Reliant Medical Group (formerly known as Fallon Clinic) in conjunction with Meyers Primary Care Institute, describe their imlementation of a novel intervention to improve patient safety and reduce hospital readmissions. Using clinical decision support integrated into both an Electronic Health Record (EHR) and a Health Information Exchange (HIE), primary care physicians (PCPs) are automatically notified of medication monitoring needs and their appointment secretaries are automatically notified of appointment needs following hospital discharge.
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