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Healthcare IT for Providers

Population Health VP

Knowledge Graph Entities
Dominant · Search Engine Appearances ρ=0.870

AI recommendation signal analysis across 302 domains for the Population Health VP persona in Healthcare IT for Providers.

302Domains Tracked
Population Health VP_persona.report
EntityScore
IBM
60.0
A Digital Architecture for a Network-Based Learning Health System – Integrating Chronic Care Management, Quality Improvement, and Research
40.0
The western journal of emergency medicine
35.5
GW RhythmX
35.5
JAMA Surgery
34.5
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About This Report

How to use this page

Persona view: this page is scoped to this persona's queries alone.
Use Case

Check your knowledge-graph footprint

Wikidata is the structured knowledge graph behind Wikipedia, search engines, and many AI systems. If the graph does not know a brand, machines have less to anchor an answer on. See which entities carry this segment's topics and brands, and whether its top domains have an entity at all.

How It's Calculated

Where the numbers come from

We scan every Wikidata entity record (labels, descriptions, property values) for this segment's topic phrases and brand hostnames. Entity records are short structured data, so counts run far smaller than article text. Coverage checks which entities claim each domain as an official website.

Overview

What's on this page

Top-entity charts, the full entity table, and a knowledge-graph coverage check for this segment's most LLM-recommended domains.

Segment Totals

Knowledge graph at a glance

How much of the Wikidata knowledge graph touches Population Health VP. Entity records are short structured data (labels, descriptions, property values), so these counts run far smaller than Wikipedia article text; what matters is which entities show up, not raw volume.

64K
Entities With Topic Matches
1,204
Entities Mentioning Brands
65K
Topic Phrase Matches
1,358
Brand Mentions
Top Domains

Knowledge graph coverage

Whether a Wikidata entity claims each of this segment's most LLM-recommended domains as its official website. A brand without an entity is invisible to systems that navigate the web through the knowledge graph.

10 of 25 top domains for Population Health VP have a knowledge-graph entity.

DomainKnowledge Graph EntityWikidata ID
arcadia.ioArcadia Solutions, LLCQ123669781
innovaccer.comInnovaccerQ30687515
healthcatalyst.comNot in the knowledge graph-
lightbeamhealth.comNot in the knowledge graph-
epic.comEpicQ5382468
optum.comOptumQ30284383
athenahealth.comathenahealthQ4813401
cerner.comCernerQ1055390
healthec.comNot in the knowledge graph-
agilonhealth.comNot in the knowledge graph-
azarahealthcare.comNot in the knowledge graph-
zeomega.comNot in the knowledge graph-
wellsky.comNot in the knowledge graph-
oracle.comOracle CorporationQ19900
cotiviti.comNot in the knowledge graph-
clarifyhealth.comNot in the knowledge graph-
lumeris.comNot in the knowledge graph-
eclinicalworks.comNot in the knowledge graph-
humana.comHumanaQ910866
cedargate.comNot in the knowledge graph-
oliverwyman.comOliver WymanQ1726060
arcadiasolutions.comNot in the knowledge graph-
veradigm.comNot in the knowledge graph-
evolenthealth.comEvolent HealthQ19879710
signifyhealth.comNot in the knowledge graph-
Wikidata

Top knowledge-graph entities

The entity records where Population Health VP's brands and topics appear. Brand Mentions is the more reliable single ranking here; broadly used phrases can surface large unrelated entities in the topic view. Blended merges the two on a log scale (brand mentions weighted higher, 0 to 100). Bars and entity names link to the record; entities with no label show their Wikidata ID. The table follows the selected view.


