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pcmh.ahrq.gov/sites/default/files/attachments/LessonsLearned_022813comp_0.pdf
January 01, 2013 - Case Studies of Leading Primary Care Practice Facilitation Programs: Lessons Learned From Leading Models … These are distinct areas that also work together as part of an
Prevention & Chronic Care Program
I … organizations are all potential providers of PF
services to primary care practices. … Chronic Care Model Primer. … Chronic disease management: what will it take to improve care for chronic illness?
-
pcmh.ahrq.gov/sites/default/files/attachments/pcpf-module-15-presenting-data.pdf
September 01, 2015 - The clinic recently hired a care coordinator to help with the care of chronic disease
patients. … HGBA1C
Metabolic Panel
Lipid Panel
Hemoccult
Education/Counseling (time): 10 minutes
Coordination … Orders:
UA
Education/Counseling (time): 20 minutes
Coordination of Care (time): 5 minutes … Orders:
Lipid Panel
Education/Counseling (time): 15minutes
Coordination of Care (time): 5 … Orders:
UA
Metabolic Panel
Education/Counseling (time): 5 minutes
Coordination of Care (time
-
pcmh.ahrq.gov/news/newsletters/e-newsletter/900.html
February 01, 2024 - Report Highlights 30 Years of AHRQ’s Primary Care Research . … for Excellence in Primary Care Research describes three decades (1990–2020) of AHRQ’s primary care research … Center for Excellence in Primary Care Research . … Ambulatory care coordination data gathering and use. Geary CR, Hook M, Popejoy L, et al. … Hemoglobin on admission for childbirth and postpartum acute care use in a southeastern health care system
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pcmh.ahrq.gov/sites/default/files/attachments/pcpf-module-16-academic-detailing.pdf
September 01, 2015 - Module 16: Academic Detailing as a Quality
Primary Care
Practice Facilitation
Curriculum
Module 16 … Improvement Tool
Agency for Healthcare Research and Quality
Advancing Excellence in Health Care … www.ahrq.gov
Primary Care Practice Facilitation Curriculum
Module 16. … Primary Care Practice Facilitation Curriculum (Module 16). … Primary Care Practice Facilitation Curriculum MODULE 16 M16-5
Who Should Participate?
-
pcmh.ahrq.gov/page/tools-implementing-pcmh
January 22, 2021 - Primary Care Practice Facilitation Curriculum
The Primary Care Practice Facilitation (PCPF) Curriculum … to improve health care outcomes. … in America by transforming how primary care is organized and delivered. … Patient-Centered Care
Coordinated Care
Accessible Services
Quality and Safety
Find resources … changes with the goal of improving quality and outcomes of care.
-
pcmh.ahrq.gov/talkingquality/distribute/index.html
September 01, 2017 - Reporting Project
Resources
About TalkingQuality
Distribute Your Health Care … 2017
Page originally created February 2015
Internet Citation: Distribute Your Health Care
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pcmh.ahrq.gov/teamstepps/instructor/essentials/slessentials.html
July 01, 2018 - Return to Contents
Slide 4: Multi-Team System for Patient Care
Safe and effective care involves … following teams in the multi-team system from top to bottom: Patient → Core Team / Contingency Teams → Coordination … Plan of Care.
Psychosocial Issues.
Team Members:
Fatigue.
Workload. … Monitors progress toward the goal and identifies changes that could alter the care plan. … Defensiveness
Conventional Thinking
Complacency
Varying Communication Styles
Conflict
Lack of Coordination
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pcmh.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/teamwork/assemble-slides.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 … Lack of coordination and followup.
Misinterpretation of cues.
Lack of role clarity. … Interested in clinical care, but not required to be a clinician. … Creating high reliability in health care organizations.
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pcmh.ahrq.gov/teamstepps/instructor/fundamentals/module5/ebsitmonitor.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 … 2
SMMs and situation awareness have been empirically linked to improved communication, 3-5 team coordination … It allows health care providers to increase awareness of the patient condition, the environmental state … Teamwork training improves the clinical care of trauma patients. J Surg Educ 2010;67:439-43.
