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digital.ahrq.gov/organization/new-york-city-health-and-mental-hygiene
January 01, 2023 - New York City Health and Mental Hygiene
Bringing High Performing Systems … Performing Systems to Small Practices
Bringing Measurement to the Point of Care … Principal Investigator
Wu, Winfred
Project Name
Bringing Measurement to the Point of Care … pay-for-quality programs on the performance of cardiovascular health clinical quality measures. … added patient specific alerts and ‘one click’ options to act on missed opportunities for followup care
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digital.ahrq.gov/sites/default/files/docs/publication/r18hs017829-druss-final-report-2012.pdf
January 01, 2012 - Final Report
Purpose
Aim 1: To Develop a Mental Health Personal Health Record (MH-PHR) for Mental … Qualitative methods will be used to incorporate input from mental health
consumers, providers, and primary … the poor quality of both their medical and mental health care.1
A literature extending back more … mental health providers, and primary care
providers to adapt the Shared Care Plan to the specific needs … “Changing the way consumers manage
their physical, mental health, and substance abuse treatment
information
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digital.ahrq.gov/ahrq-funded-projects/bringing-high-performing-systems-small-practices
January 01, 2023 - Mental Hygiene
Location
New York City
New York
Project Dates
09/30/2009 … which systems and resources can be implemented to improve the quality of health care. … Financial incentives resulted in modest improvements in cardiovascular processes and outcomes. … (Prepared by New York City Health and Mental Hygiene under Grant No. R18 HS018275). … Organization: New York City Department of Health and Mental Hygiene Location: New York City, New York
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digital.ahrq.gov/ahrq-funded-projects/insights-community-health/annual-summary/2012
January 01, 2012 - is a driver of racial disparities in cardiovascular morbidity and mortality. … The New York City Department of Health and Mental Hygiene (DOHMH) developed Keep on Track (KOT), a program … activity; within-participant weight loss; and number of visits to the primary care physician from baseline … tools to support patient-centered care, the coordination of care across transitions in care settings … , and the use of electronic exchange of health information to improve quality of care.
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digital.ahrq.gov/sites/default/files/docs/page/THQITStoriesArora2010.pdf
June 01, 2007 - physicians, nurse practitioners,
physician assistants, and pharmacists, to provide specialty care … provision of telemedicine care at 21 rural
telemedicine facilities, 16 community centers, and 7 department … mental health was helpful. … 32
Child, Adolescent Psychology2 14
Chronic Pain/Headache 9
Diabetes/Cardiovascular Risk Reduction … adolescent mental
health issues; however, the psychiatry clinics work with rural physicians
who may
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digital.ahrq.gov/sites/default/files/docs/survey/health-ehearts-physician-survey.pdf
June 16, 2021 - Mental Hygiene, New York NY
This is a questionnaire designed to be completed by nurses and physicians … Health eHearts
Physician Survey #1
The New York City Department of Health and Mental Hygiene ( … patient reminders
Generate and feedback provider reports on
quality of care
Generate physician … For which of the following aspects of patient
care do you receive quality of care data? … Have you ever looked at quality of care data for the
following cardiovascular clinical measures?
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digital.ahrq.gov/ahrq-funded-projects/implementing-personalized-cross-sector-transitional-care-management-promote/citation/identifying
January 01, 2023 - Identifying high need primary care patients using nursing knowledge and machine learning methods. … CIC 2022: Identifying high need primary care patients using nursing knowledge and machine learning methods … Management to Promote Care Continuity, Reduce Low-Value Utilization, and Reduce the Burden of Treatment … Learning
Document Type
Journal Publication
Population
Individuals with Chronic Care … Needs
Medicaid
Medically Underserved Populations
Medical Condition
Cardiovascular Disease
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digital.ahrq.gov/sites/default/files/docs/citation/cds-connect-year3-final-report-2019.pdf
January 01, 2019 - Prevention [CDC], Veterans Health Administration [VHA],
Substance Abuse and Mental Health Services … end users (e.g., mental health or sexually transmitted diseases). … 04/9/2018
Mental Health: Homelessness Documentation
Template
VHA Structured 03/27/2018
Mental … Health: Iraq & Afghan Post-Deployment
Screen Order Set
VHA
Structured
04/9/2018
Mental Health … /mental-health-homelessness-documentation-template
https://cds.ahrq.gov/cdsconnect/artifact/mental-health-homelessness-documentation-template
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digital.ahrq.gov/sites/default/files/docs/citation/r21hs023952-chrischilles-final-report-2018.pdf
January 01, 2018 - Design and Testing of a Mobile Cardiovascular Risk Service with Patient Partners - Final Report
1 … , ages 55 years and older, who previously received care at one of the primary
care practices in the … cardiovascular disease in collaboration with primary care physicians.17
Table 1. … Cardiovascular Risk Reduction to Enhance Rural Primary Care) study17 and adapted this for
total in-app … Gender disparities in blood pressure control and cardiovascular
care in a national sample of ambulatory
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digital.ahrq.gov/sites/default/files/docs/quality-metrics-slides-042811.pdf
January 01, 2011 - , homeless
Financially disadvantaged
Primary Care, Mental Health
Complimentary care HIV
testing … , insured and
uninsured
Primary Care, Integrated
Mental Health and Physical
Health Care
Characteristics … Transgender
Primary Care
Large Mental Health &
Substance Abuse Programs
Erie Family Health
Center … FQHC
>14,000
medical
visits
Urban Homeless, &
Migrant, and Recent
Refugee
Primary Care
Mental … Health
OB/GYN
Methods
• Quantitative Data– System Use, User Satisfaction
and Clinical Quality Measures
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digital.ahrq.gov/sites/default/files/docs/publication/r18hs017016-williams-final-report-2010.pdf
January 01, 2010 - Using IT to Improve the Quality of Cardiovascular Disease (CVD) Prevention and Management
Grant … services related to the prevention, detection and management of cardiovascular disease
(CVD). … Cardiovascular Disease. … cardiovascular diseases. … health, dietician, etc.).