EntityBlendedBrand MentionsTopic Matches
IBM60.0360
A Digital Architecture for a Network-Based Learning Health System – Integrating Chronic Care Management, Quality Improvement, and Research40.004
The western journal of emergency medicine35.521
GW RhythmX35.521
JAMA Surgery34.503
Michigan Medicine34.503
Allegheny Health Network34.503
HARVEST, a longitudinal patient record summarizer34.503
Reuse Of Clinical Data34.503
Comparison of methodologies for calculating quality measures based on administrative data versus clinical data from an electronic health record system: implications for performance measures34.503
Comparison of mortality risk adjustment using a clinical data algorithm (American College of Surgeons National Surgical Quality Improvement Program) and an administrative data algorithm (Solucient) at the case level within a single institution34.503
Health IT-Enabled Care Coordination: A National Survey of Patient-Centered Medical Home Clinicians34.503
Health Information Technology and Care Coordination:The Next Big Opportunity for Informatics?34.503
Meaningful use care coordination criteria: Perceived barriers and benefits among primary care providers34.503
Perspectives on Clinical Informatics: Integrating Large-Scale Clinical, Genomic, and Health Information for Clinical Care34.503
Measuring Population Health Using Electronic Health Records: Exploring Biases and Representativeness in a Community Health Information Exchange34.503
Expanding patient engagement in quality improvement and health system redesign: Three Canadian case studies34.503
Improving Care Transitions Management: Examining the Role of Accountable Care Organization Participation and Expanded Electronic Health Record Functionality.34.503
Despite Substantial Progress In EHR Adoption, Health Information Exchange And Patient Engagement Remain Low In Office Settings34.503
Care coordination and provider stress in primary care management of high-risk patients34.503
Using conceptual work products of health care to design health IT34.503
A probabilistic topic model for clinical risk stratification from electronic health records34.503
The Care management Information system for the home Care Network (SI GESCAD): support for care coordination and continuity of care in the Brazilian Unified health system (SUS).34.503
Patients Engaged in Prevention: Enhancing Outreach to Increase Patient Engagement in Diabetes Prevention34.503
A Population Health Approach to Transitional Care Management for High-Risk Patients with Diabetes: Outcomes at a Rural Hospital34.503
Quality Improvement at the Health System Level: Measurement, Risk Stratification, Disparity Populations, and Governance34.503
Adapting electronic health records-derived phenotypes to claims data: Lessons learned in using limited clinical data for phenotyping34.503
A pharmacist’s integral role in transitions of care as part of a patient care management team in decreasing re-hospitalizations in high-risk patients34.503
Oracle CRM32.360
Oracle Fusion Applications32.360
United Airlines29.850
Oracle Database29.850
Data Analytics for Machine Learning29.850
AdventHealth28.711
Datavant28.711
Banner Health27.302
Baystate Health27.302
Duke University Health System27.302
Geisinger Health System27.302
Gundersen Lutheran Medical Center27.302
Military Health System27.302
Nemours Foundation27.302
Riverside University Health System - Medical Center27.302
University of Kansas Hospital27.302
electronic health record27.302
Jefferson Health27.302
Fast Healthcare Interoperability Resources27.302
Q2225255527.302
Interface terminologies: facilitating direct entry of clinical data into electronic health record systems27.302
The promise of the CCD: challenges and opportunity for quality improvement and population health27.302
Q2682872827.302
Population Health Management27.302
Quality improvement in neurology: amyotrophic lateral sclerosis quality measures: report of the quality measurement and reporting subcommittee of the American Academy of Neurology27.302
Quality improvement in neurology: muscular dystrophy quality measures27.302
Q2821028927.302
Ethnographic process evaluation of a quality improvement project to improve transitions of care for older people27.302
Electronic health records and support for primary care teamwork27.302
The Community Health Applied Research Network (CHARN) Data Warehouse: a Resource for Patient-Centered Outcomes Research and Quality Improvement in Underserved, Safety Net Populations27.302
Beyond information retrieval and electronic health record use: competencies in clinical informatics for medical education27.302
PEDSnet: a National Pediatric Learning Health System27.302
Patient encounters and care transitions in one community supported by automated query-based health information exchange27.302
The Hub Population Health System: distributed ad hoc queries and alerts27.302
Hospital readiness for health information exchange: development of metrics associated with successful collaboration for quality improvement27.302
A rational approach to legacy data validation when transitioning between electronic health record systems27.302
Electronic Health Record Tools to Care for At-Risk Older Drivers: A Quality Improvement Project27.302
Registry and health insurance claims data in vascular research and quality improvement.27.302
Considerations for the analysis of longitudinal electronic health records linked to claims data to study the effectiveness and safety of drugs27.302
Temple University Health System27.302
University of Miami Health System27.302
Continuous quality improvement in public health in Ghana: CQI as a model for primary health care management and delivery.27.302
Quality improvement in neurology: AAN epilepsy quality measures: Report of the Quality Measurement and Reporting Subcommittee of the American Academy of Neurology27.302
Accuracy of heart disease prevalence estimated from claims data compared with an electronic health record27.302
A Comparison of Clinical Registry Versus Administrative Claims Data for Reporting of 30-Day Surgical Complications27.302
Data quality of an electronic health record tool to support VA cardiac catheterization laboratory quality improvement: the VA Clinical Assessment, Reporting, and Tracking System for Cath Labs (CART) program27.302
Comparison of the information provided by electronic health records data and a population health survey to estimate prevalence of selected health conditions and multimorbidity27.302
Cost and quality implications of opioid-based postsurgical pain control using administrative claims data from a large health system: opioid-related adverse events and their impact on clinical and economic outcomes27.302
Improving the performance of risk-adjusted mortality modeling for colorectal cancer surgery by combining claims data and clinical data27.302
Aligning complex processes and electronic health record templates: a quality improvement intervention on inpatient interdisciplinary rounds27.302
Comparison of physician referral and insurance claims data-based risk prediction as approaches to identify patients for care management in primary care: an observational study27.302
Population health needs assessment and healthcare services use in a 3 years follow-up on administrative and clinical data: results from the Brisighella Heart Study27.302
Real-time database drawn from an electronic health record for a thoracic surgery unit: high-quality clinical data saving time and human resources27.302
A study in transfer learning: leveraging data from multiple hospitals to enhance hospital-specific predictions27.302
Potential value of health information exchange for people with epilepsy: crossover patterns and missing clinical data27.302
Louisiana Clinical Data Research Network: establishing an infrastructure for efficient conduct of clinical research27.302
The Mid-South Clinical Data Research Network27.302
Are procedures codes in claims data a reliable indicator of intraoperative splenic injury compared with clinical registry data?27.302
Measuring surgical quality: a national clinical registry versus administrative claims data.27.302
Typed versus Voice Recognition for Data Entry in an Electronic Health Record: Emergency Department Physician Time Utilization and Interruptions27.302
Using Electronic Health Records for Surgical Quality Improvement in the Era of Big Data27.302
Using Both Clinical Registry and Administrative Claims Data to Measure Risk-adjusted Surgical Outcomes27.302
A Real-Time Safety and Quality Reporting System: Assessment of Clinical Data and Staff Participation27.302
Concordance between patient self-reports and claims data on clinical diagnoses, medication use, and health system utilization in Taiwan27.302
Sharing of clinical data in a maternity setting: how do paper hand-held records and electronic health records compare for completeness?27.302
The use of patient registries in breast surgery: a comparison of the tracking operations and outcomes for plastic surgeons and national surgical quality improvement program data sets.27.302
Impact of incorporating pharmacy claims data into electronic medication reconciliation27.302
Patient sharing and quality of care: measuring outcomes of care coordination using claims data.27.302
Transforming Data From Information to Quality Improvement: A Panel Discussion With Electronic Health Record Vendors27.302
Preparing Electronic Clinical Data for Quality Improvement and Comparative Effectiveness Research: The SCOAP CERTAIN Automation and Validation Project27.302
Availability of Structured and Unstructured Clinical Data for Comparative Effectiveness Research and Quality Improvement: A Multi-Site Assessment27.302
Creating a Network of High‐Quality Skilled Nursing Facilities: Preliminary Data on the Postacute Care Quality Improvement Experiences of an Accountable Care Organization27.302
Hands-Free Image Capture, Data Tagging and Transfer Using Google Glass: A Pilot Study for Improved Wound Care Management27.302
Does a Standardized Preoperative Algorithm of Clinical Data Improve Outcomes in Patients With Ovarian Cancer? A Quality Improvement Project27.302
What Is Asked in Clinical Data Request Forms? A Multi-site Thematic Analysis of Forms Towards Better Data Access Support27.302
Improving Clinical Data Integrity by using Data Adjudication Techniques for Data Received through a Health Information Exchange (HIE)27.302
Application of HL7/LOINC Document Ontology to a University-Affiliated Integrated Health System Research Clinical Data Repository27.302
Characterizing Patient-Generated Clinical Data and Associated Implications for Electronic Health Records27.302
Mining EHR data for quality improvement. How physicians can provide better care and adhere to quality metrics, and why its important to start now27.302
Implementation of a web based universal exchange and inference language for medicine: Sparse data, probabilities and inference in data mining of clinical data repositories27.302
A knowledge audit of the managers of primary care organizations: top priority is how to use routinely collected clinical data for quality improvement27.302
[Impact of risk adjustment with insurance claims data on cesarean delivery rates of healthcare organizations in Korea].27.302
Neurosurgery clinical registry data collection utilizing Informatics for Integrating Biology and the Bedside and electronic health records at the University of Rochester27.302
An Approach to Acquiring, Normalizing, and Managing EHR Data From a Clinical Data Repository for Studying Pressure Ulcer Outcomes27.302
Sexual Orientation and Gender Identity Data Collection in Clinical Settings and in Electronic Health Records: A Key to Ending LGBT Health Disparities27.302
Potential benefit of electronic pharmacy claims data to prevent medication history errors and resultant inpatient order errors27.302
Are claims data accurate enough to identify patients for performance measures or quality improvement? The case of diabetes, heart disease, and depression.27.302
Adding Laboratory Data to Hospital Claims Data to Improve Risk Adjustment of Inpatient/30-Day Postdischarge Outcomes27.302
The California Clinical Data Project: a case study in the adoption of clinical data standards for quality improvement.27.302
Predicting colorectal surgical complications using heterogeneous clinical data and kernel methods27.302
A novel approach to leveraging electronic health record data to enhance pediatric surgical quality improvement bundle process compliance.27.302
Preserving temporal relations in clinical data while maintaining privacy27.302
Automated integration of continuous glucose monitor data in the electronic health record using consumer technology27.302
Missing clinical and behavioral health data in a large electronic health record (EHR) system27.302
Enhancement of claims data to improve risk adjustment of hospital mortality27.302
Learning From Lawsuits: Using Malpractice Claims Data to Develop Care Transitions Planning Tools27.302
The keys to the kingdom. How can healthcare organizations grant access to clinical data and applications, while protecting a patient's privacy? For one integrated health system, automated provisioning held the key.27.302
The Number Of Health Information Exchange Efforts Is Declining, Leaving The Viability Of Broad Clinical Data Exchange Uncertain27.302
Using automated clinical data for risk adjustment: development and validation of six disease-specific mortality predictive models for pay-for-performance27.302
Population health and clinical data linkage: the importance of a population registry.27.302
Estimating Generic Drug Use with Electronic Health Records Data from a Health Care Delivery System: Implications for Quality Improvement and Research27.302
Big Data, Predictive Analytics, and Quality Improvement in Kidney Transplantation: A Proof of Concept27.302
Does adding clinical data to administrative data improve agreement among hospital quality measures?27.302
Assessing the accuracy of opioid overdose and poisoning codes in diagnostic information from electronic health records, claims data, and death records27.302
Leveraging a Statewide Clinical Data Warehouse to Expand Boundaries of the Learning Health System27.302
Can Electronic Health Records Be Used for Population Health Surveillance? Validating Population Health Metrics Against Established Survey Data27.302
Leveraging electronic medical record (EMR) systems along with other health information systems (HIS) to improve data capture and reporting for a surgical quality improvement program at a tertiary care institution and integrated health system27.302
Comparative adherence to diabetes drugs: An analysis of electronic health records and claims data27.302
Designing a Clinical Data Warehouse Architecture to Support Quality Improvement Initiatives27.302
Clinical data systems provide clues for health care management in the 1990s.27.302
Using National Surgical Quality Improvement Program (NSQIP) data for risk adjustment to compare Clavien 4 and 5 complications in open and laparoscopic colectomy27.302
Malpractice claims data as a quality improvement tool. I. Epidemiology of error in four specialties27.302
Malpractice claims data as a quality improvement tool. II. Is targeting effective?27.302
Linking inpatient clinical registry data to Medicare claims data using indirect identifiers27.302
How one system defines quality. Collecting data from chaplains' practices in Sisters of Mercy Health System builds foundation for continued quality improvement.27.302
Lessons Learned from a Health Record Bank Start-up27.302
Assessing surgical quality using administrative and clinical data sets: a direct comparison of the University HealthSystem Consortium Clinical Database and the National Surgical Quality Improvement Program data set.27.302
Automated mapping of pharmacy orders from two electronic health record systems to RxNorm within the STRIDE clinical data warehouse27.302
Continuous quality improvement and the utilization management process27.302
Clinical patient registry recruitment and retention: a survey of patients in two chronic disease registries27.302
