-HIT Phase II                             safety measures for the vulnerable
Develops, validates, applies, and
                                           Estimated Total Funding: $996,166               populations served by a CHC.
evaluates a scalable method for routine
and comprehensive measurement of           Studies exception reporting to: (1)             Focus Area(s): Medication safety
outpatient asthma care quality.            document the prevalence and patterns of         monitoring for angiotensin converting
                                           exception reporting for performance             enzyme inhibitors/angiotensin receptor
Focus Area(s): 19 asthma care quality
                                           measures for coronary artery disease and        blockers (ACEI/ARB), Digoxin,
measures from the RAND Quality
                                           heart failure, (2) assess the feasibility and   diuretics, and statins
Assessment Tools
                                           accuracy of exception reporting, and (3)        Type of Health IT: System integration,
Type of Health IT: Quality of care
                                           analyze and address stakeholder                 quality of care decision support
decision support, data electronic
                                           concerns regarding exception reporting.         Principal Investigator: Christoph
transform and load
Principal Investigator: Brian Hazlehurst   Focus Area(s): Coronary artery disease          Lehmann
Grant No. 1R18HS017022                     and heart failure measures                      Grant No. 1R18HS017018
Applicant Institution: Kaiser Foundation   Type of Health IT: Operational decision         Applicant Institution: Johns Hopkins
Research Institute, Portland, OR           support – quality of care                       University, Baltimore, MD
Estimated Dates: 1/31/2008–9/29/2010       Principal Investigator: Karen Kmetik            Estimated Dates: 9/21/2007–5/31/2010
                                           Grant No. R18HS017160
                                           Applicant Institution: American Medical
                                           Association, Chicago, IL
                                           Estimated Dates: 9/26/2007–12/31/2009




                                                                                                                               3
Improving Quality in Cancer                Massachusetts Quality E-Measure            Using Electronic Records To Detect
Screening: The Excellence Report for       Validation Study                           and Learn From Ambulatory
Colonoscopy                                Estimated Total Funding: $995,575          Diagnostic Errors
Estimated Total Funding: $616,207          Evaluates the readiness of structured      Estimated Total Funding: $873,108
Seeks to evaluate and improve the          EHR data to support ambulatory             Uses data from EHRs to detect
quality of screening and diagnostic        clinical quality measurement by using      diagnostic errors in primary care,
colonoscopies in ambulatory care           the AQA ambulatory care measurement        understand their causes, and lay
settings.                                  set to compare quality measurement         groundwork for formulating future
Focus Area(s): Colonoscopy pre-            based on a structured EHR data             prevention strategies.
procedure, procedure, and post-            measurement method to two standard         Focus Area(s): Measuring potential
procedure measures                         measurement methods.                       diagnostic errors in primary care
Type of Health IT: Operational decision    Focus Areas: AQA starter set for primary   Type of Health IT: Operational decision
support – quality of care                  care (26 measures)                         support (quality of care)
Principal Investigator: Judith R. Logan    Type of Health IT: System integration,     Principal Investigator: Eric Thomas
Grant No. 1R18HS017017                     quality of care decision support           Grant No. 1R18HS017244
Applicant Institution: Oregon Health &     Principal Investigator: Eric Schneider     Applicant Institution: University of
Science University, Portland, OR           Grant No. 1R18HS017048                     Texas Health Science Center at
Estimated Dates: 8/30/2007–8/31/2010       Applicant Institution: Harvard             Houston, Houston, TX
Standardization and Automatic              University (School of Public Health),      Estimated Dates: 9/25/2007–9/29/2010
Extraction of Quality Measures in an       Boston, MA                                 Monitoring Intensification of
Ambulatory EMR                             Estimated Dates: 9/12/2007–8/31/2011       Treatment for Hyperglycemia and
Estimated Total Funding: $889,681          Feedback of Treatment Intensification      Hyperlipidemia
Establishes the standardization efforts    Data To Reduce Cardiovascular              Estimated Total Funding: $533,431
necessary for data capture of quality      Disease Risk                               Develops and validates a new diabetes
measures in an ambulatory electronic       Estimated Total Funding: $997,069          quality-of-care process measure and the
medical record (EMR) system and            Proposes to develop and evaluate a         technology for monitoring that measure
demonstrates the efficiency and accuracy   treatment intensification protocol using   using analysis of the text of physician
of using a data extraction and reporting   an EHR to identify patients in need of     notes in the EMR.
expert to perform quality measurement      treatment intensification for systolic     Focus Area(s): Development of new
in the ambulatory care setting.            blood pressure.                            diabetes quality-of-care process measures
Focus Area(s): Physician quality           Focus Area(s): Cardiovascular disease      Type of Health IT: Quality of care
reporting initiative                       process and outcome measures               decision support, data electronic
Type of Health IT: Standards               Type of Health IT: CDS (provider-          transform and load
(semantic), data electronic transform      focused)                                   Principal Investigator: Alexander
and load                                   Principal Investigator: Joe Selby          Turchin
Principal Investigator: Denni McColm       Grant No. 1R18HS017031                     Grant No. R18HS017030
Grant No. 1R18HS017094                     Applicant Institution: Kaiser Foundation   Applicant Institution: Brigham and
Applicant Institution: Citizens            Research Institute, Oakland, CA            Women’s Hospital, Boston, MA
Memorial Hospital District, Bolivar,       Estimated Dates: 9/01/2007–8/31/2010       Estimated Dates: 11/06/2007–9/29/2010
MO
Estimated Dates: 9/07/2007–8/31/2009




