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pcmh.ahrq.gov/page/engaging-patients-and-families-medical-home-appendix
June 01, 2010 - care. … Team provides support and coordination of care throughout treatment based on individual patient needs … care for seniors with multiple chronic illnesses by coordinating care, facilitating care transitions … Care coordination is provided by specially trained nurses working on-site in primary care practices. … Specific components evaluated in this review:
Care coordination with community resources and primary
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pcmh.ahrq.gov/news/blog/ahrqviews/focus-diagnostic-safety.html
March 01, 2023 - In 2023, the American healthcare system remains too often flawed by fragmentation in care, with a lack … of communication between clinicians and patients and poor coordination within clinical teams. … The result can be missed opportunities that jeopardize care, sometimes with tragic consequences. … Understanding and Improving Diagnostic Safety in Ambulatory Care: Incidence and Contributing Factors … and improving them can mean safer care.
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pcmh.ahrq.gov/teamstepps/instructor/fundamentals/module1/m1evidencebase.html
March 01, 2014 - Teamwork training improves the clinical care of trauma patients. … Med Care 2009;47(8):826-36.
24. Mayer CM, Cluff L, Lin W, et al. … Teamwork training improves the clinical care of trauma patients. … J Crit Care 2003;18(2):71-5.
Quality Interagency Coordination Task Force. … Report of the Quality Interagency Coordination Task Force (QuIC) To the President.
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pcmh.ahrq.gov/healthsystemsresearch/hspc-research-study/breadth-and-focus.html
July 01, 2021 - Impacts
Research Gaps & Prioritization
Conclusions & Recommendations
Overlap & Coordination … Coordination of health care and other services for community-living elderly and disabled individuals. … coordination with other delivery systems. … the continuity and coordination of health services. … , expanded use of telehealth, rural health care, and coordination of care with other health delivery
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pcmh.ahrq.gov/teamstepps/instructor/fundamentals/module7/slsummary.html
July 01, 2018 - 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 … Contributes to team performance, quality of care, and patient safety. … Defensiveness
Conventional Thinking
Complacency
Varying Communication Styles
Conflict
Lack of Coordination
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pcmh.ahrq.gov/cahps/surveys-guidance/item-sets/HIT/Development-HIT-Item-Set.html
July 01, 2022 - Development of the CAHPS Health Information Technology Item Set
Nearly all health care … and private purchasers to adopt technologies that promise to improve the quality and efficiency of care … , physician-patient communication, coordination of care, and the accessibility of information? … This group discussed the use of health IT by physician practices, the aspects of patient care likely … The CAHPS team completed a literature review of interactions between health IT, health care providers
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pcmh.ahrq.gov/cpi/about/nac/snac.html
May 01, 2022 - roles/functions (if any) should AHRQ play in the future in the quality measurement field to improve care … How should AHRQ prioritize investments to make the most impact on improving care for patients? … understand how AHRQ's expertise in quality measurement could have the greatest impact on improving care … Executive Director
MGH Stoeckle Center for Primary Care Innovation
Co-Chair, MGB Patient Experience … Transformation Officer, University Hospitals
Professor, Department of Anesthesiology and Critical Care
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pcmh.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/strategies/rapid-response/rapid-response-slides.html
July 01, 2023 - Toolkits, Phase 2
Emergency Department
Long Term Care
Ambulatory Care
End-Stage … Although distinct, close coordination is critical. … Coordination with hospital medical emergency or "code" teams:
Specific activation criteria for nonmaternity … Communication between primary care team and rapid responders. … The laborist model of obstetric care: we need more evidence.
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pcmh.ahrq.gov/teamstepps-program/resources/additional/feedback.html
July 01, 2023 - Setting
CUS for Maternal Health Equity
CUS in Labor and Delivery
Call Out (Subacute Care … )
Call-Outs in Labor and Delivery
Check Back (Long-Term Care)
Check-Back in Inpatient … Surgical Teams
Cross Monitoring (Subacute Care)
Debrief in Emergency Department
Feedback … (Long-Term Care)
Good Teamwork in Office-Based Care
Handoff (Subacute Care)
Huddle … CUS Words
Limited English Proficiency Safety: Checkback
Mutual Support in Office-Based Care
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pcmh.ahrq.gov/news/newsletters/e-newsletter/905.html
March 01, 2024 - Today's Headlines:
AHRQ Views: A Unique Effort To Advance Care for People Living With Long COVID . … in clinics that are providing access to care for people struggling with the effects of Long COVID is … that provide comprehensive care, develop and implement new or improved care delivery models and foster … The network will share lessons learned with primary care physicians, health system leaders and others … Care coordination, in which 11 measures improved, 14 did not change, and three worsened.
