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pcmh.ahrq.gov/ncepcr/communities/pbrn/pbrn-conference/index.html
June 01, 2022 - More topics in this section
National Center for Excellence in Primary Care … Centers
PBRN Profiles
PBRN Conference
Integrating Behavioral Health Into Primary Care … Reports and Other Publications
Funding Opportunities
Primary Care … PBRN Conference: June 30–July 1 Bethesda, Maryland
Congratulations to the North American Primary Care … reviewed June 2022
Page originally created September 2019
Internet Citation: Primary Care
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pcmh.ahrq.gov/patient-safety/resources/improve-discharge/index.html
July 01, 2022 - Work
Patient Safety News and Events
Education & Training
Resources
Home Health Care … Simulation
Resources and Tools To Improve Discharge and Transitions of Care … Discharge
Re-Engineered Discharge (RED) Toolkit
Materials Related to RED:
Taking Care of Myself … : A Guide for When I Leave the Hospital
Impact Case Study: Sutter Center for Integrated Care Using … Quality and Disparities Report Chartbook on Care Coordination
Toolkit To Engage High-Risk Patients
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pcmh.ahrq.gov/sites/default/files/wysiwyg/ncepcr/tools/healthy-aging-roundtable.pdf
September 08, 2022 - /Medicare-and-Medicaid-Coordination/Medicare-Medicaid-Coordination-Office/PACE/PACE
https://nursing.jhu.edu … team coordination. … Care coordination involves deliberately organizing patient care activities and
sharing information among … 14 Care Coordination. … , the impact of
such programs on the quality of care, and the different approaches to care coordination
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pcmh.ahrq.gov/teamstepps/instructor/reference/modelchange.html
March 01, 2014 - Patients with Limited English Proficiency
TeamSTEPPS® Dental Module
TeamSTEPPS® Long-Term Care … Version
TeamSTEPPS® for Office-Based Care Version
TeamSTEPPS® 2.0 Online Master Trainer … patient safety initiatives, how roles overlap and how work together in the larger sense of patient care … Prepared by Heidi King, US DoD Patient Safety Healthcare Team Coordination Program, Nov 2004, rev.
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pcmh.ahrq.gov/sites/default/files/wysiwyg/chsp/CHSP-accomplishments-report-2021.pdf
January 01, 2021 - , quality
of care, low-value care, and primary care spending).
• Constructed a composite measure of … Coordinating Center Activities
Coordinate and Facilitate Collaboration: The Coordinating Center facilitated coordination … This coordination
and collaboration helped align the concepts, data, methods, and measures needed to … Huber T, Rodriguez HP,
Shortell SM
2019 The Influence of Leadership Facilitation on Relational
Coordination … Among Primary Care Team Members of
Accountable Care Organizations
Health Care
Management Review
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pcmh.ahrq.gov/ncepcr/research/health-it/opioids.html
September 01, 2022 - More topics in this section
National Center for Excellence in Primary Care … National Center
Research Initiatives
Behavioral Health and Substance Use Disorders
Care … Coordination
Care Management
Disseminating Evidence into Practice
Health IT and Digital … care. … the evidence and can use it to improve health and health care.
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pcmh.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/medicaidreadmitguide/mcaidread_tool9_trans_care.docx
July 28, 2016 - Tool 9: Transitional Care Planning
Tool 9: Whole-Person Transitional Care Planning Tool
Purpose
The … in the transition of care and posthospital supports. … Take a “whole-person” view of transitional care and ongoing care needs to better identify not only risk … Access to Ambulatory Care
· No regular source of care
· Difficulty with transportation to medical care … Interdisciplinary Care Planning and Coordination
· Obtain high-risk readmission team consult
· Contact
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pcmh.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/about.html
July 01, 2023 - Toolkit
How To Use the Toolkit
Toolkit Pillars
Success Stories
Perinatal Care … Toolkits, Phase 2
Emergency Department
Long Term Care
Ambulatory Care
End-Stage … Reports (Resources)
Safety Program for Perinatal Care Summary Report (PDF, 1 MB)
Case Studies from … AHRQ Safety Program for Perinatal Care: Experiences From the Frontline (PDF, 765 KB)
… https://www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/about.html
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pcmh.ahrq.gov/evidencenow/tools/keydrivers/description.html
October 01, 2020 - Several QI approaches have become popular in health care. … Staff throughout the practice, even data novices, may be tapped to take on data coordination duties. … registries to track the care provided to patients with particular diseases, provide care management … Key Driver 4: Create and support high functioning care teams to deliver high-quality evidence-based care … the highest quality care possible.
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pcmh.ahrq.gov/page/necessary-not-sufficient-hitech-act-and-health-information-technologys-potential-build-medic-2
June 01, 2010 - enable the PCMH model Medical Home Principle HITECH Programs Other Legislation Key: ACO = accountable care … Patient-centered, whole-person orientation Comprehensive, team-based care - SHARP Program - Curriculum … Act (P.L. 111-148): Federal Coordinated Health Care Office within CMS; Community-based Collaborative … access to care - None - None Systems-based approach to quality and safety - Regional Extension Centers … Act (P.L. 111-148): Innovation Center within CMS; Community-based Collaborative Care Network Program
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pcmh.ahrq.gov/sites/default/files/wysiwyg/teamstepps/instructor/onlinecourse/tsonlinemodule2.pptx
February 09, 2006 - Real-time coordination of tasks is not required. … But in health care, it turns out multiple teams are involved in care. … The core team is based where the patient receives care. … patient so that they can ensure quick care for the patient. … the patients receive their routine care.