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Crossing the Quality Assessment              Bringing Measurement to the Point              • The relationship between health IT
Chasm: Aligning Measured and True            of Care                                          and workflow redesign
Quality of Care                              Estimated Total Funding: $694,961              • Systemic barriers to health IT
Estimated Total Funding: $812,237            Enables measurement of the quality of            adoption
Identifies and quantifies the impact on      care, with a focus on public health            • Care for patients with multiple
quality assessment of real-world             priority issues, disadvantaged                   chronic conditions
circumstances where the current cross-       populations, and small office practices.
                                                                                            • Improved use of effective alert
sectional measures of quality do not         This project will design and test a
                                                                                              strategies for decision support
reflect the true quality of care being       “quality dashboard” suitable for small
rendered. The result of the analysis will    office practices that will integrate quality
                                                                                            Improving Quality Through Clinician
help to create a new set of quality          measurement and CDS at the point of
                                                                                            Use of Health IT Grants
measures that is more consistent with        care.
actual clinical care.                                                                       Twenty-four projects were funded under
                                             Focus Area(s): Ambulatory care
                                                                                            this FOA. The projects have a diverse
Focus Area(s): Diabetes care                 screening measures
                                                                                            range of interventions, using different
measurement techniques accounting for        Type of Health IT: HIE, quality of care
                                                                                            health IT applications. Many
differences in patient populations           decision support
                                                                                            applications target the primary care
Type of Health IT: Quality of care           Principal Investigator: Winifred Wu
                                                                                            office as the setting of care while some
decision support                             Grant No. 1R18HS017059
                                                                                            address the home environment. Many
Principal Investigator: Mark Weiner          Applicant Institution: New York City
                                                                                            of the projects addressed use effective
Grant No. 1R18HS017099                       Health/Mental Hygiene, New York, NY
                                                                                            alert strategies for decision support
Applicant Institution: University of         Estimated Dates: 9/12/2007–9/29/2010
                                                                                            while others examine the impact of
Pennsylvania, Philadelphia, PA
                                             Improving Quality Through                      health IT on outcomes in ambulatory
Estimated Dates: 9/18/2007–9/29/2010
                                                                                            settings.
Using IT To Improve the Quality of           Clinician Use of Health IT
                                                                                            Using Precision Performance
CVD Prevention & Management
                                             The purpose of this FOA is to                  Measurement To Conduct Focused
Estimated Total Funding: $605,862
                                             investigate novel methods or evaluate          Quality Improvement
Uses EMRs in a large health care system      existing strategies for clinician use of       Estimated Total Funding: $1,199,415
to: (1) identify practice variations in      health IT in ambulatory settings to            Creates systems that improve quality
delivery of key cardiovascular disease       improve outcomes through more                  data and seamlessly link this data to
preventive and disease management            effective CDS, medication                      practice-level quality improvement
services, (2) relate practice variation to   management, or care delivery.                  programs and point-of-care
outcomes among patients in the clinical      Applicants were encouraged to                  interventions.
practices, and (3) provide feedback to       demonstrate the ability of EHRs and
managers on how guidelines adherence                                                        Focus Area(s): Impact of health IT on
                                             medication management systems to
relates to morbid and mortal events, and                                                    outcomes in ambulatory settings
                                             effectively move evidence-based
to costs of care.                                                                           Type of Health IT: Quality of care
                                             information to the point of care,
                                                                                            decision support, vocabulary/coding
Focus Area(s): Prevention index and          including the development/utilization of
                                                                                            standards
disease management index                     machine-actionable, evidence-based
                                                                                            Principal Investigator: David W. Baker
Type of Health IT: Quality of care           clinical information to providers and
                                                                                            Grant No. 1R18HS017163
decision support                             participates in health information
                                                                                            Applicant Institution: Northwestern
Principal Investigator: Andrew Williams      exchanges. Applicants were encouraged
                                                                                            University, Chicago, IL
Grant No. 1R18HS017016                       to consider projects that focus on:
                                                                                            Estimated Dates: 9/30/2007–9/29/2010
Applicant Institution: Kaiser                • The impact of health IT on
Foundation Research Institute,                 outcomes in ambulatory settings and
Honolulu, HI                                   across high-risk transitions of care
Estimated Dates: 9/25/2007–6/30/2010