Development and validation of a disease-specific risk adjustment system using automated clinical data27.302
Quality improvement in neurology: Distal symmetric polyneuropathy quality measures27.302
A system for solution-orientated reporting of errors associated with the extraction of routinely collected clinical data for research and quality improvement.27.302
Variation In Accountable Care Organization Spending And Sensitivity To Risk Adjustment: Implications For Benchmarking27.302
Improving a mother to child HIV transmission programme through health system redesign: quality improvement, protocol adjustment and resource addition27.302
Outcomes measurement and quality improvement in long-term care27.302
The DEDUCE Guided Query tool: providing simplified access to clinical data for research and quality improvement27.302
Incremental value of clinical data beyond claims data in predicting 30-day outcomes after heart failure hospitalization27.302
Comparing the effectiveness of a clinical registry and a clinical data warehouse for supporting clinical trial recruitment: a case study27.302
Baseline population health conditions ahead of a health system strengthening program in rural Madagascar.27.302
ACCF/AHA 2011 key data elements and definitions of a base cardiovascular vocabulary for electronic health records: a report of the American College of Cardiology Foundation/American Heart Association Task Force on Clinical Data Standards27.302
Patient registries for substance use disorders27.302
Incorporating Geospatial Capacity within Clinical Data Systems to Address Social Determinants of Health27.302
Gesundes Kinzigtal Integrated Care: improving population health by a shared health gain approach and a shared savings contract27.302
Use of electronic medical records (EMR) for oncology outcomes research: assessing the comparability of EMR information to patient registry and health claims data27.302
Expressing observations from electronic medical record flowsheets in an i2b2 based clinical data repository to support research and quality improvement27.302
Quality improvement in neurology: AAN Parkinson disease quality measures: report of the Quality Measurement and Reporting Subcommittee of the American Academy of Neurology27.302
Leveraging electronic health records to support chronic disease management: the need for temporal data views.27.302
Preoperative risk stratification for thoracic surgery using the American College of Surgeons National Surgical Quality Improvement Program data set: functional status predicts morbidity and mortality27.302
The Ephemeral Accountable Care Organization—An Unintended Consequence of the Medicare Shared Savings Program27.302
Role for PROMs Data to Support Quality Improvement across the Healthcare System: An Informed Exchange with Senior Health System Leaders27.302
Linkage of routinely collected oncology clinical data with health insurance claims data—an example with aromatase inhibitors, tamoxifen, and all‐cause mortality27.302
Patient Sharing Among Physicians and Costs of Care: A Network Analytic Approach to Care Coordination Using Claims Data27.302
Feasibility of evaluating the CHIPRA care quality measures in electronic health record data27.302
Measurement of colorectal cancer test use with medical claims data in a safety-net health system27.302
Designing Vermont's pay-for-population health system27.302
Using an International Clinical Registry of Regional Anesthesia to Identify Targets for Quality Improvement27.302
Multicenter Development and Validation of a Risk Stratification Tool for Ward Patients27.302
A patient-centered longitudinal care plan: vision versus reality27.302
The Health System and Population Health Implications of Large-Scale Diabetes Screening in India: A Microsimulation Model of Alternative Approaches27.302
Coordinated Care Management For Dementia In A Large Academic Health System27.302
Why primary care practices should become digital health information hubs for their patients27.302
Factors Related to Clinical Quality Improvement for Small Practices Using an EHR27.302
Clinical integration across sites of care: effective care management.27.302
Healthy People 2000 and population health improvement in the Department of Defense Military Health System.27.302
Approaches to ensuring and improving quality in the context of health system strengthening: a cross-site analysis of the five African Health Initiative Partnership programs27.302
Simulating Patterns of Patient Engagement, Treatment Adherence, and Viral Suppression: A System Dynamics Approach to Evaluating HIV Care Management27.302
Healthcare Information Technology Infrastructures in Turkey27.302
Patient and Family Access to Electronic Health Records: A Key Ingredient for a Pediatric Learning Health System27.302
Quality improvement and tissue-type plasminogen activator for acute ischemic stroke: a Cleveland update27.302
Quality improvement in neurology: primary headache quality measures27.302
Building blocks for measuring care coordination with claims data.27.302
Do provider attitudes about electronic health records predict future electronic health record use?27.302
Enhancing a Geriatric Emergency Department Care Coordination Intervention Using Automated Health Information Exchange-Based Clinical Event Notifications27.302
Quality Measure Performance in Small Practices Before and After Electronic Health Record Adoption27.302
Ethical issues in electronic health records: A general overview27.302
The marginal value of pre-visit paper reminders when added to a multifaceted electronic health record based quality improvement system27.302
Physician organization care management capabilities associated with effective inpatient utilization management: a fuzzy set qualitative comparative analysis27.302
Comparison Between Clinical Registry and Medicare Claims Data on the Classification of Hospital Quality of Surgical Care27.302
Shared care: a quality improvement initiative to optimize primary care management of constipation27.302
An exploration of the properties of the CORE problem list subset and how it facilitates the implementation of SNOMED CT27.302
Electronic health records and disease registries to support integrated care in a health neighbourhood: an ontology-based methodology27.302
Scalable and High-Throughput Execution of Clinical Quality Measures from Electronic Health Records using MapReduce and the JBoss® Drools Engine27.302
Developing Analytical Inspection Criteria for Health IT Personnel with Minimum Training in Cognitive Ergonomics: A Practical Solution to EHR Improving EHR Usability27.302
A Solo Hospital Librarian's Experience in Clinical Informatics27.302
Integrated health system for chronic disease management: lessons learned from France27.302
Setting Standards at the Forefront of Delivery System Reform: Aligning Care Coordination Quality Measures for Multiple Chronic Conditions27.302
Evaluation of asthma prescription measures and health system performance based on emergency department utilization27.302
Capsule Commentary on Berkowitz et al., Building Equity Improvement into Quality Improvement: Reducing Socioeconomic Disparities in Colorectal Cancer Screening as Part of Population Health Management.27.302
Building Equity Improvement into Quality Improvement: Reducing Socioeconomic Disparities in Colorectal Cancer Screening as Part of Population Health Management.27.302
Short Report About the Inpatient Health Services Standards in Electronic Health Records27.302
Automated tobacco assessment and cessation support for cancer patients27.302
Pragmatic and Ethical Challenges of Incorporating the Genome into the Electronic Health Record27.302
Applying CHAID algorithm to investigate critical attributes of secured interoperable health data exchange27.302
An innovative electronic health record system for rare and complex diseases27.302
Towards the Standardized Documentation of E-Cigarette Use in the Electronic Health Record for Population Health Surveillance and Research27.302
Documentation of sexual partner gender is low in electronic health records: observations, predictors, and recommendations to improve population health management in primary care27.302
Quality of care and health system performance: where are we now? Where should we be going? Who can take charge and lead us there?27.302
Augmenting Predictive Modeling Tools with Clinical Insights for Care Coordination Program Design and Implementation27.302
Applied Use of Composite Quality Measures for EHR-enabled Practices27.302
Improve Synergy Between Health Information Exchange and Electronic Health Records to Increase Rates of Continuously Insured Patients27.302
Managing high-risk patients: the Mass General care management programme27.302
Accountable care organization hospitals differ in health IT capabilities27.302
Enhancing Practice Efficiency and Patient Care by Sharing Electronic Health Records27.302
Quality improvement for stroke management at the Cleveland Clinic Health System27.302
Quality improvement education to improve performance on ulcerative colitis quality measures and care processes aligned with National Quality Strategy priorities27.302
Strategies for handling missing clinical data for automated surgical site infection detection from the electronic health record27.302
Quality improvement in neurology: Multiple sclerosis quality measures27.302
The Maternal Quality Improvement Program: A Clinical Data-Driven National Registry for Maternity Care27.302
Health system responsiveness and chronic disease care - What is the role of disease management programs? An analysis based on cross-sectional survey and administrative claims data.27.302
Why Baylor Health Care System Would Like to File for Medicare Shared Savings Accountable Care Organization Designation but Cannot27.302
Agreement and validity of electronic health record prescribing data relative to pharmacy claims data: A validation study from a US electronic health record database.27.302
Patient Matching within a Health Information Exchange27.302
Implementation of an electronic health record-based care management system to improve tobacco treatment27.302
Short-term risk stratification at admission based on simple clinical data in acute myocardial infarction27.302
Association between physician quality improvement incentives and ambulatory quality measures27.302
Selecting high priority quality measures for breast cancer quality improvement27.302
Improving EHR Capabilities to Facilitate Stage 3 Meaningful Use Care Coordination Criteria27.302
Addressing the social determinants of health through health system strengthening and inter-sectoral convergence: the case of the Indian National Rural Health Mission.27.302
Assessing the validity of national quality measures for coronary artery disease using an electronic health record27.302
Identification of high-risk patients with myocardial infarct, using clinical data and exercise tests27.302
Narrowing Care Gaps for Early Language Delay: A Quality Improvement Study27.302
Electronic Health Record Adoption - Maybe It's not about the Money: Physician Super-Users, Electronic Health Records and Patient Care27.302
Assessing the process of designing and implementing electronic health records in a statewide public health system: the case of Colima, Mexico27.302
Using clinical and functional data for quality improvement in outcomes measurement consortia27.302
Development of inpatient risk stratification models of acute kidney injury for use in electronic health records.27.302
Patient Stratification Using Electronic Health Records from a Chronic Disease Management Program27.302
Identifying Care Coordination Interventions Provided to Community-Dwelling Older Adults Using Electronic Health Records27.302
The Role of Care Management as a Population Health Intervention to Address Disparities and Control Hypertension: A Quasi-Experimental Observational Study27.302
Proactive population health management in the context of a regional health information exchange using standards-based decision support27.302
Message design strategies to raise public awareness of social determinants of health and population health disparities27.302
Long-term care and health information technology: opportunities and responsibilities for long-term and post-acute care providers27.302
Changing HIV treatment eligibility under health system constraints in sub-Saharan Africa: investment needs, population health gains, and cost-effectiveness27.302
Introduction of an Area Deprivation Index Measuring Patient Socioeconomic Status in an Integrated Health System: Implications for Population Health.27.302
Does risk adjustment of the CMS quality measures for nursing homes matter?27.302
Privacy protection for patients with substance use problems27.302
Targeting patients for multimorbid care management interventions: the case for equity in high-risk patient identification27.302
Applying a natural language processing tool to electronic health records to assess performance on colonoscopy quality measures27.302
Medication, diagnostic, and cost information as predictors of high-risk patients in need of care management.27.302
Ability to generate patient registries among practices with and without electronic health records27.302
Electronic Health Records, Registries, and Quality Measures: What? Why? How?27.302
Mediating the intersections of organizational routines during the introduction of a health IT system27.302
Quality health care gaps in osteoporosis: how can patients, providers, and the health system do a better job?27.302
Quality improvement in neurology: dementia management quality measures27.302
Exploring performance on composite quality measures captured by electronic health records for a cohort of New York City clinical practices from 2009 to 201127.302
The current capabilities of health information technology to support care transitions27.302
Using quality measures for quality improvement: the perspective of hospital staff27.302
Let the left hand know what the right is doing: a vision for care coordination and electronic health records: Table 127.302
Design of the New York City Macroscope: Innovations in Population Health Surveillance Using Electronic Health Records27.302
A Statewide Assessment of Electronic Health Record Adoption and Health Information Exchange among Nursing Homes27.302
The Health IT Regional Extension Center Program: Evolution and Lessons for Health Care Transformation27.302
The Association between EHRs and Care Coordination Varies by Team Cohesion27.302
Predicting changes in hypertension control using electronic health records from a chronic disease management program27.302
Health Reform in Minnesota: An Analysis of Complementary Initiatives Implementing Electronic Health Record Technology and Care Coordination27.302
Open source electronic health records and chronic disease management27.302
Response to Achieving cost control, care coordination, and quality improvement through incremental payment system reform27.302
Maryland's approach in enhancing effectiveness and efficiency in healthcare delivery: comment on "Achieving cost control, care coordination, and quality improvement through incremental payment system reform".27.302
Long-Term Impact of an Electronic Health Record-Enabled, Team-Based, and Scalable Population Health Strategy Based on the Chronic Care Model27.302
Review: electronic health records and the reliability and validity of quality measures: a review of the literature27.302
A population health approach to reducing observational intensity bias in health risk adjustment: cross sectional analysis of insurance claims27.302
Quality Improvement in Neurology: Dementia Management Quality Measures (Executive Summary)27.302
Using an Evidence-Based Approach to EMR Implementation to Optimize Outcomes and Avoid Unintended Consequences27.302
Point-of-care management of urogenitalChlamydia trachomatisvia Gram-stained smear analysis in male high-risk patients. Diagnostic accuracy and cost-effectiveness before and after changing the screening indication at the STI Clinic in Amsterdam27.302
Exceptions to Outpatient Quality Measures for Coronary Artery Disease in Electronic Health Records27.302
