Small-Practice Physicians and HIT ...................... Why HIT? What Is It and How Can It Help Small-

2017 ◽  
pp. 177-202
Keyword(s):  
Small Practice

How Useful is the Power Law of Practice for Recognizing Practice in Concentration Tests?

2007 ◽  
Vol 23 (3) ◽  
pp. 157-165 ◽  
Author(s):  
Carmen Hagemeister
Keyword(s):  
Logistic Regression ◽  
Reaction Time ◽  
Power Law ◽  
Error Rate ◽  
Reaction Times ◽  
Practice Effect ◽  
Practice Effects ◽  
Rate Decrease ◽  
Small Practice

Abstract. When concentration tests are completed repeatedly, reaction time and error rate decrease considerably, but the underlying ability does not improve. In order to overcome this validity problem this study aimed to test if the practice effect between tests and within tests can be useful in determining whether persons have already completed this test. The power law of practice postulates that practice effects are greater in unpracticed than in practiced persons. Two experiments were carried out in which the participants completed the same tests at the beginning and at the end of two test sessions set about 3 days apart. In both experiments, the logistic regression could indeed classify persons according to previous practice through the practice effect between the tests at the beginning and at the end of the session, and, less well but still significantly, through the practice effect within the first test of the session. Further analyses showed that the practice effects correlated more highly with the initial performance than was to be expected for mathematical reasons; typically persons with long reaction times have larger practice effects. Thus, small practice effects alone do not allow one to conclude that a person has worked on the test before.

Primary care and the small practice

BMJ ◽  
1988 ◽  
Vol 296 (6615) ◽  
pp. 135-135
Author(s):  
M. T Lucking
Keyword(s):  
Primary Care ◽  
Small Practice

Creating a computer network in your small practice

1999 ◽  
Vol 106 (3) ◽  
pp. 43-46
Author(s):  
Bryan P. Bergeron
Keyword(s):  
Computer Network ◽  
Small Practice

scholarly journals Helping Bodies in Motion Stay in Motion Through a Unique Model of Care

2017 ◽  
Vol 12 (1) ◽  
pp. 42-45
Author(s):  
Jeremy Girmann
Keyword(s):  
Health Care ◽  
Health Care Providers ◽  
Care Providers ◽  
Lifestyle Medicine ◽  
Quality Patient Care ◽  
Small Practice ◽  
Solo Practice ◽  
Practice Models ◽  
Part Time ◽  
Administrative Tasks

There are many inherent challenges associated with the development of an effective lifestyle medicine practice that is financially viable. There exist numerous proposed practice models, many of which show promise. Inertia Medical represents a model of combined care through which services related to musculoskeletal and lifestyle medicine are offered in a part-time, self-pay, solo practice. Central to the framework of Inertia Medical is simplicity. The small practice structure allows patients to feel closely connected to the provider and directly involved in their own health care. Minimal overhead costs and limited administrative tasks allow more time, energy, and resources to be focused on what matters most—delivering high-quality patient care. The simple design has become a distinguishing characteristic of this practice and could allow other health care providers to adopt a similar model.

Small Practices, Big (QI) Dreams: Customizing QI Efforts for Under-resourced Primary Care Practices to Improve Diabetes Disparities (Preprint)

2020 ◽  
Author(s):  
Sahnah Lim ◽  
Nadia S. Islam
Keyword(s):  
Primary Care ◽  
Clinical Practice ◽  
Electronic Health Record ◽  
Clinical Practice Guidelines ◽  
Practice Guidelines ◽  
Low Income ◽  
Great Promise ◽  
Health Record ◽  
Small Practice ◽  
Electronic Health

UNSTRUCTURED Electronic health record quality improvement (QI) initiatives hold great promise in improving adoption of clinical practice guidelines, including those related to diabetes. QI initiatives implemented in under-resourced primary care settings that primarily serve racial/ethnic minority populations have potential to improve quality of care and ultimately improve diabetes disparities. The “Screen at 23” campaign was launched in 2011 to increase screening for prediabetes and diabetes at lower body mass index (BMI) thresholds (i.e., 23 kg/m2) for Asian Americans, in line with the new guidelines put forth by the American Diabetes Association. Here, we describe the implementation of a customized electronic health record QI initiative in under-resourced practices that primarily serve low-income South Asian populations in New York City, designed to increase diabetes screening using updated BMI guidelines and in alignment with the “Screen at 23” campaign. The customization involved the implementation of an innovative, semi-manual alternate solution to automated clinical decision support systems (CDSS) alerts in order to address the restrictions on customizing CDSS alerts in electronic health record platforms used in small practice settings. We also discuss challenges and strategies with this customized QI effort. Our experience suggests that multi-sector partnership engagement, user-centered approaches, and relationship-building with key stakeholders are even more critical in under-resourced, and small practice settings. Relatively simple technological solutions can be greatly beneficial in enhancing small practice capacity to engage in larger-scale QI initiatives. Tailored, context-driven approaches for implementation of equity-focused QI initiatives such as the one we describe can increase adoption of clinical practice guidelines, improve diabetes-related outcomes, and improve health disparities among under-served populations. INTERNATIONAL REGISTERED REPORT RR2-https://doi.org/10.1186/s13063-019-3711-y

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