                                                                                                                                    5
Enabling Electronic Prescribing and          Improving Otitis Media Care With             eHealth Records To Improve Dental
Enhanced Management of Controlled            EHR-Based Clinical Decision                  Care for Patients With Chronic
Medications                                  Support and Feedback                         Illnesses
Estimated Total Funding: $1,199,794          Estimated Total Funding: $877,011            Estimated Total Funding: $996,737
Uses electronic prescribing                  Uses Children’s Hospital of                  Conducts a randomized clinical trial to
(e-prescribing) for federally controlled     Philadelphia’s EHR to integrate care         evaluate the effectiveness of an
medications in the ambulatory care           across time and to supply physicians         integrated EHR system that includes an
setting, to improve medication               with the knowledge they need about           EMR, eDental Record, and a personal
management by ambulatory care                how to treat a patient at the point of       health record (PHR) to improve the
clinicians at the point of care.             care to address the overuse of antibiotics   quality and safety of dental care for
Focus Area(s): Impact of health IT on        for otitis media.                            patients with chronic illnesses.
outcomes in ambulatory settings;             Focus Area(s): Impact of health IT on        Focus Area(s): Improved use of effective
systemic barriers to health IT adoption      outcomes in ambulatory settings;             alert strategies for decision support
Type of Health IT: E-prescribing             improved use of effective alert strategies   Type of Health IT: Systems integration,
Principal Investigator: Grant M. Carrow      for decision support                         clinical/medication reminders (provider-
Grant No. 1R18 HS017157                      Type of Health IT: Clinical/operational      focused)
Applicant Institution: Massachusetts         decision support (provider-focused)          Principal Investigator: James R. Fricton
State Department of Public Health,           Principal Investigator: Christopher B.       Grant No. 1R18HS017270
Boston, MA                                   Forrest                                      Applicant Institution: Healthpartners
Estimated Dates: 9/30/2007–9/29/2010         Grant No. 1R18HS017042                       Research Foundation, Minneapolis,
Impact of Office-Based E-Prescribing         Applicant Institution: Children’s            MN
on Prescribing Processes and                 Hospital of Philadelphia, Philadelphia,      Estimated Dates: 9/30/2007–9/29/2010
Outcomes                                     PA                                           Pharmaceutical Safety Tracking
Estimated Total Funding: $1,199,007          Estimated Dates: 9/30/2007–9/29/2010         (PhaST): Managing Medications for
Evaluates the full spectrum of               The BLUES Project: Improving                 Patient Safety
e-prescribing by partnering with the         Diabetes Outcomes in Mississippi             Estimated Total Funding: $1,156,142
makers of an office-based, e-prescribing     With Health IT                               Compares use of PhaST, an automated
system that is already in widespread use     Estimated Total Funding: $1,163,573          system for monitoring of medication
and with multiple insurance companies        Demonstrates the effects of diabetes         adherence, side effects, and patient
and public programs who will provide         management practices at several              symptoms, to usual care in a large,
claims data.                                 ambulatory clinics throughout                urban, multispecialty mental health
Focus Area(s): Impact of health IT on        Mississippi when utilizing well-             system serving a primarily Medicaid
outcomes in ambulatory settings;             designed, comprehensive health               population.
improved use of effective alert strategies   information technology.                      Focus Area(s): Impact of health IT on
for decision support                         Focus Area(s): Impact of health IT on        outcomes in ambulatory settings
Type of Health IT: E-prescribing             outcomes in ambulatory settings              Type of Health IT: Clinical/medication
Principal Investigator: Michael A.           Type of Health IT: EMR                       reminders (provider-focused),
Fischer                                      Principal Investigator: Karen Fox            human/machine interface
Grant No. 1R18HS017151                       Grant No. 1R18HS017233                       Principal Investigator: William P.
Applicant Institution: Brigham and           Applicant Institution: Delta Health          Gardner
Women’s Hospital, Boston, MA                 Alliance, Inc., Jackson, MS                  Grant No. 1R18HS017258
Estimated Dates: 9/30/2007–9/29/2010         Estimated Dates: 9/30/2007–9/29/2010         Applicant Institution: Children’s
                                                                                          Research Institute, Columbus, OH
                                                                                          Estimated Dates: 9/30/2007–9/29/2010




6
RxSafe: Shared Medication                  STEPStools: Developing Web Services
Management and Decision Support            for Safe Pediatric Dosing
for Rural Clinicians                       Estimated Total Funding: $1,157,753
Estimated Total Funding: $1,200,000        Constructs, pilot tests, and evaluates
Uses previously developed technology to    generally available tools that provide
support shared medication management       medication-specific knowledge about
for persons with chronic conditions.       rounding and extemporaneous
Focus Area(s): Impact of health IT on      formulations necessary for small
outcomes in ambulatory settings; care      children.
for patients with multiple chronic         Focus Area(s): Impact of health IT on
conditions; improved use of effective      outcomes in ambulatory settings
alert strategies for decision support      Type of Health IT: Health IT
Type of Health IT: Clinical/operational    architecture, CDS (provider-focused),
decision support (provider-focused)        electronic prescribing
Principal Investigator: Paul N. Gorman     Principal Investigator: Kevin B. Johnson
Grant No. 1R18HS017102                     Grant No. 1R18HS017216
Applicant Institution: Oregon Health &     Applicant Institution: Vanderbilt
Science University, Portland, OR           University, Nashville, TN
Estimated Dates: 9/30/2007–9/29/2010       Estimated Dates: 9/30/2007–9/29/2010
Improving Posthospital Medication          Electronic Prescribing and Electronic
Management of Older Adults                 Transmission of Discharge
Through Health IT                          Medication Lists
Estimated Total Funding: $1,199,952        Estimated Total Funding: $1,187,674
Develops and evaluates the value of a      Consists of three studies that will
health IT-based medication                 measure the impact of health IT on
reconciliation system superimposed on      patient safety in the ambulatory setting.
the ambulatory EMR to improve the          Focus Area(s): Impact of health IT on
quality and safety of medication           outcomes in ambulatory settings
management, focusing particularly on       Type of Health IT: E-prescribing,
the transition from the inpatient to the   quality of care decision support
ambulatory setting for older adults with   Principal Investigator: Rainu Kaushal
multiple comorbid conditions who are       Grant No. 1R18HS017029
prescribed high-risk medications.          Applicant Institution: Weill Medical
Focus Area(s): Impact of health IT on      College of Cornell University, New
outcomes in ambulatory settings; care      York, NY
for patients with multiple chronic         Estimated Dates: 9/30/2007–9/29/2010
conditions; improved use of effective
alert strategies for decision support
Type of Health IT: Quality of care
decision support
Principal Investigator: Jerry H. Gurwitz
Grant No. 1R18HS017203
Applicant Institution: University of
Massachusetts Medical School
Worcester, Worcester, MA
Estimated Dates: 9/30/2007–9/29/2010




