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  1. February 20, 2021 - The Medical Home: What Do We Know, What Do We Need to Know? … Department of Health and Human Services, 540 Gaither Road, Rockville, MD 20850, www.ahrq.gov Contract … significance of findings on the odds of hospital use in the CMP evaluation did not take clustering into … Geriatric Resources for Assessment and Care of Elders a     Year 1 ; Year 2 : Odds of hospitalization … with diabetes Geriatric Resources for Assessment and Care of Elders b Year 2 : Reduced number of stays
  2. February 20, 2021 - Department of Health and Human Services, 540 Gaither Road, Rockville, MD 20850, www.ahrq.gov Contract … significance of findings on the odds of hospital use in the CMP evaluation did not take clustering into … Care Management Plusa a     Year 1 : Odds of an ED visit among all patients, patients without diabetes … Care of Elders b Year 2 : Reduced number of visits by 24% among all patients and by 35% among high-risk … patients   Year 1 : Number of visits among all patients and high-risk patients   Guided Care     8 Months
  3. February 20, 2021 - The Medical Home: What Do We Know, What Do We Need to Know? … A Review of the Earliest Evidence on the Effectiveness of the Patient-Centered Medical Home Model March … Department of Health and Human Services, 540 Gaither Road, Rockville, MD 20850, www.ahrq.gov Contract … Guided Care     12 months: Satisfaction with care management, time spent on chronic care, knowledge of … patients’ personal circumstances, and coordination of care 12 months: Satisfaction with communication
  4. February 20, 2021 - The Medical Home: What Do We Know, What Do We Need to Know? … A Review of the Earliest Evidence on the Effectiveness of the Patient-Centered Medical Home Model March … Department of Health and Human Services, 540 Gaither Road, Rockville, MD 20850, www.ahrq.gov Contract … Unfavorable Not Statistically Significant Uncertain Statistical Significance Note: A result is considered … and Care of Elders 3 months; 6 months: Increased rates of antidepressant use, psychotherapy 1 year:
  5. February 20, 2021 - Defining the PCMH The medical home model holds promise as a way to improve health care in America by … their patients to providers and services in their communities. … care system, including specialty care, hospitals, home health care, and community services and supports … times for urgent needs, enhanced in-person hours, around-the-clock telephone or electronic access to … Using Health Information Technology to Support Quality Improvement in Primary Care Related White Papers
  6. February 20, 2021 - The Medical Home: What Do We Know, What Do We Need to Know? … A Review of the Earliest Evidence on the Effectiveness of the Patient-Centered Medical Home Model March … Department of Health and Human Services, 540 Gaither Road, Rockville, MD 20850, www.ahrq.gov Contract … Care Management Plus     2 years: All patients 1 year: All patients and patients with diabetes 2 years … : Patients with diabetes Geriatric Resources for Assessment and Care of Elders     2 years : All patients
  7. February 20, 2021 - Department of Health and Human Services, 540 Gaither Road, Rockville, MD 20850, www.ahrq.gov Contract … the intervention group or viceversa, 34 and low attrition at followup. … To receive a high rating, RCTs that meet all thesecriteria also need to control for any reported baseline … attrition at the unit of analysis, but that fail to control for reportedstatistically significant baseline … Excluded Analyses from evaluations for which the design and/or methods were not described in sufficient
  8. February 20, 2021 - Department of Health and Human Services, 540 Gaither Road, Rockville, MD 20850, www.ahrq.gov Prepared … found in published health care evaluations or effectiveness studies. … coaching, integration of mental health and medical care, and management of care transitions. … the care team to improve access to medical and social support services, or can nurses or less-specialized … Experimental design in health care. Qual Manag Health Care 1994;2(2):1–15.