Depression care management: impact of implementation on health system costs27.302
Improving blood pressure control among adults with CKD and diabetes: provider-focused quality improvement using electronic health records27.302
Health information technology: transforming chronic disease management and care transitions27.302
A thematic review and a policy-analysis agenda of Electronic Health Records in the Greek National Health System.27.302
Linking utilization management with quality improvement.27.302
Reimbursement rollercoaster. 2013 Medicare fee schedule highlights shared savings, quality reporting, but SGR threat remains.27.302
Quality Improvement in Neurology: Dementia Management Quality Measures27.302
The Cystic Fibrosis Foundation Patient Registry as a tool for use in quality improvement27.302
Reasons (not) to Spend a Few Billions More on EHRs: How Human Factors Research Can Help27.302
Medicare program; hospital inpatient prospective payment systems for acute care hospitals and the long-term care hospital prospective payment system and fiscal year 2015 rates; quality reporting requirements for specific providers; reasonable compen27.302
Addressing Electronic Clinical Information in the Construction of Quality Measures27.302
Use of Electronic Health Records and Clinical Decision Support Systems for Antimicrobial Stewardship27.302
Indications of biased risk adjustment in the hospital readmission reduction program.27.302
Quality Improvement in Healthcare Delivery Utilizing the Patient-Centered Medical Home Model27.302
The state of population health surveillance using electronic health records: a narrative review.27.302
Review of successful hospital readmission reduction strategies and the role of health information exchange27.302
Crossing the health IT chasm: considerations and policy recommendations to overcome current challenges and enable value-based care27.302
Getting from here to there: health IT needs for population health27.302
DIRECT secure messaging as a common transport layer for reporting structured and unstructured lab results to outpatient providers27.302
Electronic Medical Records and Quality Improvement27.302
Nursing domain of CI governance: recommendations for health IT adoption and optimization27.302
Employee population health infrastructure a self-insured health system taps into analytics for accountable care27.302
Challenges to care coordination posed by the use of multiple health IT applications27.302
Electronic Health Record Use to Classify Patients with Newly Diagnosed versus Preexisting Type 2 Diabetes: Infrastructure for Comparative Effectiveness Research and Population Health Management27.302
Achieving cost control, care coordination, and quality improvement through incremental payment system reform27.302
Ontologies to improve chronic disease management research and quality improvement studies - a conceptual framework27.302
Ontological modeling of electronic health information exchange27.302
Quantifying care coordination using natural language processing and domain-specific ontology27.302
Supporting quality public and patient engagement in health system organizations: development and usability testing of the P ublic and P atient E ngagement E valuation T ool27.302
The Journey to Value-Based Care for Population Health27.302
Implementing Electronic Health Care Predictive Analytics: Considerations And Challenges27.302
The impact of transforming healthcare delivery on cystic fibrosis outcomes: a decade of quality improvement at Cincinnati Children’s Hospital27.302
Asynchronous vascular consultation via electronic methods: A feasibility pilot27.302
Brief surgical procedure code lists for outcomes measurement and quality improvement in resource-limited settings27.302
The Impact of Comprehensive Pre-visit Preparation on Patient Engagement and Quality of Care in a Population of Underserved Patients with Diabetes: Evidence from the Care Management Medical Home Center Model27.302
Acclimating to the Increase in Statin Use in Accountable Care Organizations Based on Changes in Quality Measures: A Report from the Accountable Care Organization Research Network, Services, and Education27.302
The Risk Stratification and Stroke Prevention Therapy Care Gap in Canadian Atrial Fibrillation Patients27.302
Risk stratification in the investigation of pulmonary nodules in a high risk cohort - PET/CT outperforms clinical risk prediction algorithms.27.302
Clinician considerations when selecting high-risk patients for care management27.302
Use of Electronic Health Record Data for Quality Reporting27.302
Impact of five tobacco endgame strategies on future smoking prevalence, population health and health system costs: two modelling studies to inform the tobacco endgame27.302
Using Electronic Health Records for Population Health Research: A Review of Methods and Applications27.302
Developing Electronic Health Record (EHR) Strategies Related to Health Center Patients' Social Determinants of Health27.302
2017 AHA/ACC Key Data Elements and Definitions for Ambulatory Electronic Health Records in Pediatric and Congenital Cardiology: A Report of the American College of Cardiology/American Heart Association Task Force on Clinical Data Standards27.302
Trends in readmission rates for safety net hospitals and non-safety net hospitals in the era of the US Hospital Readmission Reduction Program: a retrospective time series analysis using Medicare administrative claims data from 2008 to 2015.27.302
2017 AHA/ACC Key Data Elements and Definitions for Ambulatory Electronic Health Records in Pediatric and Congenital Cardiology: A Report of the American College of Cardiology/American Heart Association Task Force on Clinical Data Standards27.302
Innovative Information Technology-Powered Population Health Care Management Improves Outcomes and Reduces Hospital Readmissions and Emergency Department Visits27.302
Automated identification and predictive tools to help identify high-risk heart failure patients: pilot evaluation27.302
A New Era in Quality Measurement: The Development and Application of Quality Measures27.302
Enhancing risk stratification for use in integrated care: a cluster analysis of high-risk patients in a retrospective cohort study27.302
Does adoption of electronic health records improve the quality of care management in France? Results from the French e-SI (PREPS-SIPS) study.27.302
Closing the Care Gap: A Primer on Quality Improvement for Heart Failure Clinicians27.302
Extended use of electronic health records by primary care physicians: Does the electronic health record artefact matter?27.302
Care Coordination and Comprehensive Electronic Health Records are Associated With Increased Transition Planning Activities27.302
Quality Measures to Assess Care Transitions for Hospitalized Children27.302
Medical Assistant-Based Care Management for High-Risk Patients in Small Primary Care Practices: A Cluster Randomized Clinical Trial27.302
The electronic health record as a catalyst for quality improvement in patient care27.302
The Role of Social Work Leadership: Mount Sinai Care, the Accountable Care Organization, and Population Health Management27.302
Geographic variation in health IT and health care outcomes: A snapshot before the meaningful use incentive program began27.302
The role of accountable care organization affiliation and ownership in promoting physician practice participation in quality improvement collaboratives.27.302
Interoperability after deployment: persistent challenges and regional strategies in Denmark27.302
Risk Stratification for Opioid Misuse in Children, Adolescents, and Young Adults: A Quality Improvement Project27.302
2014 Edition Release 2 Electronic Health Record (EHR) certification criteria and the ONC HIT Certification Program; regulatory flexibilities, improvements, and enhanced health information exchange. Final rule27.302
The Veteran-Initiated Electronic Care Coordination: A Multisite Initiative to Promote and Evaluate Consumer-Mediated Health Information Exchange27.302
Reducing blood stream infection in patients on hemodialysis: Incorporating patient engagement into a quality improvement activity27.302
Evaluating the Impact of an Accountable Care Organization on Population Health: The Quasi-Experimental Design of the German Gesundes Kinzigtal27.302
Comparing National Inpatient Sample and National Surgical Quality Improvement Program: An Independent Risk Factor Analysis for Risk Stratification in Anterior Cervical Discectomy and Fusion27.302
The theory and application of UW ehealth-PHINEX, a clinical electronic health record-public health information exchange27.302
Managing the risks of healthcare reform: Using risk adjustment and predictive methodologies to drive capitation arrangements, population health management and network performance initiatives27.302
Quality improvement of integrated child health care management after in-service training for physicians.27.302
Predictors of acceptance of offered care management intervention services in a quality improvement trial for dementia.27.302
The Roles of Chronic Disease Complexity, Health System Integration, and Care Management in Post-Discharge Healthcare Utilization in a Low-Income Population27.302
Population health and the health system: a comparative analysis of avoidable mortality in three nations and their world cities27.302
Implementing electronic health record-based quality measures for developmental screening27.302
Care Transitions in Long-term Care and Acute Care: Health Information Exchange and Readmission Rates27.302
Quality Improvement Strategies in Accountable Care Organization Hospitals27.302
A framework for quality improvement: an analysis of factors responsible for improvement at hospitals participating in the Can Rapid Risk Stratification of Unstable Angina Patients Suppress Adverse Outcomes with Early Implementation of the ACC/AHA Gu27.302
Digital technologies and chronic disease management27.302
Social determinants of health - why we continue to ignore them in the search for improved population health outcomes!27.302
Dispatch from the non-HITECH–incented Health IT world: electronic medication history adoption and utilization27.302
The potential of risk adjustment for the Military Health System TRICARE Program27.302
Indiana chronic disease management program risk stratification analysis27.302
Encouraging employees to speak up to prevent infections: Opportunities to leverage quality improvement and care management processes27.302
Are there differences in health information exchange by health system type?27.302
Improving Outcomes for High-Risk Patients: Creating Timely Reports From the Electronic Health Record27.302
Preoperative risk stratification for major complications following pancreaticoduodenectomy: Identification of high-risk patients27.302
Impact of Quality Improvement Educational Interventions on Documented Adherence to Quality Measures for Adults with Crohnʼs Disease27.302
Leveraging health information exchange to improve population health reporting processes: lessons in using a collaborative-participatory design process.27.302
Using Multifactorial Experiments For Comparative Effectiveness Research in Physician Practices with Electronic Health Records27.302
Care coordination measures of a family medicine residency as a model for hospital readmission reduction27.302
Using EMRs to fuel quality improvement27.302
Validating electronic cancer quality measures at Veterans Health Administration27.302
Rapid Development of Specialty Population Registries and Quality Measures from Electronic Health Record Data*. An Agile Framework27.302
Chronic care management payments: another step away from fee-for-service27.302
Caring for the Complex Patient: The Next Hurdle for Information Technology Is Care Coordination27.302
Report Central: quality reporting tool in an electronic health record.27.302
User centered design in complex healthcare workflows: the case of care coordination and care management redesign27.302
Implementation of Clinical Pharmacogenomics within a Large Health System: From Electronic Health Record Decision Support to Consultation Services27.302
Continuous quality improvement in orthopedic surgery: changes and implications with health system funding reform.27.302
Linking guidelines to Electronic Health Record design for improved chronic disease management27.302
Quality measures for capturing the effects of health information exchange27.302
Performance of endovascular aortic aneurysm repair in high-risk patients: results from the Veterans Affairs National Surgical Quality Improvement Program27.302
Designing a quality improvement program with electronic health records: New York City's Health eQuits27.302
The Department of Veterans Affairs’ (VA) implementation of the Virtual Lifetime Electronic Record (VLER): Findings and lessons learned from Health Information Exchange at 12 sites27.302
Structuring text and standardizing data for clinical and population health applications27.302
Getting in step: electronic health records and their role in care coordination27.302
Care coordination and electronic health records: connecting clinicians27.302
Electronic health record adoption and health information exchange among hospitals in New York State27.302
Patient care transitions from the emergency department to the medicine ward: evaluation of a standardized electronic signout tool27.302
Utilization of early invasive management strategies for high-risk patients with non-ST-segment elevation acute coronary syndromes: results from the CRUSADE Quality Improvement Initiative27.302
Systematically improving physician assignment during in-hospital transitions of care by enhancing a preexisting hospital electronic health record27.302
Specialty Pharmaceuticals Care Management in an Integrated Health Care Delivery System with Electronic Health Records27.302
Get the Right Balance – Lessons Learned from the First Ebola Infected Patient in Dallas27.302
Risk adjustment for quality improvement.27.302
Trends in antidepressant prescribing for new episodes of depression and implications for health system quality measures27.302
Improving health care transitions for older adults through the lens of quality improvement27.302
Association Between Quality Improvement for Care Transitions in Communities and Rehospitalizations Among Medicare Beneficiaries27.302
Risk adjustment in the American College of Surgeons National Surgical Quality Improvement Program: a comparison of logistic versus hierarchical modeling27.302
The Intended and Unintended Consequences of Quality Improvement Interventions for Small Practices in a Community-based Electronic Health Record Implementation Project27.302
Higher surgical critical care staffing levels are associated with improved National Surgical Quality Improvement Program quality measures.27.302
An electronic health record based model predicts statin adherence, LDL cholesterol, and cardiovascular disease in the United States Military Health System27.302
Investigations using clinical data registries: observational studies and risk adjustment27.302
The Impact of Medication-Based Risk Adjustment on the Association Between Veteran Health Outcomes and Dual Health System Use.27.302
Comparison of risk adjustment methodologies in surgical quality improvement27.302
An Eleven Site National Quality Improvement Evaluation of Adolescent Medicine-Based Eating Disorder Programs: Predictors of Weight Outcomes at One Year and Risk Adjustment Analyses27.302
Guiding principles for payment system reform: commentary on "Achieving cost control, care coordination, and quality improvement through incremental payment system reform".27.302
Electronic health records and resident workflow: A time-motion study of otolaryngology residents27.302
Aligning population-based care management with chronic disease complexity27.302
Proceedings of the AMCP Integrated Care Summit: Population Health and Quality Improvement in Anaphylaxis27.302
Innovations in Population Health Surveillance Using Electronic Health Record Data.27.302
Improving documentation of quality measures in the electronic health record27.302