-
pcmh.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/instructor/fundamentals/module1/igintro-cx062819.pdf
January 01, 2007 - Defensiveness;
• Conventional thinking;
• Varying communication styles;
• Conflict;
• Lack of coordination … It was determined that 43 percent
of errors resulted from problems with team coordination. … • Former President Clinton established a Quality Interagency
Coordination (QuIC) Task Force to … hospitals in a commitment to implement changes in care
proven to improve patient care and prevent avoidable … – Examine and adjust the team’s physical workplace to
optimize communication and coordination
-
pcmh.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/instructor/fundamentals/module1/igintro.pdf
January 01, 2007 - Defensiveness;
• Conventional thinking;
• Varying communication styles;
• Conflict;
• Lack of coordination … It was determined that 43 percent
of errors resulted from problems with team coordination. … • Former President Clinton established a Quality Interagency
Coordination (QuIC) Task Force to … hospitals in a commitment to implement changes in care
proven to improve patient care and prevent avoidable … – Examine and adjust the team’s physical workplace to
optimize communication and coordination
-
pcmh.ahrq.gov/page/early-evidence-patient-centered-medical-home/
February 01, 2012 - care that emphasizes specialty and acute care over coordination, patient-centeredness, and population … For example, telephonic disease management seemed to address obvious problems in coordination and patient … We excluded evaluations of care coordination and disease management interventions that met these criteria … Effects of care coordination on hospitalization, quality of care, and health care expenditures among … Results from a radical makeover of a care coordination program show how program design affects success
-
pcmh.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/understanding-cahps-101-infographic.pdf
February 01, 2019 - CAHPS program: Advancing knowledge, measurement, and
improvement of patients' experiences with health care … Experience
Patient experience encompasses the range of interactions patients have with the
health care … experience of care in different settings
Experience
with
Providers
Clinicians and
Medical Groups … Hospices
Home Health
Care
Surgical Care
Experience
with Facility-
Based Care
Hospitals (adult … Cancer Care
Mental Health
Care
Experience
with Health
Plans
Health Plans
Dental Plans
Home
-
pcmh.ahrq.gov/page/medical-home-what-do-we-know-what-do-we-need-know-review-earliest-evidence-effectiveness-of-the-patient-centered-medical-home-model
March 01, 2013 - We excluded evaluations of care coordination and disease management interventions that met these criteria … The mechanisms and processes for ensuring effective coordination of patient care by the care manager … coordination efforts to high-risk patients. … Effects of care coordination on hospitalization, quality of care, and health care expenditures among … Results from a radical makeover of a care coordination program show how program design affects success
-
pcmh.ahrq.gov/sites/default/files/wysiwyg/long-covid/faqs-long-covid.pdf
May 16, 2023 - : Implementing and Evaluating New Models for Delivering Comprehensive, Coordinated, Person-Centered Care … Implementing and Evaluating New Models for
Delivering Comprehensive, Coordinated, Person-Centered Care … We refer patients with any significant findings to their
primary care physician for follow-up. … The HHS Grants Policy Statement (Page II-43) says: “If patient care, including research
patient care … How does AHRQ define a "warm hand off" to a primary care provider?
-
pcmh.ahrq.gov/ncepcr/communities/pbrn/registry/eastern-carolina-association-research-education.html
January 01, 2012 - More topics in this section
National Center for Excellence in Primary Care … North Carolina
Network Founded:
January 1, 2006
Network Mission Statement:
E-CARE … E-CARE is a Primary Care Practice-based Research Network as defined by AHRQ. … E-CARE involves eastern North Carolina community-based clinicians and their staff in activities designed … to understand and improve primary care.
-
pcmh.ahrq.gov/cahps/surveys-guidance/cancer/index.html
July 01, 2020 - About the CAHPS Cancer Care Survey (PDF, 152 KB)
Get the Cancer Care Survey and Instructions
Download … experience with cancer care:
Getting timely appointments, care, and information (composite measure … Cancer care team’s use of information to coordinate patient care (composite measure). … Supplemental Items for the Cancer Care Survey
The Cancer Care Survey includes several optional, supplemental … Access to care .
-
pcmh.ahrq.gov/cahps/surveys-guidance/cg/about/survey-measures.html
September 01, 2020 - and Systems (CAHPS®)
About CAHPS
Surveys and Guidance
American Indian
Cancer Care … Emergency Department
Health Plan
Home and Community-Based Services
Home Health Care … Hospice
Hospital
In-Center Hemodialysis
Mental Health Care
Nursing Home … Outpatient and Ambulatory Surgery
Surgical Care
Supplemental Items
Using … , and Information
Q6 Patient got appointment for urgent care as soon as needed
Q8
-
pcmh.ahrq.gov/hai/cauti-tools/archived-webinars/navigating-hierarchy-slides.html
December 01, 2017 - CLABSI and CAUTI Prevention in ICUs
Community-Acquired Pneumonia Toolkit
Improving Surgical Care … technical focus without broader contextual understanding; episodic encounters rather than continuous care … ; predominant hospital orientation at the expense of primary care; quantitative and qualitative imbalances … Hierarchies: the Berlin Wall of Patient Safety
MM Walton Qual Saf Health Care . 2006 August; 15(4): … Hierarchy
Defensiveness
Conventional thinking
Varying communication styles
Conflict
Lack of coordination
-
pcmh.ahrq.gov/sites/default/files/wysiwyg/cahps/surveys-guidance/item-sets/PCMH/PCMHFactSheet.pdf
September 01, 2010 - The PCMH applies to care for adults, children, and adolescents. … on the effectiveness, efficiency, and patient-
centeredness of care. … The PCMH Survey covers many aspects of
patient-centered care. … The PCMH Survey focuses on the following domains:
• Access
• Communication
• Coordination
♦ Care … from other providers
♦ Care from others on the care team
• Comprehensiveness
• Shared decisionmaking