  9. February 20, 2021 - Department of Health and Human Services. Suggested Citation Knox L, Brach C. … Access and review the Improving Primary Care: Team Guide. … and services in their communities. … Innovation at the Group Health Institute and Qualis Health; December 2010. … Seattle, WA: MacColl Center for Health Care Innovation at the Group Health Institute and Qualis Health
  10. February 20, 2021 - quality improvement to improve health care outcomes. … and skills needed to support meaningful improvement in primary care practices. … and Attributes of the Medical Home The medical home model holds promise as a way to improve health … changes with the goal of improving quality and outcomes of care. … services to primary care practices that are interested in becoming medical homes or are in the process
  11. February 20, 2021 - The Patient-Centered Medical Home: Strategies to Put Patients at the Center of Primary Care ( PDF Version … are implemented in a way that supports primary care transformation. … ones, better deliver services to all patients, including those with the most complex health needs. … Patient Care ( PDF Version — 340.27KB) PCMH and ACO models of care delivery can work in tandem to increase … on a group of patients within a primary care practice(s) to improve the care and clinical outcomes of
  12. February 20, 2021 - Efforts to improve access to and the quality of mental health treatment have led to the conclusion that … Efforts to integrate mental health services in the PCMH will face significant challenges imposed by … access to such services. … Improving access to geriatric mental health services: a randomized trial comparing treatment engagement … A common factors approach to improving the mental health capacity of pediatric primary care.
  13. February 20, 2021 - to expertise in QI, EHR implementation, and the use of clinical data for improving clinical carein health care focused on improving health outcomes for the State, oversaw the startup of the project … health care for the State. … for work in areas such as improving care for chronic disease and smoking cessation. … a large integrated health care system in the State to work in the system’s community-based clinics.
  14. February 20, 2021 - are employing the triple aim (improving the experience of care, improving the health of populations … , and reducing per capita costs of health care) as a framework to transform health care delivery.1 … treat patient populations, while at the same time decreasing health risks and health care costs. … Facilitators of Transforming Primary Care: a look under the hood at practice leadership. … A positive deviance approach to understanding key features to improving diabetes care in the medical
  15. February 20, 2021 - is a key component of current efforts to improve health care in the United States and of the policy … services; to improve natural language processing for converting text into discrete data elements inhealth care in the United States and of the policy debate on national health care reform. … cases encompassing services provided within a particular jurisdiction, whether at the local, State, … Health Care Reform Proposed efforts to reform the country’s health care system and provide insurance
  16. February 20, 2021 - Department of Health and Human Services. Suggested Citation Knox L, Brach C. … a practice to use to assess its clinical performance in primary care for diabetes mellitus and chronic … improving care is a key part of your role. … health care encounter in the past 12 months. … for benchmarking, as well as State and local health and public health agencies.
  17. February 20, 2021 - vital resource in supporting national, State, and local efforts to redesign and transform primary care … region and even as part of national efforts to transform primary care. … for patients and control costs by improving the overall quality of health care services, the delivery … The National Quality Strategy, which was established by the Secretary of Health and Human Services in … • Communicate with their patients in a culturally appropriate manner in a language and at a level
  18. February 20, 2021 - To learn more about how the citations data were collected and organized, select Search Methodology and … /Foundational Article Literature Review Subject Access to Care Care Coordination Comprehensive Care … Cost and Reimbursement Defining/Evaluating/Qualifying a Medical Home Demonstrations Disparities Evaluation … Methods and Approaches Health Information Technology Implementation Outcomes Patient-Centered Care Policy … Quality and Safety Team Based Health Care Toolkits Search
  19. February 20, 2021 - Department of Health and Human Services 540 Gaither Road Rockville, MD 20850 www.ahrq.gov Contract … Department of Health and Human Services. Suggested Citation Knox L, Brach C. … Ask learners to schedule a meeting or at least email a contact from a participating site to complete … The Care Model calls for an organized and planned approach to improving patient health. … services  Quality and safety To underscore the compatibility of the two approaches, the Care Model
  20. February 20, 2021 - Department of Health and Human Services, 540 Gaither Road, Rockville, MD 20850, www.ahrq.gov Contract … ED use Intervention and comparison groups did not have equivalent outcomes at baseline Community Care … Systematic confounding due to implementation in only one clinic Merit Health System and Blue Cross Blue … Systematic confounding due to implementation in only one clinic Pediatric Alliance for Coordinated Care … of changes in the outcome to the intervention rather than other factors Pennsylvania Chronic Care Initiative

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