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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/sustainability/training-tools/training-tools-slideset.pptx
May 01, 2017 - sustainability and its importance in quality improvement
Linking sustainability and spread
Discussing barriers … Program for Ambulatory Surgery
10
Plan early
Engage senior leaders and administration early
Identify barriers … staffing fluctuations and/or shortage (funding, staff turnover)
Workable Solutions to Sustainability Barriers … Workable Solutions to Sustainability Barriers
Sustainability | ‹#›
AHRQ Safety Program for Ambulatory … the implementation team
Empower frontline staff
Establish a sustainability measurement plan
Manage barriers
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/breaking-down-barriers-051215.pptx
February 01, 2015 - Slide 1
Breaking Down Barriers to Aseptic Catheter Insertion
Milisa Manojlovich, PhD, RN, CCRN
Associate … Moffitt Cancer Center
1
Learning Objectives
Discuss results of a study that identified common barriers … (in the hospital and nationwide) have contributed to improved catheter insertion practices;
explore barriers … Aseptic insertion technique is strongly recommended, but multiple barriers can arise. … An approach that blends “The 4 E’s” with mindfulness may be successful at overcoming barriers.
29
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/163-central-line-rounds-form.docx
October 01, 2024 - Contextual barriers to communication between physicians and nurses about appropriate catheter use. … Persistent barriers to timely catheter removal identified from clinical observations and interviews.
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www.ahrq.gov/sites/default/files/wysiwyg/cahps/surveys-guidance/mhs/outpatient-mental-health-survey-measures.pdf
April 02, 2025 - Rating of Mental Health Counselor (Q22)
• Unmet Need for Mental Health Services (Q23)
• Financial Barriers … Survey
Page 12
Guidelines for Using the CAHPS® Outpatient Mental Health Survey
Financial Barriers
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digital.ahrq.gov/sites/default/files/docs/publication/BarrierstoMeaningfulUseAppendixA.pdf
January 01, 2010 - Appendix A to the Final Report Barriers to Meaningful Use in Medicaid: Analysis and Recommendations … CMS or States Provide aggregate numerator and denominator
through attestation
(continued)
Barriers
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digital.ahrq.gov/principal-investigator/blumenfeld-barry-h
January 01, 2023 - Patient-Centered Outcomes Research Clinical Decision Support Learning Network
Barriers … Barriers, facilitators, and potential solutions to advancing interoperable clinical decision support: … Clinical Decision Support Learning Network was created as a multistakeholder collaborative to address barriers
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digital.ahrq.gov/principal-investigator/west-david
January 01, 2023 - Health information exchange in small-to-medium sized family medicine practices: motivators, barriers … Health information exchange in small-to-medium sized family medicine practices: motivators, barriers, … small-to-medium sized ambulatory practices regarding their desired health information exchange functions, and barriers
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www.ahrq.gov/patient-safety/reports/candor-demo-program/plan-grants/appa.html
August 01, 2022 - The grantee identified numerous barriers to adoption (e.g., the belief that new patient materials would … Numerous approaches were used to address these barriers with varying success, such as using a leadership … Adopting and implementing shared decisionmaking: Barriers and solutions. … In spite of their various perspectives, the groups identified common barriers to medication safety and … to implementing a DA&O model, and strategies for overcoming those barriers.
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digital.ahrq.gov/principal-investigator/lemming-michelle
January 01, 2023 - specification of clinical and organizational needs, identification of goals, and identification of barriers … and ways to address those barriers.
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psnet.ahrq.gov/issue/nurse-physician-communication-long-term-care-setting-perceived-barriers-and-impact-patient
February 23, 2011 - Study
Nurse-physician communication in the long-term care setting: perceived barriers … Nurse-physician communication in the long-term care setting: perceived barriers and impact on patient … Nurse-physician communication in the long-term care setting: perceived barriers and impact on patient
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psnet.ahrq.gov/issue/accurate-measurement-californias-safety-net-health-systems-has-gaps-and-barriers
April 04, 2018 - Study
Accurate measurement in California's safety-net health systems has gaps and barriers … Accurate Measurement In California's Safety-Net Health Systems Has Gaps And Barriers. … Accurate Measurement In California's Safety-Net Health Systems Has Gaps And Barriers.