                                                                                       7
Evaluation of a Computerized               reports to clinic-based practitioners and    Focus Area(s): Improved use of effective
Clinical Decision Support System and       as population health-based alerts to care    alert strategies for decision support
EHR-Linked Registry To Improve             managers.                                    Type of Health IT: CDS
Management of Hypertension in              Focus Area(s): Improved use of effective     Principal Investigator: Jonathan R.
Community-Based Health Centers             alert strategies for decision support        Nebeker
Estimated Total Funding: $1,132,569        Type of Health IT: HIE, CDS                  Grant No. 1R18HS017186
Analyzes the efficacy of office-based      (provider-focused)                           Applicant Institution: Western Institute
electronic decision support and provider   Principal Investigator: David F. Lobach      for Biomedical Research, Salt Lake City,
feedback in improving hypertension         Grant No. R18HS017072                        UT
control in CHCs.                           Applicant Institution: Duke University,      Estimated Dates: 9/30/2007–9/29/2010
Focus Area(s): Impact of health IT on      Durham, NC                                   Medication Safety in Primary Care
outcomes in ambulatory settings            Estimated Dates: 9/30/2007–9/29/2010         Practice - Translating Research Into
Type of Health IT: Registries              Using Health IT To Improve                   Practice
(hypertension), CDS                        Ambulatory Chronic Disease Care              Estimated Total Funding: $1,183,549
Principal Investigator: Helene Kopal       Estimated Total Funding: $1,192,603          Develops a set of medication safety
Grant No: 1R18HS017167                     Conducts a phased implementation of          measures relevant for primary care,
Applicant Institution: Primary Care        selected ambulatory care health IT           incorporates these measures in practice
Development Corporation, New York,         systems and functions to: (1) improve        performance reports sent quarterly to
NY                                         providers’ access to information,            participating practices, and assesses the
Estimated Dates: 9/30/2007–9/29/2010       allowing individual providers to             impact of the intervention on the
Optimizing Medication History Value        compare and improve their clinical           incidence of medication errors.
in Clinical Encounters With Elderly        performance against standardized             Focus Area(s): Relationship between
Patients                                   performance targets and peers’               health IT and workflow redesign;
Estimated Total Funding: $1,199,989        performance and (2) enhance patient-         Improved use of effective alert strategies
Conducts a randomized clinical trial to    provider connectivity and                    for decision support
test geriatric specific algorithms and     communication to improve clinical            Type of Health IT: Quality of care
compliance triggers for improved           decisionmaking, patient participation in     decision support
medication management at the point of      the care process, and, ultimately, patient   Principal Investigator: Steven M.
care.                                      outcomes.                                    Ornstein
                                           Focus Area(s): Impact of health IT on        Grant No. 1R18HS017037
Focus Area(s): Improved use of effective
                                           outcomes in ambulatory settings              Applicant Institution: Medical
alert strategies for decision support
                                           Type of Health IT: EMR, telehealth           University of South Carolina,
Type of Health IT: E-prescribing, CDS
                                           (patient-focused), quality of care           Charleston, SC
(provider-focused)
                                           decision support                             Estimated Dates: 9/30/2007–9/29/2010
Principal Investigator: Kate L. Lapane
Grant No. 1R18HS017150                     Principal Investigator: David R. Mehr        A Partnership for Clinician EHR Use
Applicant Institution: Brown University,   Grant No. 1R18HS017035                       and Quality of Care
Providence, RI                             Applicant Institution: University of         Estimated Total Funding: $1,184,765
Estimated Dates: 9/30/2007–9/29/2010       Missouri-Columbia, Columbia, MO              Studies the effectiveness of a partnership
                                           Estimated Dates: 9/30/2007–9/29/2010         that shares resources and utilizes a data-
Improving Quality Through Decision
Support for Evidence-Based                 VA Integrated Medication Manager             driven approach to promote full
Pharmacotherapy                            Estimated Total Funding: $594,582            clinician use of an EHR in three nurse
Estimated Total Funding: $1,198,429        Studies a new technology called the          managed health centers and three
                                           Integrated Medication Manager that           CHCs to improve the quality of care in
Seeks to improve care quality and safety
                                           facilitates improved decisionmaking by       areas of preventive care, chronic disease
in an ambulatory care setting through
                                           helping clinicians to consider more          management, and medication
CDS for evidence-based pharmaco-
                                           relevant data and to better plan patient     management for vulnerable populations.
therapy delivered as point-of-care
                                           care.


