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1. Coordinating Care for Adults With Complex Care Needs in the Patient-Centered Medical Home: Challenges and Solutions - Appendix | PCMH Resource Center
   pcmh.ahrq.gov/page/coordinating-care-adults-complex-care-needs-patient-centered-medical-home-challenges-and-0
   January 01, 2012 - AAA = Area Administration on Aging ACE = Acute Care for Elderly ADLIFE = After Discharge Care Management … AAA = Area Agency on Aging ACO = Accountable Care Organization AHEC = Area Health Education Center … Core team includes PCP/geriatrician, RN/NP, pharmacist, CM/social worker from local AAA. … Area duals get care at Summa Health System and at AAA (shared population). … CM payment to AAA through Medicaid waiver (external to Summa Health System).

2. Selected Best Practices and Suggestions for Improvement (pdf file)
   pcmh.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4n_combo_iqi-mortalityreview-bestpractices.pdf
   May 20, 2016 - Resection Mortality Rate • IQI 09 Pancreatic Resection Mortality Rate • IQI 11 Abdominal Aortic Aneurysm (AAA … for esophageal resection should be less than 10% (grade B).6 IQI 11 Abdominal Aortic Aneurysm (AAA … Available at: http://www.geraldlawriemd.com/sections/aaa/jvs_aaa_treatment_guidlines.pdf (Table VII) … http://www.geraldlawriemd.com/sections/aaa/jvs_aaa_treatment_guidlines.pdf https://circ.ahajournals.org … Recommendations/Resources IQI 08 Esophageal Resection Mortality Rate IQI 11 Abdominal Aortic Aneurysm (AAA

3. Fact Sheet on Inpatient Quality Indicators (pdf file)
   pcmh.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/a1a_combo_iqifactsheet.pdf
   October 01, 2015 - /A* 0361 2011 IQI 02 Pancreatic Resection Volume N/A* 0366 2012 IQI 04 Abdominal Aortic Aneurysm (AAA … Mortality Rate 39.89 0360 2011 IQI 09 Pancreatic Resection Mortality Rate 29.42 0365 2012 IQI 11 AAA

4. C1 Prioritization Worksheet (xls file)
   pcmh.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/c1_combo_prioritizationworksheet.xlsx
   July 01, 2016 - Composite IQI 08 Esophageal Resection Mortality   IQI 09 Pancreatic Resection Mortality IQI 11 AAA

5. C1 Prioritization Matrix (xls file)
   pcmh.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/c2_combo_prioritizationworksheetexample.xlsx
   July 01, 2016 - IQI 09 Pancreatic Resection Mortality 2.0 2.9 3 $65,557 $ 196,671 N 2 4 2 Y Y Y Y Y IQI 11 AAA

6. B3A Combo Chartsforpresentations (xls file)
   pcmh.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/b3a_combo_chartsforpresentations.xlsx
   January 01, 2006 - volume * IQI 02 Pancreatic resection volume * IQI 04 Abdominal aortic aneurysm (AAA … 46.756 * IQI 09 Pancreatic resection mortality 38.215 * IQI 11 Abdominal aortic aneurysm (AAA

7. AHRQ Quality Indicators Prioritization Worksheet Example (pdf file)
   pcmh.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/c2_combo_prioritizationworksheetexample.pdf
   June 29, 2016 - 09 Pancreatic Resection Mortality 2.0 2.9 3 $65,557 $ 196,671 N 2 4 2 Y Y Y Y Y IQI 11 AAA

8. Coordinating Care for Adults With Complex Care Needs in the Patient-Centered Medical Home: Challenges and Solutions | PCMH Resource Center
   pcmh.ahrq.gov/page/coordinating-care-adults-complex-care-needs-patient-centered-medical-home-challenges-and
   January 01, 2012 - Elderly (PEACE) trial, and SAGE partnership programs 4 —by arranging for local Area Agency on Aging(AAA

9. Coordinating Care for Adults With Complex Care Needs in the Patient-Centered Medical Home: Challenges and Solutions - (WHITE PAPER) (pdf file)
   pcmh.ahrq.gov/sites/default/files/attachments/coordinating-care-for-adults-with-complex-care-needs-white-paper.pdf
   January 01, 2012 - Elderly (PEACE) trial, and SAGE partnership programs4—by arranging for local Area Agency on Aging (AAA

10. Designing and Delivering Whole-Person Transitional Care: The Hospital Guide to Reducing Medicaid Readmissions - Toolbox (pdf file)
    pcmh.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/medicaidreadmitguide/medread-tools.pdf
    July 28, 2016 - Services Adult protective services [safety evaluation, case management]   Area Agency on Aging (AAA