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www.ahrq.gov/data/apcd/envscan/findings.html
July 01, 2022 - Policy barriers and resource limitations
Diversify funding sources. … Some potential solutions addressing the above-mentioned barriers have been proposed. … In the few States where reporting is voluntary, however, APCDs may face barriers to getting access to … Barrier 6: Policy Barriers and Resource Limitations
As discussed above, many of the barriers to maximizing … Additional barriers exist in terms of developing measure specifications for cost measures.
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www.ahrq.gov/patient-safety/reports/liability/crane.html
August 01, 2017 - Improvement Tracking in Primary Care Practices: Lessons Learned
Implementing Shared Decision-Making: Barriers … Barriers to reporting near-miss errors include the additional workload burden imposed by a reporting … report, lack of confidence that positive change will result from such reporting, and psychological barriers … A primary goal for this project was to better understand barriers and facilitators of implementing a … We did not identify any significant barriers to the implementation of this near-miss reporting system
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/149-cusp-tip-sheet-assembling-team.docx
October 01, 2024 - Barriers
· Time Commitment: Finding time away from patient care can be a challenge. … If not, what barriers do you see in our protocols or prevention efforts?
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digital.ahrq.gov/location/usa-nc-research-triangle-park
January 01, 2023 - Clinical Decision Support Learning Network was created as a multistakeholder collaborative to address barriers … Holt
Barriers to Meaningful Use in Medicaid
Description
This project … looked at barriers to meaningful use of electronic health records by providers serving a high proportion
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digital.ahrq.gov/principal-investigator/chalil-madathil-kapil
January 01, 2023 - Chalil Madathil, Kapil
An exploratory study investigating the barriers … An exploratory study investigating the barriers, facilitators, and demands affecting caregivers in a … patient in an ambulance by connecting paramedics to the specialist, and identified both facilitators and barriers
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www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2018qdr-final-es.pdf
September 01, 2019 - Largest Disparities
New HIV Cases
End Stage Renal Disease Due to Diabetes
Financial or Insurance Barriers … Income Groups
Changes in Income Disparities
Children Who Had a Preventive Dental Service
Financial Barriers … to Dental Care
Financial Barriers to Medical Care
Adolescent Vaccination
Emergency Department Visits … Disparities by Insurance
Receipt of Flu Vaccine by Patients with Diabetes
Financial or Insurance Barriers
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digital.ahrq.gov/sites/default/files/docs/AHRQ_Webinar_Aug_2009_Med_Mgmt.pdf
January 01, 2009 - Areas of focus
• Safety
• Efficiency
• Medication costs
• Barriers to adoption and use
Take-home … that these gains can be
achieved in outpatient setting with
current systems still being developed
• Barriers … medication history to identify non-
adherence
– Interventions delivered via e-prescribing
Major barriers … Interoperability, connectivity
• Perceived patient resistance
• Data security concerns
Overcoming barriers … to e-prescribing
Overcoming barriers to realize gains
Summary
Thank You!
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digital.ahrq.gov/ahrq-funded-projects/guiding-safe-and-effective-integration-ambient-digital-scribes-primary-care
September 30, 2024 - Researchers will study ADS implementation, identify barriers and facilitators, and develop evidence-based … The specific aims of the research are as follows: Identify the barriers and facilitators to successful … They will conduct qualitative interviews with these PCPs to uncover barriers and facilitators to implementation
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/safetransitions/safetransitions_finalreport.docx
November 01, 2017 - · What were the specific barriers and facilitators to implementation? … What methods and/or strategies were used to overcome barriers? … Ways to deal with or avoid the barriers. … Staffing and time were also noted as barriers during project startup and implementation. … What were some barriers to using the toolkit?
10. How might one overcome some of those barriers?