8
Focus Area(s): Improved use of effective   Improving Laboratory Monitoring in           Principal Investigator: Gurdev Singh
alert strategies for decision support      Community Practices: A Randomized            Grant No. 1R18HS017020-01
Type of Health IT: Quality of care         Trial                                        Applicant Institution: State University
decision support                           Estimated Total Funding: $990,640            of New York at Buffalo, Buffalo, NY
Principal Investigator: Joanne M. Pohl     The Massachusetts e-Health                   Estimated Dates: 9/30/2007–9/29/2010
Grant No. 1R18HS017191                     Collaborative (MAeHC) will conduct a         Using Information Technology To
Applicant Institution: Michigan Public     trial of computerized point-of-care alerts   Provide Measurement-Based Care for
Health Institute, Ann Arbor, MI            in the EHR to prevent errors related to      Chronic Illness
Estimated Dates: 9/30/2007–9/29/2010       laboratory monitoring at the initiation      Estimated Total Funding: $1,196,703
Harnessing Health IT To Prevent            and continuation of drug therapy and a       Tests the implementation of
Medication-Induced Birth Defects           results management system to prevent         measurement-based care in an
Estimated Total Funding: $1,199,370        errors related to the delay in followup of   ambulatory care setting with an
Develops and evaluates ways computers      abnormal laboratory testing.                 integrated CDS system and an EHR.
may be able to help doctors counsel        Focus Area(s): Improved use of effective     Focus Area(s): Improved use of effective
women about preventing birth defects       alert strategies for decision support        alert strategies for decision support
caused by use of certain medications.      Type of Health IT: Community health          Type of Health IT: CDS (provider-
Focus Area(s): Improved use of effective   network (CHN), results reporting,            focused)
alert strategies for decision support      clinical/medication reminders (provider-     Principal Investigator: Madhukar H.
Type of Health IT: CDS (provider-          focused)                                     Trivedi
focused), human/machine interface          Principal Investigator: Steven R. Simon      Grant No. 1R18HS017189
Principal Investigator: Eleanor B.         Grant No. 1R18HS017201                       Applicant Institution: University of
Schwarz                                    Applicant Institution: Harvard Pilgrim       Texas Southwest Medical Center at
Grant No. 1R18HS017093                     Health Care, Inc., Boston, MA                Dallas, Dallas, TX
Applicant Institution: University of       Estimated Dates: 9/30/2007–9/29/2010         Estimated Dates: 9/30/2007–9/29/2010
Pittsburgh at Pittsburgh, Pittsburgh, PA   A Systems Engineering Approach:              Electronic Prescribing and Decision
Estimated Dates: 9/30/2007–9/29/2010       Improving Medication Safety With             Support To Improve Rural Primary
Can Risk Score Alerts Improve Office       Clinician Use of Health IT                   Care Quality
Care for Chest Pain?                       Estimated Total Funding: $1,200,000          Estimated Total Funding: $1,181,866
Estimated Total Funding: $687,539          Modifies and implements an IT-based          Examines whether, in rural ambulatory
Implements and evaluates electronic risk   Crew Resource Management tool called         care settings, the use of an e-prescribing
alerts to risk stratify outpatients with   ACORN to examine the impact of the           system with CDS related to medication
chest pain and present this information    intervention on reducing selected            management increases patient
to primary care clinicians within the      adverse drug events among geriatric          prescription adherence, improves health
context of an EHR.                         patients in a primary care setting;          outcomes in hypertensive patients, and
                                           examines the impact of the intervention      improves the medication management
Focus Area(s): Improved use of effective
                                           on improving monitoring for geriatric        process.
alert strategies for decision support
                                           patients on Persistent Medications; and
Type of Health IT: Clinical/operational                                                 Focus Area(s): Systemic barriers to
                                           evaluates office staff use and application
decision support (provider-focused)                                                     health IT adoption; improved use of
                                           of the tool for improving geriatric
Principal Investigator: Thomas D.                                                       effective alert strategies for decision
                                           medication safety by examining
Sequist                                                                                 support
                                           utilization of the IT tool and changes in
Grant No. 1R18HS017075                                                                  Type of Health IT: CHNs (rural
                                           safety attitude constructs.
Applicant Institution: Brigham and                                                      communities), e-prescribing,
Women’s Hospital, Boston, MA               Focus Area(s): Impact of health IT on        clinical/medication reminders (provider-
Estimated Dates: 9/30/2007–9/29/2010       outcomes in ambulatory settings              focused)
                                           Type of Health IT: Quality of care           Principal Investigator: James Thomas
                                           decision support                             Veline



                                                                                                                                 9
Grant No. 1R18HS017149-01                    Conversational IT for Better, Safer        Type of Health IT: Telehealth (patient-
Applicant Institution: Avera Health,         Pediatric Primary Care                     focused), data electronic transform and
Sioux Falls, SD                              Estimated Total Funding: $1,159,609        load, clinical/medication reminders
Estimated Dates: 9/30/2007–9/29/2010         Develops and evaluates an integrated       (patient and provider-focused)
                                             patient-centered health information        Principal Investigator: Alfred Bove
Enabling Patient-Centered Care               system, the Personal Health Partner        Grant No. 1R18HS017202
Through Health IT                            (PHP) that will use fully automated,       Applicant Institution: Temple
                                             interactive, conversations to gather       University, Philadelphia, PA
The purpose of this FOA is to                                                           Estimated Dates: 9/01/2007–8/31/2011
                                             personal health data and counsel parents
investigate novel methods or evaluate
                                             before scheduled visits, exchange that     Enhancing Self-Management of
existing strategies for using health IT to
                                             data with the child’s primary care         T2DM With an Automated Reminder
create or enhance patient-centered
                                             clinician via the EHR, and offer           and Feedback System
models of care in the ambulatory
                                             personalized followup assessment and       Estimated Total Funding: $1,166,243
setting. Applicants were expected to
                                             counseling after visits.                   Tests an Automated Self-Management
demonstrate how patient-centered care
can improve health outcomes, patient         Focus Area(s): Patient self-management;    Monitor (ASMM) with low-income
safety, and patients’ reported experience    access to medical information              housing sites and through primary care
with care. Applicants were encouraged        (clinicians)                               clinics to determine whether ASMM
to consider projects that focus on:          Type of Health IT: Telehealth (patient-    can improve self-monitoring of blood
                                             focused), PHR, human/machine               glucose and glycemic control in patients
• Shared decisionmaking
                                             interface                                  with type II diabetes mellitus.
• Patient-clinician communication            Principal Investigator: William G.         Focus Area(s): Patient self-management
• Access to medical information              Adams                                      of chronic illness
• Patient self-management of chronic         Grant No. 1R18HS017248                     Type of Health IT: clinical/medication
  conditions                                 Applicant Institution: Boston Medical      reminders (patient-focused),
                                             Center, Boston, MA                         human/machine interface
The long-term goal of this effort is to      Estimated Dates: 9/01/2007–8/31/2011
improve the delivery of patient-centered                                                Principal Investigator: Edith Burns
care in ambulatory settings.                 Using a Telemedicine System To             Grant No. R18HS017276
                                             Promote Patient Care Among                 Applicant Institution: Medical College
Patient-Centered Care Grants                 Underserved Individuals                    of Wisconsin, Milwaukee, WI
                                             Estimated Total Funding: $1,198,371        Estimated Dates: 9/01/2007–8/31/2011
Sixteen grants were awarded under this
FOA. The projects have a diverse range       Seeks to advance care for hypertension     Personal Health Records and Elder
of interventions, using different health     for African Americans in North             Medication Use Quality
IT applications. Most applications target    Philadelphia by enhancing an existing      Estimated Total Funding: $1,199,999
the primary care office as the setting of    telemedicine system that supports the      Investigates the effect of a current PHR
care while others address the home           chronic care model by increasing access,   system among older adults on patient-
environment. Two projects address            incorporating hypertension treatment       reported medication therapy
subspecialty care and one specifically       guidelines, quality measures, automating   management behaviors, beliefs about
focuses on transitions between the           reminders and feedback for both            medications, medication-use quality
inpatient and ambulatory setting. While      patients and health care providers, and    indicators, and on medication
all areas of patient-centered care are       enabling the PHR to exchange data          adherence.
addressed across the grants, most of the     between other HL7-compliant EMR
                                                                                        Focus Area(s): Patient self-management;
projects focus on patient self-              systems.
                                                                                        access to medical information (patients)
management.                                  Focus Area(s): Patient self-management     Type of Health IT: Human/machine
                                             of chronic illness; access to medical      interface, PHR, clinical/medication
                                             information (patients and clinicians);     reminders (patient-focused)
                                             shared decisionmaking; patient-clinician   Principal Investigator: Elizabeth
                                             communication                              Chrischilles