PS2-40: Using Automation to Add Electronic Clinical Data to a Research Patient Registry.27.302
Re: Big Data, Predictive Analytics, and Quality Improvement in Kidney Transplantation: A Proof of Concept27.302
E-health in Switzerland: The laborious adoption of the federal law on electronic health records (EHR) and health information exchange (HIE) networks27.302
Diagnosis-based risk adjustment and Australian health system policy27.302
Health IT key to ensuring payment under new quality-based model27.302
Development and evaluation of an electronic health record configuration and customization laboratory course for clinical informatics students27.302
Quality improvement in neurology: amyotrophic lateral sclerosis quality measures. Report of the Quality Measurement and Reporting Subcommittee of the American Academy of Neurology27.302
Risk Stratification Methods and Provision of Care Management Services in Comprehensive Primary Care Initiative Practices27.302
How Kaiser Permanente Uses Video Ethnography Of Patients For Quality Improvement, Such As In Shaping Better Care Transitions27.302
Aiming for Quality Improvement: Aligning Population Health and Higher Education27.302
Quality improvement in the age of electronic health records: the North Carolina Improving Performance in Practice program27.302
C-A2-04: The Geisinger Transitions of Care Initiative: Overview of an Interdisciplinary Quality Improvement Process.27.302
Prevalence and recognition of obesity and its associated comorbidities: cross-sectional analysis of electronic health record data from a large US integrated health system27.302
A validation of clinical data captured from a novel Cancer Care Quality Program directly integrated with administrative claims data27.302
Comparison of Electronic Health Record-Based and Claims-Based Diabetes Care Quality Measures: Causes of Discrepancies.27.302
Mental health care management in the Brazilian National Health System27.302
Clinical Informatics Researcher's Desiderata for the Data Content of the Next Generation Electronic Health Record27.302
Using the Electronic Health Record Data in Real Time and Predictive Analytics to Prevent Hospital-Acquired Postoperative/Surgical Site Infections27.302
A Practical Comparison Between the Predictive Power of Population-based Risk Stratification Models Using Data From Electronic Health Records Versus Administrative Claims: Setting a Baseline for Future EHR-derived Risk Stratification Models.27.302
Combining information from a clinical data warehouse and a pharmaceutical database to generate a framework to detect comorbidities in electronic health records.27.302
Using Social Network Analysis to Examine the Effect of Care Management Structure on Chronic Disease Management Communication Within Primary Care27.302
Engaging Learners in Health System Quality Improvement Efforts27.302
Mining 100 million notes to find homelessness and adverse childhood experiences: 2 case studies of rare and severe social determinants of health in electronic health records27.302
AAA IBD 2017: Methodologies to Collect and Analyze Clinical Data to Support Quality Improvement Initiatives Designed to Optimize the Care of Patients With IBD27.302
Electronic health record problem lists: accurate enough for risk adjustment?27.302
What Do High-Risk Patients Value? Perspectives on a Care Management Program27.302
Risk stratification for return emergency department visits among high-risk patients27.302
Combining Ontologies and Open Standards to Derive a Middle Layer Information Model for Interoperability of Personal and Electronic Health Records27.302
Assessing the benefit of a personalized EHR-generated informed consent in a dental school setting27.302
The Adolescent "Expanded Medical Home": School-Based Health Centers Partner with a Primary Care Clinic to Improve Population Health and Mitigate Social Determinants of Health27.302
Shifting chronic disease management from hospitals to primary care in Estonian health system: analysis of national panel data.27.302
Comparison of an Updated Risk Stratification Index to Hierarchical Condition Categories27.302
Care Coordination and Transitions of Care27.302
A Road Map to Integrate Social Determinants of Health into Electronic Health Records27.302
Utilization of intravenous tissue plasminogen activator for acute ischemic stroke27.302
Generic Medication Prescription Rates After Health System-Wide Redesign of Default Options Within the Electronic Health Record.27.302
Early effect of Medicare Shared Savings Program accountable care organization participation on prostate cancer care27.302
Risk stratification and stroke prevention therapy care gaps in Canadian atrial fibrillation patients (from the Co-ordinated National Network to Engage Physicians in the Care and Treatment of Patients With Atrial Fibrillation chart audit).27.302
Risk stratification, risk adjustment, and other risks27.302
Seeking a coalition of the willing on health IT safety27.302
Barbara Dickey on outcomes measurement, continuous quality improvement, and performance indicators. Interview by Christy L. Beaudin27.302
A State-wide Health IT Infrastructure for Population Health: Building a Community-wide Electronic Platform for Maryland's All-Payer Global Budget27.302
Frontier America's health system challenges and population health outcomes27.302
Disease Management, Case Management, Care Management, and Care Coordination: A Framework and a Brief Manual for Care Programs and Staff27.302
A regularized deep learning approach for clinical risk prediction of acute coronary syndrome using electronic health records27.302
Health System Advance Care Planning Culture Change for High-Risk Patients: The Promise and Challenges of Engaging Providers, Patients, and Families in Systematic Advance Care Planning27.302
Leveraging Electronic Health Record Implementation to Facilitate Clinical and Operational Quality Improvement in an Ambulatory Surgical Clinic27.302
Assessing emergency department utilization in the era of population health27.302
UPMC Prescription for Wellness: A Quality Improvement Case Study for Supporting Patient Engagement and Health Behavior Change27.302
A population health perspective on a claims and electronic health record-based tool to screen for suboptimal medication adherence27.302
How Academic Health Systems Can Achieve Population Health in Vulnerable Populations Through Value-Based Care: The Critical Importance of Establishing Trusted Agency27.302
Capsule Commentary on Ganguli et al., What Do High-Risk Patients Value? Perspectives on a Care Management Program27.302
Recent Evidence on the Inclusion of Hospice and Palliative Care Physicians in Medicare Shared Savings Program Accountable Care Organization Networks27.302
The Landscape of Quality Measures and Quality Improvement for the Care of Hospitalized Children in the United States: Efforts Over the Last Decade27.302
Value-based Care Will Flop Without Clinical Integration27.302
A Community-Wide Quality Improvement Project on Patient Care Transitions Reduces 30-Day Hospital Readmissions From Home Health Agencies27.302
Views of health system administrators, professionals, and users concerning the electronic health record and facilitators and obstacles to its implementation27.302
Population health management in a small health system: Impact of controlled substance stewardship in a patient-centered medical home27.302
Quality improvement in population health systems27.302
Approaching quality improvement at scale: a learning health system approach in Kenya.27.302
Aligning quality improvement to population health27.302
Evolution and Initial Experience of a Statewide Care Transitions Quality Improvement Collaborative: Preventing Avoidable Readmissions Together27.302
Distributing shared savings for population health management27.302
In this issue: Ontologies a key concept in informatics and key for open definitions of cases, exposures, and outcome measures27.302
Improving Population Health by Incorporating Chronic Disease and Injury Prevention Into Value-Based Care Models27.302
Colonoscopy quality, quality measures, and a natural language processing tool for electronic health records27.302
Health System Quality Improvement: Impact of Prompt Nutrition Care on Patient Outcomes and Health Care Costs27.302
Use of the citizen's electronic health record by doctors and patients in a mature application throughout a district of the national health system of Italy27.302
Developing a comprehensive electronic health record to enhance nursing care coordination, use of technology, and research27.302
Quality improvement, pay for performance, and "outcomes measurement": what makes sense?27.302
Quality improvement with an electronic health record: achievable, but not automatic27.302
Management without frontiers: health system convergence leads to health care management convergence.27.302
An operations-partnered evaluation of care redesign for high-risk patients in the Veterans Health Administration (VHA): Study protocol for the PACT Intensive Management (PIM) randomized quality improvement evaluation.27.302
Transition to a new electronic health record and pediatric medication safety: lessons learned in pediatrics within a large academic health system27.302
Integrating a health information exchange into a community pharmacy transitions of care service27.302
Rationalization and sensemaking in care management: an experience of change in a hospital of the SUS (Unified Health System).27.302
Integrating Data On Social Determinants Of Health Into Electronic Health Records27.302
Primary Care Practices' Abilities And Challenges In Using Electronic Health Record Data For Quality Improvement27.302
Validation of New Care Coordination Quality Measures for Children with Medical Complexity27.302
Feasibility of real-time capture of routine clinical data in the electronic health record: a hospital-based, observational service-evaluation study.27.302
Exploring electronic health records as a population health surveillance tool of cardiovascular disease risk factors27.302
Care coordination at a pediatric accountable care organization (ACO): A qualitative analysis27.302
Enhancing Care Coordination Through Patient- and Family-Initiated Telephone Encounters: A Quality Improvement Project27.302
The role of informed consent in patient complaints: Reducing hidden health system costs and improving patient engagement through shared decision making27.302
Innovations in Population Health Surveillance: Using Electronic Health Records for Chronic Disease Surveillance27.302
Managing patient care transitions: a report of the HMO Care Management Workgroup.27.302
Quality improvement projects for value-based care in breast imaging27.302
Improving care coordination between nephrology and primary care: a quality improvement initiative using the renal physicians association toolkit.27.302
Supporting multi-state collaboration on privacy and security to foster health IT and health information exchange.27.302
Quality Improvement of Care Transitions and the Trend of Composite Hospital Care27.302
American College of Surgeons Commission on Cancer Rapid Quality Reporting System: from quality measurement to quality improvement27.302
Preoperative risk stratification using electron beam computed tomography in elective vascular surgery: relationship to clinical risk prediction and postoperative complications27.302
Primary prevention aspirin use in high-risk patients: A pharmacist intervention and comparison of risk stratification tools.27.302
An Integrated Chronic Disease Management Model: A Diagonal Approach to Health System Strengthening in South Africa27.302
Reducing avoidable admissions in rural community palliative care: a pilot study of care coordination by General Practice registrars27.302
Pedaling Out of the HIE Peloton. SOME MASS HIWAY PROVIDERS ARE PULLING AWAY FROM THE PACK AND USING HIE FOR TRUE CARE COORDINATION27.302
Medicare and Medicaid programs: hospital outpatient prospective payment and ambulatory surgical center payment systems and quality reporting programs; Hospital Value-Based Purchasing Program; organ procurement organizations; quality improvement orga27.302
Risk Stratification: Perspectives of the Patient, Surgeon, and Health System27.302
Overcoming Barriers to Experience Benefits: A Qualitative Analysis of Electronic Health Records and Health Information Exchange Implementation in Local Health Departments27.302
Accurate and interpretable intensive care risk adjustment for fused clinical data with generalized additive models.27.302
Automating Electronic Clinical Data Capture for Quality Improvement and Research: The CERTAIN Validation Project of Real World Evidence.27.302
Practice Facilitator Strategies for Addressing Electronic Health Record Data Challenges for Quality Improvement: EvidenceNOW.27.302
Illustrating Informed Presence Bias in Electronic Health Records Data: How Patient Interactions with a Health System Can Impact Inference27.302
Utilizing Administrative Data to Focus Quality Improvement Efforts for Opioid Prescribing in an Integrated Health System27.302
Integrating Social Determinants of Health into Primary Care Clinical and Informational Workflow during Care Transitions27.302
A Health System's Journey toward Better Population Health through Empanelment and Panel Management27.302
Abstract 49: Risk Stratification and Evaluation of American College of Surgeons National Surgical Quality Improvement Program Risk Calculator for Patients Undergoing Panniculectomy.27.302
The Impact of Implementation of a Clinically Integrated Problem-Based Neonatal Electronic Health Record on Documentation Metrics, Provider Satisfaction, and Hospital Reimbursement: A Quality Improvement Project.27.302
Advancing Continuous Predictive Analytics Monitoring: Moving from Implementation to Clinical Action in a Learning Health System27.302
Quality improvement as a population health promotion opportunity to reorient the healthcare system27.302
Patient Diversity and Population Health-Related Cardiovascular Outcomes Associated with Warfarin Use in Atrial Fibrillation: An Analysis Using Administrative Claims Data27.302
Self-Identified Social Determinants of Health during Transitions of Care in the Medically Underserved: a Narrative Review27.302
Outpatient Complex Case Management: Health System-Tailored Risk Stratification Taxonomy to Identify High-Cost, High-Need Patients27.302
Using electronic health record data for environmental and place based population health research: a systematic review27.302
Supporting health system transformation through an interprofessional education experience focused on population health27.302
Improving Population Health Using Electronic Health Records. Methods for Data Management and Epidemiological Analysis Neal D. Goldstein CRC Press, 2017, xix + 254 pages, £45.99, softcover ISBN: 978-11381-9637-727.302
Achieving Value-Based Care in Chronic Disease Management: The DiaMonD (diabetes monitoring device) Solution (Preprint)27.302
Untersuchung der Prävalenz kardiologischer Risikofaktoren in der Allgemeinbevölkerung: Ein Vergleich ambulanter ärztlicher Abrechnungsdaten mit Daten einer populationsbasierten Studie27.302
ACCF/AHA 2011 Key Data Elements and Definitions of a Base Cardiovascular Vocabulary for Electronic Health Records27.302
Claims data studies of direct oral anticoagulants can achieve balance in important clinical parameters only observable in electronic health records27.302
A Guide to Understanding Reimbursement and Value-Based Care in the Military Health System: Corrigendum27.302
Electronic health records and outpatient cardiovascular disease care delivery: Insights from the American College of Cardiology's PINNACLE India Quality Improvement Program (PIQIP)27.302
Beyond the medical-Assisting with social determinants of health in the drive to value-based care27.302
Building Meaningful Patient Engagement in Research: Case Study From ADVANCE Clinical Data Research Network27.302
The use of Electronic Health Records to Support Population Health: A Systematic Review of the Literature27.302
Social determinants of health in Canada’s immigrant population: results from the National Population Health Survey27.302
