Assisted outpatient treatment (AOT) is a civil court procedure whereby a judge orders an adult with serious mental illness (SMI) to comply with community-based treatment. Developed as a less restrictive alternative to involuntary hospitalization, AOT focuses on individuals at risk of clinical deterioration or rehospitalization because they do not voluntarily comply with prescribed treatment.
Electronic Health Records (EHR)
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Evaluation of the Assisted Outpatient Treatment Grant Program for Individuals with Serious Mental Illness
Report
Health Information Technology Adoption and Utilization in Long-Term and Post-Acute Care Settings
This paper provides an overview of Health Information Technology (HIT) adoption and utilization in long-term and post-acute care (LTPAC) settings. This study found that LTPAC have adopted electronic health records (EHRs) to support clinical and business needs. Interoperable exchange of health information however is not routine or widely used.
Report, Research Summary
EHR Implementation Guide – Identifying Frailty Using Existing Health Data: Challenges and Opportunities for Health Systems
RAND identified use cases on identifying frailty using electronic health record (EHR) data in health systems in the US and examples from other countries, which demonstrate applications in both primary and specialist care. The final EHR implementation guide summarizes the learnings from participants in the EHR Learning Network and the identified use cases.
Report
Implementation of an Electonic Care Plan for People with Multiple Chronic Conditions
The purpose of this project was to develop and test a suite of electronic Care Plan (eCP) tools for adults with multiple chronic conditions (MCC), including an eCP implementation guide specifying data standards and value sets for key use case conditions and two open-source eCP apps (one for patients and one for clinicians).
Report
Developing and Assessing the Validity of Claims-based Indicators of Frailty & Functional Disabilities in Electronic Health Records
This is the final report of an AHRQ study to address the operational gap between CFIs and EFIs. This project focused on validating an established CFI using linked claims-EHR databases of multiple large health systems. The project provides a systematic approach that health systems can use to examine the quality of the EHR data and prepare it for the application of EFI measures.
Report
Developing and Assessing the Validity of Claims-based Indicators of Frailty and Functional Disabilities in Electronic Health Records
This project focused on validating an established claims-based frailty indexes (CFI) using linked claims-EHR databases of multiple large health systems. Additionally, the project assessed and compared the EHR and claims data of these data sources to ensure sufficient data quality for frailty analysis.
Using Audit Log Data to Assess EHR Burden
Electronic health records (EHRs) have been widely adopted in the United States, but there is growing concern that they have unintentionally burdened clinicians, inhibiting their ability to deliver health care efficiently and effectively.
Report
Incorporating Social Determinants of Health in Electronic Health Records: A Qualitative Study of Perspectives on Current Practices among Top Vendors
Background: Social determinants of health (SDH) are increasingly seen as important to understanding patient health and identifying appropriate interventions to improve health outcomes, in what is a complex interplay between health system, community, and individual level factors.
Measurement of Interoperable Electronic Health Care Records Utilization
The objective of this project was to develop methods to measure the degree of interoperability as a result of data sharing and use between users of certified technologies who are eligible for Meaningful Use (MU) incentives and non-incentivized Trading Partners (TPs) using non-certified technologies.