10
Grant No. 1R18HS017034                     Virtual Patient Advocate To Reduce         Tailored DVD To Improve
Applicant Institution: University of       Ambulatory Adverse Drug Events             Medication Management for Low
Iowa, Iowa City, IA                        Estimated Total Funding: $1,180,772        Literate Elderly Patients
Estimated Dates: 9/07/2007–8/31/2011       Focuses on the transition between          Estimated Total Funding: $1,199,014
Ambulatory Care Compact To                 hospitalization and the first ambulatory   Uses an electronic medication history to
Organize Risk and Decisionmaking           visit; also tests a Virtual Patient        develop tailored patient education
(ACCORD)                                   Advocate to prepare patients for           DVDs and print materials for low-
Estimated Total Funding: $923,783          discharge and determines their degree of   literate audiences to empower geriatric
Designs, develops, implements, and         understanding of self-care, medications,   patients and their caregivers to
evaluates a model of care delivery that    and followup.                              participate in treatment decisions and
enables patients and primary care          Focus Area(s): Patient self-management;    negotiate acceptable medication
providers to agree upon shared,            access to medical information (patients    regimens that are more amenable to
followup care plans that incorporate       and clinicians)                            followthrough.
patient and provider preferences.          Type of Health IT: Clinical/medication     Focus Area(s): Patient self-management;
Focus Area(s): Patient self-management;    reminders (patient-focused), human/        shared decisionmaking; patient-clinician
shared decisionmaking                      machine interface                          communication
Type of Health IT: System architecture,    Principal Investigator: Brian Jack         Type of Health IT: clinical/medication
PHR                                        Grant No. 1R18HS017196                     reminders (patient-focused), human/
Principal Investigator: Henry Chueh        Applicant Institution: Boston Medical      machine interface
Grant No. 1R18HS017190                     Center, Boston, MA                         Principal Investigator: Kate L. Lapane
Applicant Institution: Massachusetts       Estimated Dates: 9/01/2007–8/31/2011       Grant No. 1R18HS017281
General Hospital (MGH), Boston, MA         An Interactive Preventive Health           Applicant Institution: Brown University,
Estimated Dates: 9/12/2007–8/31/2011       Record To Promote Patient-Centered         Providence, RI
                                           Care                                       Estimated Dates: 9/30/2007–9/29/2011
Implementing a Low-Literacy,
Multimedia IT System To Enhance            Estimated Total Funding: $1,198,677        Impact of a Wellness Portal on the
Patient-Centered Cancer Care               Investigates whether an interactive        Delivery of Patient-Centered
Estimated Total Funding: $1,198,839        preventive health record (IPHR), called    Prospective Care
                                           MyPreventiveCare, increases the delivery   Estimated Total Funding: $902,411
Tests whether a low-literacy-friendly,
multimedia information and assessment      of recommended preventive services and     Develops, tests, and refines an Internet-
system used in daily clinical practice     whether the IPHR increases shared          based patient wellness portal linked to
enhances patient-centered care and         decisionmaking and improves clinician-     the previously developed Preventive
improves patient outcomes for              patient communication.                     Services Reminder System (PSRS), to
vulnerable populations.                    Focus Area(s): Shared decisionmaking;      will facilitate preventive care in primary
                                           patient-clinician communication            care practices.
Focus Area(s): Patient self-management
of chronic illness; patient-clinician      Type of Health IT: PHR,                    Focus Area(s): Patient self-management;
communication                              clinical/medication reminders (patient-    shared decisionmaking
Type of Health IT: Human/machine           and provider-focused)                      Type of Health IT: Telehealth (patient-
interface, clinical/medication reminders   Principal Investigator: Alexander Krist    focused)
(patient focused)                          Grant No. 1R18HS017046                     Principal Investigator: James Mold
Principal Investigator: Elizabeth Hahn     Applicant Institution: Virginia            Grant No. 1R18HS017188
Grant No. 1R18HS017300                     Commonwealth University, Richmond,         Applicant Institution: University of
Applicant Institution: Evanston            VA                                         Oklahoma Health Sciences Center,
Northwestern Healthcare,                   Estimated Dates: 9/01/2007–2/28/2011       Oklahoma City, OK
Chicago, IL                                                                           Estimated Dates: 9/13/2007–8/31/2011
Estimated Dates: 9/30/2007–9/29/2012




