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The findings and conclusions in this document are those of the author s , who are responsible for its content, and do not necessarily represent the views of AHRQ.
Department of Health and Human Services. Project Details - Ended Grant Number:. Gorman, Paul. Oregon Health and Science University.
Chronic Conditions. Chronic Disease Management , Medication Management. The specific aims of the project were to: Enhance clinician cognitive performance in medication management tasks by exploiting the underlying semantics of medication lists to improve the organization and presentation of medication list information.
Implement medication list management tools that are integrated into clinician-specific and task-specific workflows to support medication reconciliation at high-risk transitions as well as in ongoing ambulatory care.
Increase the effectiveness of medication management activities of clinicians in multiple roles by improving their coordination and communication through the use of shared medication management tools.
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About Us. Ultimately, the project aimed to show improvements in medication management by: 1 providing the means to effectively share medication information; 2 making any corrections or improvements made by one team member to the regimen visible to all team members; and 3 providing clinicians using the system with access to evidence-based information at the time and place it is needed.
This project is a collaboration between community-based nurses and physicians providing ambulatory services in an Oregon coastal community, a multidisciplinary team of university-based investigators with expertise in medicine, nursing, medical informatics, and computer science, and the Oregon Rural Practice-based Research Network, which provided the infrastructure, coordination, and support.
Clinical settings for the project were independent clinic practices in two coastal communities, local home health services, and transitions in care into and out of the sole community hospital and its emergency room.
The patient focus was on community-dwelling persons with chronic conditions on multiple medications. The choice of these specific innovations was informed by experience with development and early deployment of RxSafe, a system that consolidates medication lists of patients in long-term care to integrate information for providers involved in prescribing, dispensing, administering, or monitoring medications.
The team configured these clients to interact through the versioning system SyncRx and explored the usefulness of this technology in prototype testing to determine the requirements and challenges to its development and deployment.
The team completed the "pipeline" prototype, demonstrating the Web-based clinical decision support model that would allow composition of independent medication information related services.
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