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pcmh.ahrq.gov/news/newsroom/press-releases/spanish-language-app.html
October 01, 2021 - Events
HHS Launches Spanish Language App to Help Latinos Navigate Health Care … "Making health care easily accessible is critical to boosting health outcomes and getting more people … for Latinos between 2013 and 2016 after passage of the Affordable Care Act. … care and outcomes improve," said AHRQ Acting Director David Meyers, MD. … Health and Human Services on policy development, and is responsible for major activities in policy coordination
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pcmh.ahrq.gov/cpi/centers/ockt/index.html
January 01, 2021 - Agency activities with the goal of changing behavior to foster improvement in the quality and safety of care
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pcmh.ahrq.gov/sites/default/files/wysiwyg/evidencenow/tools-and-materials/key_drivers_descriptions.pdf
February 01, 2019 - 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 … care
Given the demands of primary care practice, no clinician can single-handedly incorporate new
evidence … the highest quality care possible.
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pcmh.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/primary-care/tpc/small-conf_impact_final_report.docx
January 01, 2011 - Section 5405 of the Affordable Care Act (ACA) authorized the establishment of a Primary Care Extension … The project was called Infrastructure to Maintain Primary Care Transformation (IMPaCT). … Extension Program (PCEP; primary care support program). … Moderator:
Jim Mold
3:30 – 3:45
Break
3:15-5:00 PM
Regional Brainstorming and Coordination
This … Functional Levels of Extension
Level 1: Convener/Clearinghouse/”General Contractor”
###
Level 2: QI Coordination
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pcmh.ahrq.gov/news/blog/ahrqviews/transform-care-mcc.html
November 01, 2021 - AHRQ Views: Blog posts from AHRQ leaders
AHRQ Unveils Research Agenda to Transform Care … A disproportionate share of care for MCC is shouldered by public programs. … of health information technology to improve care for people living with MCC. … , and the impact of tested models of care on health outcomes are also included. … Among them: How can we redesign care to enhance patient centeredness?
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pcmh.ahrq.gov/sites/default/files/attachments/pcpf-module-29-implementing-care-teams.pdf
September 01, 2015 - Module 29: Implementing Care Teams
Primary Care
Practice Facilitation
Curriculum
Module 29: Implementing … part of the care team. … Why Change to Care Teams? … For example, many care and care-coordination activities are
better provided by nonphysician members … Clinicians spend 13 percent of their day on care coordination activities and only half of
their
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pcmh.ahrq.gov/coronavirus/long-covid.html
March 01, 2024 - topics in this section
AHRQ COVID-19 Resources
Long COVID
AHRQ Long COVID Care … understand Long COVID and support people with Long COVID and the healthcare providers who deliver their care … Learn more about the AHRQ Long COVID Care Network . … Models of Care for Treatment of Long COVID
AHRQ's Evidence-Based Practice Center (EPC) program will … Plan Development and Multiple Chronic Conditions e-Care Plan Project .
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pcmh.ahrq.gov/teamstepps/evidence-base/labor-delivery.html
July 01, 2015 - Measuring handoff quality in labor and delivery: Development, validation, and application of the Coordination … International Journal of Quality Health Care 20(4), 254-63. Select to access the abstract . … Assessing quality obstetrical care: development of standardized measures. … Team approach to care in labor and delivery. Clinical Obstetrics and Gynecology 51(4), 666-79. … Quality & Safety in Health Care 13(Suppl 1), i57-64. Select to access the abstract .
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pcmh.ahrq.gov/priority-populations/about/index.html
June 01, 2021 - the Division:
Advises the Agency leadership on matters pertaining to the health needs and health care … research including leading analytic projects focused on examining research questions related to the health care … the development, dissemination, and application of Agency initiatives and programs to improve health care … in DPP include the Pediatric Quality Measures Program (PQMP) and the Safety Program for Perinatal Care
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pcmh.ahrq.gov/patient-safety/settings/hospital/candor/modules/notes7.html
August 01, 2022 - Hospital Labor and Delivery Units
Emergency Department
Long Term Care … Ambulatory Care
End-Stage Renal Disease (ESRD) Clinics
Pharmacy
Multiple Settings … The Care for the Caregiver program should be in place to support effective resolution. … This coordination ensures that all are working with the same goal and approach in resolving the CANDOR … Life care planners.
Actuaries.
Economists.
Financial planners.