                                                                                                                              11
     Patient-Centered Informatics System         Enabling Sleep Apnea Patient-
     To Enhance Health Care in Rural             Centered Care Via an Internet
     Communities                                 Intervention
     Estimated Total Funding: $1,199,999         Estimated Total Funding: $1,155,062
     Evaluates whether integrating the           Examines the effect of a Web-based
     functions of an EMR, PHR, and               intervention designed for patients with
     communication system leads to more          obstructive sleep apnea syndrome that
     patient-centered care in rural              integrates a telemetry treatment device
     communities in the Intermountain            and an Internet-based portal that tracks
     West.                                       management of continuous positive
     Focus Area(s): Patient self-management;     airway pressure.
     access to medical information (patients     Focus Area(s): Patient self-management
     and clinicians); patient-clinician          of chronic illness
     communication                               Type of Health IT: Telehealth (patient-
     Type of Health IT: CHN (rural),             focused), PHR
     clinical/medication reminders (provider-    Principal Investigator: Carl Stepnowsky
     and patient-focused)                        Grant No. 1R18HS017246
     Principal Investigator: Matthew Samore      Applicant Institution: Veterans Medical
     Grant No. 1R18HS017308                      Research Foundation, San Diego, CA
     Applicant Institution: University of        Estimated Dates: 9/01/2007-8/31/2011
     Utah, Salt Lake City, UT                    Patient-Centered Online Disease
     Estimated Dates: 9/30/2007–9/29/2011        Management Using a Personal Health
     Harnessing Health IT for Self-              Record System
     Management Support and Medication           Estimated Total Funding: $1,158,401
     Activation in a Medicaid Health Plan        Evaluates a Customized, Continuous
     Estimated Total Funding: $1,130,769         Care Management (CCCM) program
     Tests the impact of the automated           for diabetes care and examines the
     telephone self-management support on        CCCM’s impact on HgA1C as well as
     diabetes management and combine it          self-management practices, better
     with a medication activation                processes of care, lower cardiovascular
     communication strategy.                     risk, enhanced patient experience and
     Focus Area(s): Patient self-management      satisfaction, and improved patient
     of chronic illness                          psychosocial well-being.
     Type of Health IT: Telehealth (patient-     Focus Area(s): Patient self-management
     focused), human/machine interface,          of chronic illness; access to medical
     clinical/medication reminders (patient-     information (patients and clinicians)
     focused)                                    Type of Health IT: PHR, clinical/
     Principal Investigator: Dean Schillinger    medication reminders (patient-focused)
     Grant No. 1R18HS017261                      Principal Investigator: Paul Tang
     Applicant Institution: University of        Grant No. 1R18HS017179
     California; San Francisco, San Francisco,   Applicant Institution: Palo Alto Medical
     CA                                          Foundation Research Institute, Palo
     Estimated Dates: 9/04/2007–8/31/2011        Alto, CA
                                                 Estimated Dates: 9/13/2007–8/31/2011




12
Using an Electronic Personal Health         Improving Management of                     Chronic Mental Health: Improving
Record To Empower Patients With             Individuals With Complex                    Outcomes Through Ambulatory Care
Hypertension                                Health Care Needs Through                   Coordination
Estimated Total Funding: $1,181,369         Health IT                                   Estimated Total Funding: $1,199,871
Examines the feasibility, acceptability,                                                Develops and implements an HIE
and impact of a health IT intervention      The primary goal of this FOA is to          network focused on coordination of care
(the ePHR) that has been modified to        identify, promote, and disseminate          for individuals with chronic mental
incorporate the experiences,                models of patient-centered care. This       illness.
perspectives, and insights of patients      includes the use of personal health data    Focus Area(s): Behavioral health
and family members actually using the       and evidence-based information to           Type of Health IT: HIE
system.                                     support both providers and patients in      Principal Investigator: Wende M. Baker
Focus Area(s): Patient self-management      managing health and illnesses and           Grant No.: R18HS017838-01
of chronic illness; access to medical       improve health outcomes in ambulatory       Applicant Institution: Southeast
information (patients); patient-clinician   care for patients with complex health       Nebraska Behavioral Health
communication                               care needs and across high-risk health      Information Network, Inc., Lincoln,
Type of Health IT: PHR                      care transitions.                           NE
Principal Investigator: Peggy Wagner        Applicants were encouraged to               Estimated dates: 9/30/2008-9/29/2012
Grant No. 1R18HS017234-01                   demonstrate the ability of EHRs and/or      Evaluation of Effectiveness of an HIT-
Applicant Institution: Medical College      PHRs to effectively move evidence-          based Care Transition Information
of Georgia, Augusta, GA                     based information to the point of care,     Transfer System
Estimated Dates: 9/01/2007–2/28/2011        including the development and               Estimated Total Funding: $1,155,371
Using IT for Patient-Centered               utilization of machine-actionable,
                                            evidence-based clinical information, and    Develops and evaluates a care transition
Communication and Decisionmaking                                                        information transfer system that
About Medications                           participation of both providers and
                                            patients/families in health information     provides high-risk rural patients and
Estimated Total Funding: $1,199,997                                                     their primary care providers with
                                            exchanges. In particular, examination of
Develops and tests a multimedia             the role of workflow and effective use of   discharge information, particularly
program to help patients understand the     clinical alerts and reminders, with an      focused on medication management
importance of both giving and receiving     emphasis on prevention and chronic          Focus Area(s): Impact of health IT on
accurate information about medications.     illness management was encouraged.          outcomes in a rural ambulatory clinic
Focus Area(s): Patient self-management;                                                 Type of Health IT: EHR, HIE
shared decisionmaking; patient-clinician    Management of Individuals With              Principal Investigator: Elizabeth
communication                               Complex Health Care Needs Grants            Ciemens
Type of Health IT: CDS, medication          Twelve projects were funded under this      Grant No.: R18HS017864-01
management (patient-focused)                FOA. The projects described use             Applicant Institution: Billings Clinic
Principal Investigator: Michael Wolf        innovative methods including                Foundation, Billings, MT
Grant No. 1R18HS017220                      interactive voice systems and other         Estimated dates: 9/30/2008-9/29/2012
Applicant Institution: Northwestern         information systems as well as              Enhancing Complex Care Through
University, Chicago, IL                     randomized trials to determine how          an Integrated Care Coordination
Estimated Dates: 9/14/2007–8/31/2011        health IT can improve patient self-         Information System
                                            management.                                 Estimated Total Funding: $1,155,147
                                                                                        Creates, implements, and evaluates an
                                                                                        integrated care coordination
                                                                                        information system in a diverse set of
                                                                                        clinics using certified EHRs and existing
                                                                                        standards.