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digital.ahrq.gov/ahrq-funded-projects/predictive-monitoring-impact-real-time-predictive-monitoring-acute-care
January 01, 2023 - alerts care teams through enhanced data visualizations may allow for faster intervention and a reduction … Setting
Intensive Care Unit
Medical Condition
Cardiovascular Disease … The tool will use artificial intelligence models to incorporate cardiovascular data from patient monitors … , and increase patients’ engagement in their own care. … “These are patients on acute care floors, not in the ICU, and they unexpectedly get sick.
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digital.ahrq.gov/sites/default/files/docs/citation/r01hs023328-koopman-final-report-2021.pdf
January 01, 2021 - Trends in Cardiovascular Health Metrics and Associations
With All-Cause and CVD Mortality Among US Adults … Recent Trends in Cardiovascular Mortality in the United
States and Public Health GoalsTrends in Cardiovascular … Mortality and Public Health GoalsTrends in
Cardiovascular Mortality and Public Health Goals. … Health Services Implementation: Methods and Applied Case Study. … Administration and Policy in Mental Health and Mental Health Services Research. 2019;46(2):255-270.
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digital.ahrq.gov/sites/default/files/docs/coordination-patients-complex-needs-slides-022014.pdf
February 20, 2014 - Criteria
• Medically complex patients:
► Discharge Dx (>1): Diabetes mellitus, heart failure,
cardiovascular … stroke) OR
► Moderate to severe mental health diagnosis
(schizophrenic disorder, nonorganic psychoses … health diagnosis: 45%
o Hypertension: 35%
o Diabetes: 18%
o All others: <10%
61
Information … Congestive heart failure 1.9 1.9 1.7
Stroke 2.1 3.0 2.4
Asthma 7.7 6.6 7.3
Diabetes 18.0 18.6 16.2
Mental … health diagnosis 46.0 47.9 47.1
Renal disease 1.1 1.0 0.8
Sickle cell disease 0.8 1.0 1.0
70
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digital.ahrq.gov/sites/default/files/docs/citation/r01hs022110-windle-final-report-2019.pdf
January 01, 2019 - • Scope: Cardiovascular clinicians and patients practicing at 4 academic and 4 private
healthcare … Yet
nearly 40% of US citizens are projected to have some form of cardiovascular disease by 2030,
and … The
management of cardiovascular disease; is by its nature, multi-dimensional (acute and chronic,
inpatient … flow and decision support needs of the cardiac care team. … care team
improved dataflow and workflow.
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digital.ahrq.gov/sites/default/files/docs/publication/r21hs020982-schoenthaler-final-report-2015.pdf
January 01, 2015 - vegetable intake, and number of visits to a primary care physician from
baseline to 9 months. … Mental Hygiene (NYC DOHMH) Keep on Track program in three predominately
Black churches in NYC. … health care utilization) through a PHR system. … Health behaviors and health care utilization were assessed with validated self-report measures; weight … care providers (PCP) with printed BP tracking reports; analogous to elements of the Chronic Care Model
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digital.ahrq.gov/sites/default/files/docs/page/MN_CaseStudy_0.pdf
January 01, 2011 - Approximately 60 percent of beneficiaries are enrolled in Medicaid managed care. … These included pay-for-performance (P4P) programs for diabetes and
cardiovascular care as well as several … applications developed with Medicaid Transformation
Grant funding: Children’s Mental Health Outcome … Care Programs
(MHCP) providers regarding their MHCP patients. … quality, increase patient safety, reduce health care costs, and enable individuals and
communities
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digital.ahrq.gov/sites/default/files/docs/citation/r18hs017191-pohl-final-report-2011.pdf
January 01, 2011 - , Mental
Health, HIV testing &
risk reduction
Campus Health
Center of Detroit Detroit, MI NMHC 9,000 … , Mental
Health, HIV testing &
risk reduction
Howard Brown
Health Center Chicago CHC
FQHC
>10,000 … medical visits
Urban, HIV + Gay,
Lesbian, Bisexual,
Transgender
Primary Care, Mental
Health … , Mental
Health, OB/GYN
Participants
Data were collected primarily at the level of clinician or clinic … impact on quality of care and experience of
care by clinicians.
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digital.ahrq.gov/sites/default/files/docs/patient-centered-care-transcript-033011.pdf
June 16, 2021 - And in terms of information technology, community mental health centers lag way behind other
private … mental health providers can be improved that way. … with the developers and mental health consumer leaders
to take a look and see what would people need … that have mental health, unless there's other
people who might not need. … But traditionally, there's quite a while between mental health providers and medical care
providers
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digital.ahrq.gov/sites/default/files/docs/publication/r21hs018766-rimmer-final-report-2012.pdf
January 01, 2012 - and Lessons Learned
Improving Health Care Quality through Health
IT for Persons with Intellectual … the quality of care for adults
with ID; however, further research is needed to improve usability and … Obesity is not only related to adverse health consequences, such as type 2 diabetes, hypertension,
cardiovascular … health care. … Managed care and developmental disabilities: Reconciling the realities of
managed care with the individual