UNDERSTANDING FACILITATORS AND BARRIERS TO CARE TRANSITIONS: HEALTH SYSTEM AND COMMUNITY PARTNER PERSPECTIVES27.302
EXPLORING INFORMAL CAREGIVER EXPERIENCE OF OLDER ADULT CARE TRANSITIONS: HEALTH SYSTEM STAFF PERSPECTIVES27.302
1163. Impact of Difficult-to-Treat Resistance on Survival in Gram-Negative Bacteremia: A Risk-Adjusted Analysis Using Electronic Health Record-based Clinical Data From 140 US Hospitals27.302
Characterization and outcomes of women and men with non–ST-segment elevation myocardial infarction and nonobstructive coronary artery disease: Results from the Can Rapid Risk Stratification of Unstable Angina Patients Suppress Adverse Outcomes with27.302
PRO: American College of Surgeons National Surgical Quality Improvement Program Risk Calculators Should Be Preferred Over the Revised Cardiac Risk Index for Perioperative Risk Stratification27.302
Barriers and Facilitators in Implementing Non-Face-to-Face Chronic Care Management in an Elderly Population with Diabetes: A Qualitative Study of Physician and Health System Perspectives27.302
Patient Privacy, Consent, and Identity Management in Health Information Exchange : Issues for the Military Health System27.302
Measuring the Quality of Care for Psychological Health Conditions in the Military Health System : Candidate Quality Measures for Posttraumatic Stress Disorder and Major Depressive Disorder27.302
Quality improvement in the Estonian health system—assessment of progress using an international tool27.302
Adequacy of care management of patients with polyhandicap in the French health system: A study of 782 patients27.302
Strengthening performance-based financing as a health system approach for quality improvement27.302
Health outcomes measurement and organizational readiness support quality improvement: a systematic review27.302
Cardiac imaging improves risk stratification in high-risk patients undergoing surgical revascularization27.302
Advanced Electronic Population Health and Personal Health Record Tools to Improve Once Lifetime Hepatitis C Screening27.302
Health System Factors Influencing Partner Notification for STIs and HIV in Lilongwe Malawi. A Pre-intervention Phase Assessment for a Quality Improvement Project27.302
Using Natural Language Processing and the Electronic Health Record for Appendicitis Risk Stratification27.302
A Nutrition-Focused QIP in Outpatient Clinics27.302
Patient Portal - Flu Reminder Recall27.302
Registry-based HCV Care Cascade Navigation at Atlanta's Grady Memorial Hospital27.302
Development of an electronic health record-based chronic kidney disease registry to promote population health management27.302
The validity of synthetic clinical data: a validation study of a leading synthetic data generator (Synthea) using clinical quality measures27.302
Social Risk Adjustment of Quality Measures for Diabetes and Cardiovascular Disease in a Commercially Insured US Population27.302
Understanding patient engagement in health system decision-making: a co-designed scoping review27.302
Frailty Screening Using the Electronic Health Record within a Medicare Accountable Care Organization27.302
THRIVE+ Pharmacy Liaison-Patient Navigation Intervention27.302
Care EcoSystem: Ochsner Health System27.302
Large care gaps in primary care management of asthma: a longitudinal practice audit27.302
Effectiveness of a Multidisciplinary Care Management Program for High-risk Patients With Heart Failure (PROMIC)27.302
Care Coordination for Children With Disabilities27.302
Multi-Method Health System Quality Improvement Intervention to Reduce Hypertension Disparities27.302
"In Our Corner": A Qualitative Descriptive Study of Patient Engagement in a Community-Based Care Coordination Program.27.302
MON-010 Prediabetes Detection Using Electronic Health Records Data: A Path to Population Health27.302
Preserving Care Delivery in Hard-to-Serve Regions: A Case Study of a Population Health System in the Swiss Lower Engadin27.302
Effectiveness Trial of Day-care vs. Usual Care of Severe Pneumonia & Malnutrition in Children27.302
Validation of the STarT Back Screening Tool in the Military27.302
Palliative Care Population Management Project for Integrated Care Management Program for High-Risk Patients27.302
Enhancing Complex Care Through an Integrated Care Coordination Information System27.302
A Clinical Registry of Orthobiologics Procedures27.302
Implementation of a Population Health Chronic Disease Management Program27.302
A personal balance of 25 years of modern health care management in the Spanish Public Health System27.302
A method of assessing the environment-population health system27.302
Quality improvement to guide the new health system27.302
Population health and structural changes in public health system in the Russian Federation in the 1990s27.302
Patient Portal Reminder/Recall for Influenza Vaccination in a Health System- RCT 227.302
Electronic Health Record-Enabled Evidence-Based Smoking Cessation Quality Improvement Implementation Program27.302
A health system approach to population health27.302
SMART Stepped Care Management for Low Back Pain in the Military Health System27.302
DM firm enlists prediction tools, risk stratification to focus on population health27.302
The development of care management systems to achieve clinical integration27.302
The impact of converting to an electronic health record on organizational culture and quality improvement27.302
Hospital mortality risk adjustment using claims data27.302
Assessing the potential of national strategies for electronic health records for population health monitoring and research27.302
Regional integration, population health needs, and human resources for health systems and services: an approach to the concept of health care gap27.302
Principles for the development and use of quality measures27.302
Population health improvement--the next era of the health care management evolution27.302
Clinical integration provides the key to quality improvement: structure for change27.302
Quality improvement in interventional cardiology: the role of risk adjustment in evaluation of health outcomes27.302
Pediatric care management in a managed care environment: determining the cost of care coordination27.302
Payment reform to finance a medical home: comment on "Achieving cost control, care coordination, and quality improvement through incremental payment system reform"27.302
Achieving cost control, care coordination, and quality improvement in the Medicaid program27.302
Payment system reform for Medicaid in New York: comment on "Achieving cost control, care coordination, and quality improvement through incremental payment system reform"27.302
Comment on "Achieving cost control, care coordination, and quality improvement through incremental payment system reform"27.302
Building a national payment system: comment on "Achieving cost control, care coordination, and quality improvement through incremental payment system reform"27.302
Electronic Health Records Facilitate Development of Disease Registries and More27.302
Electronic health records. Health system hopes to buiId physician loyalty with EHR program27.302
Technology-driven care coordination: using health IT to support provider pay-for-performance27.302
Streamlining quality measures reporting. NQF health IT division aims to simplify quality measures reporting from EhRs27.302
Electronic health record adoption and quality improvement in US hospitals27.302
Quality improvement through care management and practice facilitation27.302
Making care coordination and clinical integration pay off27.302
Re: Comparison of risk adjustment methodologies in surgical quality improvement27.302
Predictors of tool usage in the military health system's electronic health record, the Armed Forces Health Longitudinal Technology Application27.302
Readmissions and the mechanics of care transitions. How leaders at Michigan's Spectrum Health System are finding ways to address the readmissions of CHF patients27.302
Toward reuse of clinical data for research and quality improvement: the end of the beginning?27.302
Risk adjustment for primary care: an essential tool for health system reform27.302
Insights from the 12th population health management and care coordination colloquium27.302
Patient Registries in Primary Care: Essential Element for Quality Improvement27.302
Patient-centered care and emergency department utilization: a path analysis of the mediating effects of care coordination and delays in care27.302
Quality Improvement in Neurology: AAN Parkinson Disease Quality Measures27.302
Quality focus: update on care transitions27.302
Payment reform for primary care within the accountable care organization: a critical issue for health system reform27.302
Update on the implementation of electronic health records and health information exchange networks27.302
Developing quality measures for longitudinal care27.302
Risk adjustment in rehabilitation quality improvement27.302
Improving American College of Surgeons National Surgical Quality Improvement Program risk adjustment: incorporation of a novel procedure risk score27.302
Ensuring Continuity of Care Through Electronic Health Records: Recommendations From the ASCO Electronic Health Record Roundtable27.302
What makes an EHR “open” or interoperable?27.302
Promoting Preventive Health Screening Through the Use of a Clinical Reminder Tool: An Accountable Care Organization Quality Improvement Initiative27.302
The Joint Commission launches transitions of care portal. Resources to improve safety in patient care transitions27.302
Developing Composite Quality Measures for EHR-Enabled Primary Care Practices in New York City27.302
Patient-centered clinical data and the National Surgical Quality Improvement Program: how best to advance care in total hip arthroplasty. In reply27.302
Patient engagement and PHI. Organizations should make patient access to their personal health information a customer service priority27.302
Which electronic health record is better: A or B? Realities of comparing the effectiveness of electronic health records27.302
Safety issues, front and center: care coordination and patient engagement key27.302
Medicare Program; Hospital Inpatient Prospective Payment Systems for Acute Care Hospitals and the Long-Term Care Hospital Prospective Payment System Policy Changes and Fiscal Year 2016 Rates; Revisions of Quality Reporting Requirements for Specific27.302
Chronic Care Management SUCCESS. How to overcome tech limitations27.302
Reflections on Physician‐Patient Interactions in the EHR Era27.302
Health IT: successes and missed opportunities27.302
Care management assistants help improve patient flow, care transitions27.302
Answering the Call for Integrating Population Health: Insights from Health System Executives27.302
Can Accountable Care Organizations “Disrupt” Our Fragmented Child Health System?27.302
Implementation of an electronic health records system within an interprofessional model of care27.302
Measuring health system performance: A new approach to accountability and quality improvement in New Zealand27.302
It’s Time for Health Record Banking!27.302
A Novel Electronic Medical Record–Based Workflow to Measure and Report Colonoscopy Quality Measures27.302
Clinical Quality Measures and Meaningful Use27.302
Quality Measures and Physician Quality Reporting System27.302
The Electronic Health Record and Health IT to Decrease Racial/Ethnic Disparities in Care27.302
A Practical Risk Stratification Approach for Implementing a Primary Care Chronic Disease Management Program in an Underserved Community27.302
Next-generation audit and feedback for inpatient quality improvement using electronic health record data: a cluster randomised controlled trial27.302
Pathology of poverty: the need for quality improvement efforts to address social determinants of health27.302
Addressing Social Determinants of Health: Case Studies from Epic's Population Health Steering Board27.302
Improving Documentation of Inpatient Problem List in Electronic Health Record: A Quality Improvement Project27.302
Comparison of Early Morbidity and Mortality Between Sleeve Gastrectomy and Gastric Bypass in High-Risk Patients for Liver Disease: Analysis of American College of Surgeons National Surgical Quality Improvement Program27.302
Risk Adjustment for Quality Measures Is Neither Binary nor Mandatory27.302
Correction to: Comparison of Early Morbidity and Mortality Between Sleeve Gastrectomy and Gastric Bypass in High-Risk Patients for Liver Disease: Analysis of American College of Surgeons National Surgical Quality Improvement Program27.302
Closing the Referral Loop: Improving Ambulatory Referral Management, Electronic Health Record Connectivity, and Care Coordination Processes27.302
Engaging high-risk patients in intensive care coordination programs: the engagement through CARInG framework27.302
Quality improvement in neurology: Multiple sclerosis quality measures: Executive summary27.302
Electronic health records and burnout: Time spent on the electronic health record after hours and message volume associated with exhaustion but not with cynicism among primary care clinicians27.302
Developing a scalable FHIR-based clinical data normalization pipeline for standardizing and integrating unstructured and structured electronic health record data27.302
Predicting patient engagement in IAPT services: a statistical analysis of electronic health records27.302
Rethinking the electronic health record through the quadruple aim: time to align its value with the health system27.302
Development of an early-warning system for high-risk patients for suicide attempt using deep learning and electronic health records27.302
Patient Privacy, Consent, and Identity Management in Health Information Exchange: Issues for the Military Health System27.302
Measuring the Quality of Care for Psychological Health Conditions in the Military Health System: Candidate Quality Measures for Posttraumatic Stress Disorder and Major Depressive Disorder27.302
Defining the hepatitis C cure cascade in an Urban health system using the electronic health record27.302
Hospital-level evaluation of the effect of a national quality improvement programme: time-series analysis of registry data27.302
Using Predictive Analytics to Guide Patient Care and Research in a National Health System27.302
Measuring Population Health in a Large Integrated Health System to Guide Goal Setting and Resource Allocation: A Proof of Concept27.302
Drug Hypersensitivity Reactions Documented in Electronic Health Records within a Large Health System27.302
Risk Adjustment for Sepsis Mortality to Facilitate Hospital Comparisons Using Centers for Disease Control and Prevention's Adult Sepsis Event Criteria and Routine Electronic Clinical Data27.302
Paying for population health: Quality measures are growing as part of execs' pay incentives27.302
Network integration and care coordination: the case of Chile's health system27.302
Quality improvement of prescribing safety: a pilot study in primary care using UK electronic health records27.302
Use of Pharmacy Quality Measures to Enhance Value-Based Performance Within the Military Health System27.302
Clinical Data Extraction and Normalization of Cyrillic Electronic Health Records Via Deep-Learning Natural Language Processing27.302
Fostering Quality Improvement Capacity in a Network of Primary Care Practices Affiliated With a Pediatric Accountable Care Organization27.302
Importance of a Risk Stratification Strategy to Identify High-risk Patients Presenting With Cocaine-associated Acute Coronary Syndrome27.302
Leveraging the Electronic Health Records for Population Health: A Case Study of Patients With Markedly Elevated Blood Pressure27.302
A step closer to nationwide electronic health record-based chronic disease surveillance: characterizing asthma prevalence and emergency department utilization from 100 million patient records through a novel multisite collaboration27.302
Can the Use of Bayesian Analysis Methods Correct for Incompleteness in Electronic Health Records Diagnosis Data? Development of a Novel Method Using Simulated and Real-Life Clinical Data27.302
