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Showing results for "care coordination".

  1. 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?
  2. 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
  3. 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
  4. 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?
  5. 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.
  6. 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
  7. 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
  8. 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.
  9. 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.
  10. 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
  11. 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
  12. 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
  13. 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
  14. 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
  15. 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?
  16. 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.
  17. 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 .
  18. 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         
  19. 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
  20. PCMH Fact Sheet (pdf file)

    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 • CoordinationCare … from other providers ♦ Care from others on the care team • Comprehensiveness • Shared decisionmaking

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