CQA PROJECTS
Working with the LMR team, our group has successfully designed, developed and implemented the following advance medication decision support for the Longitudinal Medical Record (LMR) as part of the "Improving Safety by Computerizing Outpatient Prescribing" grant that was funded by AHRQ. This included redesign of the alert screen so LMR users could view multiple alerts on one page.
- Drug Disease check
- Therapeutic Duplication check
- Drug Lab check
- Drug Pregnancy check
- Drug Drug Interaction check
Our group also continues to work on evaluating patient computing through the Patient Gateway including the implementation of the first online patient survey to evaluate care.
Our group conducted LMR time motion observations on more than 50 primary and speciality care clinicians, including 25 Dana-Farber Cancer Institute clinicians, to assist in evaluating the impact of the LMR on clinician efficiency and time spent with patients. Our time motion tools will be used on the recently awarded grant entitled "Improving Safety and Quality with Outpatient Order Entry."
We are working on the project entitled "Statewide Implementation of Electronic Health Records" to evaluate the impact of a statewide implementation program of Electronic Health Records (EHR) adoption by rural and non-rural ambulatory care practices in Massachusetts. We will evaluate whether an incentive based collaborative intervention program or an intensive educational outreach program will facilitate more extensive and rapid adoption of EHRs; to what extent EHRs reduce medication errors; and what are the correlates of physician receptivity and use of EHRs.
We are also involved in a project entitled "Evaluating Smartforms and Quality Dashboards in an EHR." This application aims to better demonstrate the value of IT to the end-user clinician through creation of clinical decision support tools integrated with clinical documentation workflow, and through provision of physician performance feedback on quality and benchmarks in the EHR.
We entered into the sixth year as a national Center of Excellence for Patient Research and Safety, (CoE) with support from AHRQ, that focuses on improving medication safety across the continuum of patient care.