Cost-effectiveness of a national quality improvement programme to improve survival after emergency abdominal surgery: Learning from 15,856 patients27.302
A Concept Analysis of Transitions of Care for Population Health27.302
Digital Quality Improvement Approach Reduces the Need for Rescue Antiemetics in High-Risk Patients: A Comparative Effectiveness Study Using Interrupted Time Series and Propensity Score Matching Analysis27.302
The Power of Clinical Registries and Quality Improvement Collaboratives: Get With The Guidelines-Stroke27.302
Impact of a Prescription Drug Monitoring Program on Health Information Exchange Utilization, Prescribing Behaviors, and Care Coordination in an Emergency Department27.302
The advanced care coordination program: a protocol for improving transitions of care for dual-use veterans from community emergency departments back to the Veterans Health Administration (VA) primary care27.302
Implementing a Novel Quality Improvement-Based Approach to Data Quality Monitoring and Enhancement in a Multipurpose Clinical Registry27.302
Assessing and Addressing Social Determinants of Health: A Key Competency for Succeeding in Value-Based Care27.302
Surgical Outcomes and Quality Assessment of Trabeculectomy: Leveraging Electronic Health Records for Clinical Data Visualization27.302
Health Information Exchange: A Novel Re-linkage Intervention in an Urban Health System27.302
Oncologists' Views Regarding the Role of Electronic Health Records in Care Coordination27.302
Provider Perspectives When Integrating Social Determinants of Health in Response to Schickedanz A, Hamity C, Rogers A, et al, Clinician Experiences and Attitudes Regarding Screening for Social Determinants of Health in a Large Integrated Health Syst27.302
Hierarchical Condition Categories for Pulmonary Diseases: Population Health Management and Policy Opportunities27.302
Drivers of health information exchange use during postacute care transitions27.302
A pilot study on the provision of tracheostomy healthcare and patient engagement in quality improvement measures: a global perspective27.302
Comparison of Military Health System Data Repository and American College of Surgeons National Surgical Quality Improvement Program-Pediatric27.302
Using Electronic Health Records to Measure Quality Improvement Efforts: Findings from a Large Practice Facilitation Initiative27.302
A Guide to Understanding Reimbursement and Value-Based Care in the Military Health System27.302
Strategies for Delivering Value-Based Care: Do Care Management Practices Improve Hospital Performance?27.302
PRACTITIONER APPLICATION: Strategies for Delivering Value-Based Care: Do Care Management Practices Improve Hospital Performance?27.302
Screening for Social Determinants of Health at Well-Child Appointments: A Quality Improvement Project27.302
Medicare Program; Hospital Inpatient Prospective Payment Systems for Acute Care Hospitals and the Long-Term Care Hospital Prospective Payment System and Policy Changes and Fiscal Year 2019 Rates; Quality Reporting Requirements for Specific Providers27.302
Financing Diabetes Care in the U.S. Health System: Payment Innovations for Addressing the Medical and Social Determinants of Health27.302
Putting Action into Population Health Science: Primary Care Interventions to Address Social Determinants of Health27.302
Variation in Electronic Health Record Documentation of Social Determinants of Health Across a National Network of Community Health Centers27.302
Three Quality Improvement Initiatives and Performance of Rheumatoid Arthritis Disease Activity Measures in Electronic Health Records: Results From an Interrupted Time Series Study27.302
Closing the Loop on Electronic Referrals: A Quality Improvement Initiative Using the Care Coordination Model27.302
Reply letter to: "A commentary on "cost-effectiveness of a national quality improvement programme to improve survival after emergency abdominal surgery, health economic evaluation" (int J Surg 2019; epub ahead of print)"27.302
Quality in Context: The Role of Social Determinants of Health in Pediatric Quality Improvement27.302
Quality improvement of prescribing safety: a pilot study in primary care using UK electronic health records27.302
Quality Measures and Quality Improvement Initiatives in Osteoporosis-an Update27.302
Use of Electronic Health Records to Develop and Implement a Silent Best Practice Alert Notification System for Patient Recruitment in Clinical Research: Quality Improvement Initiative27.302
Structured, proactive care coordination versus usual care for Improving Morbidity during Post-Acute Care Transitions for Sepsis (IMPACTS): a pragmatic, randomized controlled trial27.302
Effectiveness of a national quality improvement programme to improve survival after emergency abdominal surgery (EPOCH): a stepped-wedge cluster-randomised trial27.302
Effect of a maternal and newborn health system quality improvement project on the use of facilities for childbirth: a cluster-randomised study in rural Tanzania27.302
Body mass index and insulin use as identifiers of high-cost patients with type 2 diabetes: A retrospective analysis of electronic health records linked to insurance claims data27.302
Pharmacist Involvement in Population Health Management for a Pediatric Managed Medicaid Accountable Care Organization27.302
NC HealthConnex and Value-based Care: Statewide Health Information Exchange as a Technology Tool for All27.302
Sustained Improvement in Inflammatory Bowel Disease Quality Measures Using an Electronic Health Record Intervention27.302
Evaluation of an automated pediatric malnutrition screen using anthropometric measurements in the electronic health record: a quality improvement initiative27.302
A public health perspective on using electronic health records to address social determinants of health: The potential for a national system of local community health records in the United States27.302
Risk Adjustment in Clinical Quality Measures: What Is Needed Next?27.302
Achieving Value-Based Care in Chronic Disease Management: Intervention Study27.302
Patient Outcomes and Cost-Effectiveness of a Sepsis Care Quality Improvement Program in a Health System27.302
Considerations for Integration of Perioperative Electronic Health Records Across Institutions for Research and Quality Improvement: The Approach Taken by the Multicenter Perioperative Outcomes Group27.302
Postacute Care Transitions: Developing a Skilled Nursing Facility Collaborative within an Academic Health System27.302
Clinical Integration of a Smartphone App for Patients With Chronic Pain: Retrospective Analysis of Predictors of Benefits and Patient Engagement Between Clinic Visits27.302
Risk stratification for physical morbidity using factors associated with atypical antipsychotic treatment in Parkinson's disease: A retrospective observational study using administrative claims data27.302
Novel tools for a learning health system: a combined difference-in-difference/regression discontinuity approach to evaluate effectiveness of a readmission reduction initiative27.302
Clinician Experiences and Attitudes Regarding Screening for Social Determinants of Health in a Large Integrated Health System27.302
Assessing data availability and quality within an electronic health record system through external validation against an external clinical data source27.302
Hospitalists' Needs Assessment and Perceived Barriers in Wound Care Management: A Quality Improvement Project27.302
Establishing the Foundation to Support Health System Quality Improvement: Using a Hand Hygiene Initiative to Define the Process27.302
Health systems' use of enterprise health information exchange vs single electronic health record vendor environments and unplanned readmissions27.302
Use of EHR-Based Pediatric Quality Measures: Views of Health System Leaders and Parents27.302
Keeping psychologists in the driver's seat: Four perspectives on quality improvement and clinical data registries27.302
Inadequate Risk Adjustment Impacts Geriatricians' Performance on Medicare Cost and Quality Measures27.302
A systematic approach to optimize electronic health record medication alerts in a health system27.302
Measuring quality outcomes across hospital systems: Using a claims data model for risk adjustment of mortality rates27.302
Supporting the evaluation of public and patient engagement in health system organizations: Results from an implementation research study27.302
Risk Adjustment, Mode Adjustment, and Nonresponse Bias Analysis on Quality Measures From a Long-Term Care Hospital Experience of Care Survey27.302
Social determinants of health associated with hemodialysis non-adherence and emergency department utilization: a pilot observational study27.302
Applying quality improvement strategies within Canadian population health promotion27.302
Local health department adoption of electronic health records and health information exchanges and its impact on population health27.302
Use of electronic health records from a statewide health information exchange to support public health surveillance of diabetes and hypertension27.302
Child Poverty, Toxic Stress, and Social Determinants of Health: Screening and Care Coordination27.302
Quality measures in electrodiagnosis: Carpal tunnel syndrome-An AANEM Quality Measure Set27.302
Incorporating Social Determinants of Health in Electronic Health Records: Qualitative Study of Current Practices Among Top Vendors27.302
SmartCRF: A Prototype to Visualize, Search and Annotate an Electronic Health Record from an i2b2 Clinical Data Warehouse27.302
Leveraging Existing Tools in Electronic Health Record Systems to Automate Clinical Registry Compilation27.302
Practical and measurable definitions of care coordination, care management, and case management27.302
Prediction of emergency department revisits using area-level social determinants of health measures and health information exchange information27.302
Electronic Health Records as Valuable Data Sources in the Health Care Quality Improvement Process27.302
The electronic health record as a patient engagement tool: mirroring clinicians' screen to create a shared mental model27.302
Variation in process quality measures of diabetes care by region and institution in Japan during 2015-2016: An observational study of nationwide claims data27.302
Using a multisite and multi-health system pharmacy resident program model for care documentation quality improvement27.302
Integration of End-of-Life Care into Accountable Care Organization's Quality Measures27.302
Social Determinants of Health: Addressing Barriers Through Screening, Referrals, and Care Coordination27.302
Using Electronic Clinical Quality Measures (eCQMs) to Perform a Venous Thromboembolism Prophylaxis Rapid Cycle Quality Improvement Initiative27.302
Care Coordination and Population Health Management Strategies and Challenges in a Behavioral Health Home Model27.302
[Chinese expert consensus on clinical performance and quality measures for adults with acute ST-segment elevation myocardial infarction]27.302
Innovative Models for High-Risk Patients Use Care Coordination and Palliative Supports to Reduce End-of-life Utilization and Spending27.302
Variation of hospital-based adoption of care coordination services by community-level social determinants of health27.302
Excellence in Population Health: A Successful Community-Based Care Transitions Program Model27.302
PS1-11: Differences in Prescription Adherence vs. Blood Pressure Control: Linking Electronic Health Record and Claims Data27.302
Concordance Between Electronic Health Record Data and Medicare Part D Claims Data for Oral Anticancer Drug Use27.302
Incorporating machine learning and social determinants of health indicators into prospective risk adjustment for health plan payments27.302
Exploring Opportunities for Household-Level Chronic Care Management Using Linked Electronic Health Records of Adults and Children: A Retrospective Cohort Study27.302
A "Behind-the-Scenes" Look at Interprofessional Care Coordination: How Person-Centered Care in Safety-Net Health System Complex Care Clinics Produce Better Outcomes27.302
[Does the Electronic Health Record reflect the social determinants of health from Primary Health Care?]27.302
Closing the Quality Gap: A Critical Analysis of Quality Improvement Strategies (Vol. 7: Care Coordination)27.302
Integrating Community and Clinical Data to Assess Patient Risks with A Population Health Assessment Engine (PHATE)27.302
Medicare Program: Hospital Outpatient Prospective Payment and Ambulatory Surgical Center Payment Systems and Quality Reporting Programs; Organ Procurement Organization Reporting and Communication; Transplant Outcome Measures and Documentation Requir27.302
Quality focus: Electronically specified clinical quality measures27.302
Oncology Qualified Clinical Data Registry: A Patient-Centered, Symptom-Focused Framework to Guide Quality Improvement27.302
The population health CHALLENGE. Closing care gaps for better outcomes27.302
Personalizing Longitudinal Care Coordination for Patients with Chronic Kidney Disease27.302
2015 Edition Health Information Technology (Health IT) Certification Criteria, 2015 Edition Base Electronic Health Record (EHR) Definition, and ONC Health IT Certification Program Modifications. Final rule27.302
Clinical Integration: A Cornerstone for Population Health Management27.302
Managing transitions of care. Effective care transition management is a key to achieving value-based care for your patients27.302
Information Exchange. What APIs bring to EMR/EHR interoperability27.302
Electronic Health Records: From the Management of Patients to the Research Use of Clinical Data27.302
HCC Coding, Risk Adjustment, and Physician Income: What You Need to Know27.302
A Clinical Data Warehouse Based on OMOP and i2b2 for Austrian Health Claims Data27.302
Enabling consumer and patient engagement with health information27.302
Standards Activities Respond to Consumer Mobile Health IT Trends27.302
Warning: Health IT may be hazardous to your healthcare27.302
So "appy" together27.302
Capturing Social and Behavioral Domains and Measures in Electronic Health Records: Phase 227.302
Quality improvement in neurology: Multiple sclerosis quality measures: Executive summary27.302
Using Electronic Health Record Portals to Improve Patient Engagement: Research Priorities and Best Practices27.302
Studying Workflow and Workarounds in Electronic Health Record-Supported Work to Improve Health System Performance27.302
A pharmacy liaison-patient navigation intervention to reduce inpatient and emergency department utilization among primary care patients in a Medicaid accountable care organization: A pragmatic trial protocol27.302
Neighborhood-Level Chronic Disease Surveillance: Utility of Primary Care Electronic Health Records and Emergency Department Claims Data27.302
Primary Care Comprehensiveness and Care Coordination in Robust Specialist Networks Results in Lower Emergency Department Utilization: A Network Analysis of Medicaid Physician Networks27.302
Standard Care Coordination Expansion Pilot27.302
The impacts of quality improvement on maternal and newborn health: preliminary findings from a health system integrated intervention in four Ethiopian regions27.302
Cohort discovery and risk stratification for Alzheimer's disease: an electronic health record-based approach27.302
High-Risk Patients and Utilization of Primary Care in the US Veterans Affairs Health System27.302
Integrating the Population Perspective into Health System Performance Assessment (IPHA): Study Protocol for a Cross-Sectional Study in Germany Linking Survey and Claims Data of Statutorily and Privately Insured27.302
Children With Special Needs: Social Determinants of Health and Care Coordination27.302
Leveraging Patient Reported Outcomes Measurement via the Electronic Health Record to Connect Patients with Cancer to Smoking Cessation Treatment27.302
Building, scaling, and sustaining a learning health system for surgical quality improvement: A toolkit27.302
Clinical Informatics Accelerates Health System Adaptation to the COVID-19 Pandemic: Examples from Colorado27.302