                                                                                                                              13
Focus Area(s): Impact of health IT on      Improving Medication Management               Focus Area(s): Patients with multiple
chronic illness outcomes in a rural        Practices and Care Transitions                chronic diseases
ambulatory clinic                          Through Technology                            Type of Health IT: Interactive voice
Type of Health IT: EHRs                    Estimated Total Funding: $1,199,998           response
Principal Investigator: David Dorr         Conducts a randomized trial to assess         Principal Investigator: Robert Friedman
Grant No.: R18HS017832-01                  the effectiveness and cost effectiveness of   Grant No.: R18HS017855-01
Applicant Institution: Oregon Health &     two CDS interventions aimed at                Applicant Institution: Boston Medical
Science University, Portland, OR           improving medication management in            Center, Boston, MA
Estimated dates: 9/30/2008-9/29/2012       home health care.                             Estimated dates: 9/30/2008-9/29/2012
An Electronic Personal Health Record       Focus Area(s): Home health patients at        Randomized Controlled Trial
for Mental Health Consumers                risk of medication problems due to the        Embedded in an Electronic Health
Estimated Total Funding: $1,199,379        drugs they are taking and/or the              Record Ambulatory Care
Adapts an existing PHR to fit the needs    complexity of their medication regimens       Estimated Total Funding: $1,199,928
of persons with a serious mental           Type of Health IT: CDS                        Assesses the effective of an electronic
disorder and one or more chronic           Principal Investigator: Penny Feldman         PHR for improved self-management
medical conditions.                        Grant No.: R18HS017837-01                     and clinical outcomes in HIV/AIDS
Focus Area(s): Mental health               Applicant Institution: Visiting Nurse         positive individuals.
Type of Health IT: Web-based PHR           Service of New York, New York, NY             Focus Area(s): HIV/AIDS
Principal Investigator: Benjamin Druss     Estimated dates: 9/30/2008-9/29/2012          Type of Health IT: Web-based PHR
Grant No.: R18HS017829-01                  Using HIT To Improve Transitions of           Principal Investigator: James Kahn
Applicant Institution: Emory University,   Complex Elderly Patients from SNF             Grant No.: R18HS017784-01
Atlanta, GA                                to Home                                       Applicant Institution: University of
Estimated dates: 9/30/2008-9/29/2012       Estimated Total Funding: $1,188,157           California San Francisco, San Francisco,
Improving Care Transitions for             Develops and evaluates an EMR-based           CA
Complex Patients Through Decision          medication reconciliation system for          Estimated dates: 9/01/2008-8/31/2012
Support Ambulatory Care                    medication monitoring and followup of         Improving Pediatric Cancer
Estimated Total Funding: $1,198,254        elderly patients discharged from a skilled    Survivorship Care Through
Develops and evaluates a decision          nursing facility (SNF) to ambulatory          SurvivorLink
support system that will augment the       settings.                                     Estimated Total Funding: $1,199,998
availability of information at             Focus Area(s): Drug-induced injury in         Develops, implements, and evaluates an
ambulatory practices following three       the ambulatory geriatric population           electronic PHR to support improved
types of care transitions; hospital        Type of Health IT: EMR                        self-management and clinical outcomes
discharges, emergency department           Principal Investigator: Terry Field           in pediatric cancer survivors.
encounters, and specialty clinic           Grant No.: R18HS017817-01                     Focus Area(s): Patient self-management
evaluations.                               Applicant Institution: University of          Type of Health IT: Web-based PHR
Focus Area(s): Ambulatory clinics          Massachusetts Medical School,                 Principal Investigator: Ann Mertens
Type of Health IT: HIE, CDS                Worcester, MA                                 Grant No.: R18HS017831-01
Principal Investigator: Eric Eisenstein    Estimated dates: 9/30/2008-9/29/2012          Applicant Institution: Emory University,
Grant No.: R18HS017795-01                  A Longitudinal Telephone and                  Atlanta, GA
Applicant Institution: Duke University,    Multiple Disease Management System            Estimated dates: 9/30/2008-9/29/2012
Durham, NC                                 To Improve Ambulatory Care
Estimated dates: 9/30/2008-9/29/2012       Estimated Total Funding: $1,199,934
                                           Assesses the effectiveness of an
                                           interactive voice response system for
                                           providing hospital discharge followup of
                                           patients with complex health care needs.



14
E-Coaching: IVR-Enhanced Care               Using Electronic Data To Improve            For More Information
Transition Support for Complex              Care of Patients With Known or
Patients                                    Suspected Cancer                            For additional information on AHRQ
Estimated Total Funding: $1,199,999         Estimated Total Funding: $1,199,531         projects on health information
A randomized trial of the use of an         Tests the use of health IT to identify      technology, please visit
interactive voice response system to        patients experiencing delays in diagnosis   www.healthit.ahrq.gov. or contact the
facilitate post-hospital discharge          and/or treatment of some types of           health IT staff at healthit@ahrq.gov.
transitions for patients with congestive    cancer and to facilitate their movement
heart failure or chronic obstructive        through the health care system.
pulmonary disease into the community.       Focus Area(s): Integrated care network
Focus Area(s): Home health                  Type of Health IT: EMRs
Type of Health IT: Interactive voice        Principal Investigator: Hardeep Singh
response                                    Grant No.: R18HS017820-01
Principal Investigator: Christine Ritchie   Applicant Institution: Baylor College of
Grant No.: R18HS017786-01                   Medicine, Houston, TX
Applicant Institution: University of        Estimated dates: 9/30/2008-9/29/2012
Alabama at Birmingham, Birmingham,
AL
Estimated dates: 9/30/2008-3/31/2012




                                                                                                                            15
              www.ahrq.gov

         AHRQ Pub. No. 12-P012
Replaces AHRQ Pub. No. 10-P004
                     July 2012

				
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