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Secure Provider-to-Provider Communication With Electronic Health Record Messaging: An Educational Outreach Study.

Secure Provider-to-Provider Communication With Electronic Health Record Messaging: An Educational Outreach Study.

With increasing electronic health record (EHR) use, providers are talking with one another less. Now, many rely on EHRs, informal emails, or texts, introducing fragmentation and new data security challenges with new communication strategies. HIP Investigator, Dr. Christie Bartels et al. aimed to examine the impact of a physician champion educational outreach intervention to promote electronic provider-to-provider communication in a large academic multispecialty group. Physician champion educational outreach increased the use of the secure provider-to-provider EHR messaging tool.

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Medics and patient

Transitioning from General Pediatric to Adult-Oriented Inpatient Care: National Survey of US Children's Hospitals.

Transitioning from General Pediatric to Adult-Oriented Inpatient Care: National Survey of US Children's Hospitals.

Hospital charges and lengths of stay may be greater when adults with chronic conditions are admitted to children's hospitals. Despite multiple efforts to improve pediatric-adult healthcare transitions, little guidance exists for transitioning inpatient care. In this study, HIP Investigator Dr. Ryan Coller et al. sought to characterize pediatric-adult inpatient care transitions across general pediatric services at US children's hospitals.

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young boy patient

Complex Care Hospital Use and Postdischarge Coaching: A Randomized Controlled Trial.

Complex Care Hospital Use and Postdischarge Coaching: A Randomized Controlled Trial.

Complex care programs seek to influence key health outcomes for children with medical complexity (CMC), and investment in program infrastructure is often justified by anticipating savings from lower health care use. HIP Investigator, Dr. Ryan Coller et al. sought to examine the effect of a caregiver coaching intervention, Plans for Action and Care Transitions (PACT), on hospital use among children with medical complexity (CMC) within a complex care medical home. Among CMC within a complex care program, a health coaching intervention designed to identify, prevent, and manage patient-specific crises and postdischarge transitions appears to lower hospitalizations and charges.

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Stethoscope and chart

Asset-Based Community Development as a Strategy for Developing Local Global Health Curricula.

Asset-Based Community Development as a Strategy for Developing Local Global Health Curricula.

A significant and growing proportion of US children have immigrant parents, an issue of increasing importance to pediatricians. Training globally minded pediatric residents to address health inequities related to globalization is an important reason to expand educational strategies around local global health (LGH). HIP Investigator, Dr. Ryan Coller et al. developed a curriculum in the pediatric global health residency track at UW to address gaps in LGH education and to increase resident knowledge about local health disparities for global community members.

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Inpatient Portals for Hospitalized Patients and Caregivers: A Systematic Review.

Inpatient Portals for Hospitalized Patients and Caregivers: A Systematic Review.

Patient portals, web-based personal health records linked to electronic health records (EHRs), provide patients access to their healthcare information and facilitate communication with providers. A team of authors, including HIP Investigator Dr. Ryan Coller, conducted a systematic review of the literature evaluating the design, use, and impact of inpatient portals, which are patient portals designed to give hospitalized patients and caregivers inpatient EHR clinical information for the purpose of engaging them in hospital care.

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Doctor explaining prescription

Longitudinal trends and predictors of statin use among patients with diabetes.

Longitudinal trends and predictors of statin use among patients with diabetes.

Patients with diabetes have a well-established elevated risk of cardiovascular disease. Statins reduce morbidity and mortality among patients with diabetes, but their use remains suboptimal. In this study, HIP Investigator Dr. Meghan Brennan et al. sought to understand trends in statin use to inform strategies for improvement. They found that Statin use is slowly increasing among patients with diabetes, and at varying rates within subgroups of this population. Policies that prioritize these subgroups for statin promotion may help guide future, intervention-based research to increase compliance with current guidelines.

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The use of external change agents to promote quality improvement and organizational change in healthcare organizations.

The use of external change agents to promote quality improvement and organizational change in healthcare organizations.

External change agents can play an essential role in healthcare organizational change efforts. This systematic review by HIP Investigator, Dr. Andrew Quanbeck et al. examines the role that external change agents have played within the context of multifaceted interventions designed to promote organizational change in healthcare-specifically, in primary care settings. The team found that practice facilitation with regular, tailored follow up is a powerful component of a successful organizational change strategy.

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Doctor breaking cigarette

Patient Perspectives on Smoking Cessation and Interventions in Rheumatology Clinics.

Patient Perspectives on Smoking Cessation and Interventions in Rheumatology Clinics.

Although smoking is a risk factor for cardiovascular and rheumatic disease severity, only 10% of rheumatology visits document cessation counseling. HIP Investigator, Dr. Christie Bartels et al. identified themes and categories of patient and health system-level facilitators/barriers to smoking cessation. Participant-reported barriers and facilitators to cessation involved psychological, health, and social and economic factors, and healthcare messaging, and resources.

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Scope and Influence of Electronic Health Record-Integrated Clinical Decision Support in the Emergency Department.

Scope and Influence of Electronic Health Record-Integrated Clinical Decision Support in the Emergency Department.

Widespread adoption of electronic health records offers an unprecedented opportunity to apply informatics techniques to clinical and operational data. As electronic health records evolve, integration of computerized clinical decision support offers the promise of sorting, collecting, and presenting this information to improve patient care. HIP Investigator, Dr. Brian Patterson et al. conducted a systematic review to examine the scope and influence of electronic health record-integrated clinical decision support technologies implemented in the emergency department.

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The importance of health insurance claims data in creating learning health systems: evaluating care for high-need high-cost patients using the National Patient-Centered Clinical Research Network (PCORNet)

The importance of health insurance claims data in creating learning health systems: evaluating care for high-need high-cost patients using the National Patient-Centered Clinical Research Network (PCORNet)

Case management programs for high-need high-cost patients are spreading rapidly among health systems. PCORNet has substantial potential to support learning health systems in rapidly evaluating these programs, but access to complete patient data on health care utilization is limited as PCORNet is based on electronic health records not health insurance claims data. Because matching cases to comparison patients on baseline utilization is often a critical component of high-quality observational comparative effectiveness research for high-need high-cost patients, limited access to claims may negatively affect the quality of the matching process. HIP Investigator, Dr. Maureen Smith and team (including HIP Investigator, Dr. Menggang Yu) sought to determine whether the evaluation of programs for high-need high-cost patients required claims data to match cases to comparison patients.

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