Improving Self-Care Management in Low-Income Latinos With Type 2 Diabetes Using Peer-Led U.S. Conversation Maps: A Quality Improvement Project in a Free Clinic27.302
Diagnostic code agreement for electronic health records and claims data for tuberculosis27.302
Validity of Medical Record Abstraction and Electronic Health Record-Generated Reports to Assess Performance on Cardiovascular Quality Measures in Primary Care27.302
Social determinants of health, emergency department utilization, and people with intellectual and developmental disabilities27.302
From Bedside to Bytes and Back: Data Quality and Standardization for Research, Quality Improvement, and Clinical Decision Support in the Era of Electronic Health Records27.302
Quality and extent of implementation of a nurse-led care management intervention: care coordination for health promotion and activities in Parkinson's disease (CHAPS)27.302
Key strategies for improving transitions of care collaboration: lessons from the ECHO-care transitions program27.302
Potential value of electronic health records in capturing data on geriatric frailty for population health27.302
Leveraging real-time data to drive quality improvement in a pediatric health system27.302
Using the electronic health record to identify suicide risk factors in an Alaska Native Health System27.302
Clinical Analytics Prediction Engine (CAPE): Development, electronic health record integration and prospective validation of hospital mortality, 180-day mortality and 30-day readmission risk prediction models27.302
Tailoring integrated care services for high-risk patients with multiple chronic conditions: a risk stratification approach using cluster analysis27.302
Risk stratification of cutaneous melanoma reveals carcinogen metabolism enrichment and immune inhibition in high-risk patients27.302
Evaluating Pediatric Sepsis Definitions Designed for Electronic Health Record Extraction and Multicenter Quality Improvement27.302
Assessment of a quality improvement intervention to decrease opioid prescribing in a regional health system27.302
Development and Implementation of a Complex Health System Intervention Targeting Transitions of Care from Hospital to Post-acute Care27.302
Transforming Population-Based Depression Care: a Quality Improvement Initiative Using Remote, Centralized Care Management27.302
QuickStats: Management of Patient Health Information Functions Among Office-Based Physicians With and Without a Certified Electronic Health Record (EHR) System - National Electronic Health Records Survey, United States, 201827.302
Can Electronic Health Records Validly Estimate the Effects of Health System Interventions Aimed at Controlling Body Weight?27.302
A Novel Approach to ICU Survivor Care: A Population Health Quality Improvement Project27.302
Organizational Costs and Benefits of a Health System Quality Improvement Intervention to Increase Aspirin Use for Primary Prevention of Heart Attack and Stroke27.302
Integrating Genomics and Clinical Data for Statistical Analysis by Using GEnome MINIng (GEMINI) and Fast Healthcare Interoperability Resources (FHIR): System Design and Implementation27.302
Use of interrupted time series methods in the evaluation of health system quality improvement interventions: a methodological systematic review27.302
Optimizing health IT to improve health system performance: A work in progress27.302
Consolidation of Cancer Registry and Administrative Claims Data on Cancer Diagnosis and Treatment in the US Military Health System27.302
Care Management and Care Coordination Within a Patient-Centered Medical Home27.302
Social determinants of health in electronic health records and their impact on analysis and risk prediction: A systematic review27.302
Using electronic health records for population health sciences: a case study to evaluate the associations between changes in left ventricular ejection fraction and the built environment27.302
The Impact of Point-of-Care Hemoglobin A1c Testing on Population Health-Based Onsite Testing Adherence: A Primary-Care Quality Improvement Study27.302
Evaluating the Feasibility of Electronic Health Records and Claims Data Sources for Specific Research Purposes27.302
Stakeholder perceptions of components of a Parkinson disease care management intervention, care coordination for health promotion and activities in Parkinson's disease (CHAPS)27.302
The importance of understanding and measuring health system structural, functional, and clinical integration27.302
Evaluating a Pharmacist-Led Intervention on Cardiovascular- and Diabetes-Related Quality Measures in a Primary Care-Based Accountable Care Organization27.302
A Sequential Multiple-Assignment Randomized Trial (SMART) for Stepped Care Management of Low Back Pain in the Military Health System: A Trial Protocol27.302
Emergency Department Utilization in the U.S. Military Health System27.302
Detecting Miscoded Diabetes Diagnosis Codes in Electronic Health Records for Quality Improvement: Temporal Deep Learning Approach27.302
Population Health Management in Diabetes Care: Combining Clinical Audit, Risk Stratification, and Multidisciplinary Virtual Clinics in a Community Setting to Improve Diabetes Care in a Geographically Defined Population. An Integrated Diabetes Care P27.302
International Classification of Diseases, Tenth Revision, Clinical Modification social determinants of health codes are poorly used in electronic health records27.302
The Effects of a Multifaceted Intervention to Improve Care Transitions Within an Accountable Care Organization: Results of a Stepped-Wedge Cluster-Randomized Trial27.302
Ethics and the Electronic Health Record: Description of An Integrating System of Electronic Health Records in Argentina and a Proposal to Shift Towards a Patient-Centered Conception27.302
Improving Inpatient Tobacco Treatment Measures: Outcomes Through Standardized Treatment, Care Coordination, and Electronic Health Record Optimization27.302
Extreme Weather and Climate Change: Population Health and Health System Implications27.302
Why Do Some Caregivers of Children with Disabilities Participate in Care Management While Others Do Not? Lessons from a Population in a Pediatric Accountable Care Organization27.302
Does a Custom Electronic Health Record Alert System Improve Physician Compliance With National Quality Measures for Palliative Bone Metastasis Radiotherapy?27.302
Toolkit and distance coaching strategies: a mixed methods evaluation of a trial to implement care coordination quality improvement projects in primary care27.302
Bertram Scott27.302
Clinical Data Analysis of the Bulgarian Patient Registry for Myotonic Dystrophy Type 1 and Type 2 – Part of the Global TREAT-NMD Registry27.302
171 The risk stratification and stroke prevention therapy care gap in canadian atrial fibrillation patients: Insights from the Facilitating Review and Education to Optimize Stroke Prevention in Atrial Fibrillation (FREEDOM AF) knowledge translation p27.302
Quality Improvement in Otolaryngology–Head and Neck Surgery: Developing Registry-Enabled Quality Measures From Guidelines for Cerumen Impaction and Allergic Rhinitis Through a Transparent and Systematic Process27.302
803 Risk stratification model for lymphovascular invasion, pathological T stage, lymph node involvement, and c-reactive protein predicts high-risk patients - who are candidate for adjuvant chemotherapy in upper urinary tract urothelial cancer27.302
MP27-08 RISK STRATIFICATION MODEL FOR LYMPHOVASCULAR INVASION, PATHOLOGICAL T STAGE, LYMPH NODE INVOLVEMENT, AND C-REACTIVE PROTEIN PREDICTS HIGH-RISK PATIENTS -WHO ARE CANDIDATE FOR ADJUVANT CHEMOTHERAPY IN UPPER URINARY TRACT UROTHELIAL CANCER27.302
Optimizing gender-affirming medical care through anatomical inventories, clinical decision support, and population health management in electronic health record systems27.302
MetaPred: Meta-Learning for Clinical Risk Prediction with Limited Patient Electronic Health Records27.302
Transitions of Care Coordination Intervention Identifies Barriers to Discharge in Hospitalized Stroke Patients27.302
Evaluation of medication administration timing variance using information from a large health system's clinical data warehouse27.302
Electronic Health Records-Based Cardio-Oncology Registry for Care Gap Identification and Pragmatic Research: Procedure and Observational Study27.302
NeuroBlu, an electronic health record (EHR) trusted research environment (TRE) to support mental healthcare analytics with real-world data27.302
How effective are population health surveys for estimating prevalence of chronic conditions compared to anonymised clinical data?27.302
An open source tool to compute measures of inpatient glycemic control: translating from healthcare analytics research to clinical quality improvement27.302
Primary health care management of overweight and obese adults in Riyadh City, Saudi Arabia : current status and potential quality improvement through the fit and minimally disruptive medical model.27.302
Abstract 242: Assessing Variation In Data Captured By Clinical Registries And The Electronic Health Record: Clinical Phenotypes Of Patients Undergoing Cardiac Catheterization27.302
Methodist Health System COVID-19 Patient Registry27.302
A Universal Electronic Health Record-based IMPROVE DD VTE Risk Assessment Model for the Prevention of Thromboembolism in Hospitalized Medically Ill Patients27.302
Patient Portal Flu Vaccine Reminders_RCT 427.302
Risk Stratification of Hepatocarcinogenesis Using a Deep Learning Based Clinical, Biological and Ultrasound Model in High-risk Patients27.302
Prioritization of Hospital Information System’s Executive Barriers to Patient Payment Reduction and Visitation Quality Improvement Packages of Health System Reform Plan from the Perspectives of Users and Experts in Hospitals of Yazd27.302
Estimating the population health burden of musculoskeletal conditions using primary care electronic health records27.302
Physician awareness of social determinants of health documentation capability in the electronic health record27.302
Predictive Modeling Applied to Structured Clinical Data Extracted from Electronic Health Records: An Architectural Hypothesis and A First Experiment27.302
Making Diabetes Electronic Medical Record Data Actionable: Promoting Benchmarking and Population Health Improvement Using the T1D Exchange Quality Improvement Portal27.302
Electronic calculation of quality measures in the EMR and dependence on data capture in structured fields: The OCM quality reporting experience.27.302
Chasm Between Cancer Quality Measures and Electronic Health Record Data Quality27.302
Using Electronic Health Record Data to Support Research and Quality Improvement: Practical Guidance from a Qualitative Investigation27.302
Health Plans Struggle to Report on Depression Quality Measures That Require Clinical Data27.302
Leveraging the electronic health record for research and quality improvement: Current strengths and future challenges27.302
New Frontiers in Diabetes Care: Quality Improvement Study of a Population Health Team in Rural Critical Access Hospitals27.302
Personalized patient engagement in care management using explainable behavioral phenotypes27.302
Primary care providers' perspective on the inclusion of behavioral risk measures in the electronic health record for patient engagement of individuals with multiple chronic conditions27.302
Human-centered development of an electronic health record-embedded, interactive information visualization in the emergency department using fast healthcare interoperability resources27.302
Effectiveness of Predictive Analytics in Precision Public Health in Strengthening Health System for Future Pandemics27.302
7389 Progesterone Hypersensitivity: Challenges in Longitudinal Care Management. A Case Report27.302
Utilization of early invasive management strategies for high-risk patients with non-ST-segment elevation acute coronary syndromes: Results from the CRUSADE quality improvement initiative27.302
Using Electronic Health Records for the Learning Health System: Creation of a Diabetes Research Registry27.302
Impact of an Advanced Care Management (ACM) Program within an Accountable Care Organization (ACO) (QI638)27.302
Electronic Health Records for Population Health Research in Rural Communities27.302
Expansion of an oncology care coordination nurse model to reduce hospitalizations and emergency department utilization.27.302
Development and Implementation of a General Surgery Departmental Quality Improvement Collaborative across a Large Institutional Health System27.302
Primary Care Management of Non-Alcoholic Fatty Liver Disease at the Atlanta VA Medical Center: A Quality Improvement Project27.302
357 Utilizing a Health Information Exchange to Improve Care Transitions After an Emergency Department Visit27.302
269 Use of a Community Care Coordination Team to Reduce Emergency Department Utilization and Hospital Readmissions for the Highest Utilizers27.302
60 Immediate Identification of Medicare Accountable Care Organization Patients Across a Health System’s Emergency Departments27.302
Utilization of Liver Imaging in the Primary Care Management of NAFLD at the Atlanta VA Medical Center: A Quality Improvement Project27.302
Impact of Quality Improvement Interventions on Adherence to Quality Measures for Adults with Inflammatory Bowel Disease27.302
Population Health: Integration of Diabetes Educators and Care Coordinators in Addressing Care Gap27.302
ePS5.06 Quality improvement within a learning health system: using PDSA cycles to embed a digital behaviour change platform, CFHealthHub, in routine care27.302
Book Review: Quality Spine Care: Healthcare Systems, Quality Reporting, and Risk Adjustment27.302
A Financial Toxicity Screening and Care Coordination Quality Improvement Program in a Gynecology Oncology Urban Practice27.302
QIM19-138: Care Coordination Between Prescribers and the Specialty Pharmacy—Qualitative Insights Into Designing a Quality Improvement Program for Multisite Community Oncology Practices27.302
Exchange and Reconciliation of Clinical Decision Support Outputs across Systems for Coordinated Quality Improvement: Results and Future Direction from an Implementation in a U.S. Population Health Partnership27.302
Jie Chen: promote population health and reduce health disparities through care coordination27.302
Patient Engagement on a Remote Therapeutic Monitoring Program for Chronic Disease Management of Asthma27.302
Electronic Health Record and Semantic Issues Using Fast Healthcare Interoperability Resources: Systematic Mapping Review27.302
Womens Health, Population Health and Value-Based Care27.302
Enhancing Diagnostic Follow-up and Care Coordination for Children with Autism in a Busy Resident Continuity Clinic: Leveraging the Electronic Health Record27.302
Implementation of an electronic health record-integrated instant messaging system in an academic health system27.302
Evaluating the potential impact of drug sample use and medication assistant programs on star ratings in an accountable care organization27.302
Implementation of clinically meaningful lab protocol: utilizing predictive analytics to guide quality improvement initiatives for pancreaticoduodenectomy and hepatectomy patients27.302
Patient-centered care coordination in population health case management27.302
Evaluating interdisciplinary care coordination and team functioning in inpatient rehabilitation to improve patient outcomes: Recent findings from a multiyear quality improvement project27.302
Case Study: Nationwide Children's Hospital: An Accountable Care Organization Going Upstream to Address Population Health27.302
Geographic Variation in Opioid Related Inpatient Healthcare Utilization in the United States: A Retrospective Study of a Large Health System’s Claims Data27.302
Geographic Variation in Opioid Related Outpatient Healthcare Utilization in the United States: A Retrospective Study of a Large Health System’s Claims Data27.302
The Value of Health Information Exchange Use for Chronic Disease Management27.302
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