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pcmh.ahrq.gov/research/findings/factsheets/quality/qipc/index.html
November 01, 2020 - primary care practices to have a systematic focus on QI and safety. … What types of organizations provide QI support to primary care practices? … These programs used primary care extension agents to assist small and medium-sized primary care practices … collaborative helped regional teams develop skills to: (1) lead successful QI initiatives, and (2) increase coordination … local primary care needs.
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pcmh.ahrq.gov/sites/default/files/wysiwyg/chsp/chsp-fact-sheet-0717.pdf
October 01, 2016 - systems promote evidence-based practices in delivering care. … • Evaluate the association between
use of PCOR evidence and
quality and cost of care. … • Evidence- and non-evidence-based care used to treat oncology and pediatric patients. … • Integration of care by providers within health systems. … • Strategies used by safety net providers to improve primary care practice.
AHRQ Pub.
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pcmh.ahrq.gov/page/cognitive-task-analysis-methods-improve-patient-centered-medical-home-models-understanding-and
March 01, 2013 - coordination among providers, staff, and organizations involved in a given patient’s care. … tacit differences in their mental models of such organizational and clinical functions as planning, coordination … demonstrated in the example of military planning, (cultural) mental models need not be identical for coordination … typically builds on a Task Diagram, and develops additional detail about the execution of each step and the coordination … Detailed mapping of the teams’ planning, problem detection, coordination, and replanning revealed patterns
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pcmh.ahrq.gov/news/newsroom/case-studies/201522.html
August 01, 2015 - system using AHRQ's Re-Engineered Discharge (RED) Toolkit to reduce hospital readmissions and improve care … evidence-based framework to help us develop a more comprehensive and appropriate discharge planning and care … Collins Johnson, R.N., B.S.N., M.B.A., project director of readmissions reduction with Dignity Health Care … "Our mission is to deliver compassionate, high-quality, affordable health care to our communities," said … Coordination,
Healthcare Costs
Geographic Location:
California
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pcmh.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/nyp-webinar-servati-demo-project.pdf
October 29, 2018 - Implementing the New CAHPS® Protocol for Obtaining Patient Comments About Their Care
The NYP Patient … Patient Experience Specialist for the Ambulatory Care
Network, New York-Presbyterian
New York, NY … – Assess the feasibility, value and use of the CAHPS Narrative
Elicitation Protocol in ambulatory care … across Manhattan
– Primary care, family planning, and specialty clinics
Located in two major campus … Coordination,
Office Staff
– 2 rating items: MD Rating, Likelihood to Recommend
PG survey includes
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pcmh.ahrq.gov/hai/tools/mvp/modules/vae/overview-off-ventilator-slides.html
February 01, 2017 - Crit Care Med 2010; 38(10):1947-53. PMID: 20639743. … Intensive Care Med 2013;39(1), 6-15. PMID: 23108608. … Slide 28: ABCDEF Bundle 18
A wakening and,
B reathing coordination. … Implementing the awakening and breathing coordination, delirium monitoring/management, and early exercise … Implementing the awakening and breathing coordination, delirium monitoring/management, and early exercise
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pcmh.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2023-NHQDR-appendixes-ACDE-rev.pdf
January 01, 2023 - For example, Care Coordination and Affordable Care were not
recognized quality domains when the reports … • From 2002 to 2021, 39% of care coordination measures improved and 11% of care
coordination measures … (n=12)
Patient
Safety
(n=1)
Healthy
Living
(n=10)
Effectiveness
of Care
(n=6)
Care
Coordination … (n=19)
Patient
Safety
(n=1)
Healthy
Living
(n=13)
Effectiveness
of Care
(n=2)
Care
Coordination … Quality Measures by Setting of Care
Patient Safety Quality Measures by Setting of Care
Care Coordination
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pcmh.ahrq.gov/pcor/strategic-framework/mission.html
July 01, 2023 - AHRQ will continue to innovate in its D&I activities to achieve equitable, whole-person care. … Vision: Equitable, whole-person care across the lifespan that acknowledges the impact of community and … AHRQ’s definition of equitable care includes a deliberate focus on understanding and addressing factors … Likewise, whole-person care is aligned with a person's life mission, aspiration, and purpose. … It shifts the focus from a reactive disease-oriented medical care system to one that prioritizes disease
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pcmh.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/rapid-response/tool_rapidresponse-systems.docx
May 01, 2017 - Note: Coordination with other hospital rapid response or emergency response (i.e., “code” teams) is critical … Communicate during transitions of care. … risks between shifts, between units, and between care teams within a unit. … number
· Calling the charge nurse
· Pressing a call button
· Calling the hospital operator
In addition, coordination … ACTION: Determine activation mechanism, and coordination with other hospital rapid response and emergency