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Showing results for "care coordination".

  1. pcmh.ahrq.gov/sites/default/files/wysiwyg/topics/diagnostic-safety-workgroup-march-2022-meeting-notes.pdf
    January 01, 2022 - Program o Investigators will develop a pharmacist-led hospital-community collaborative transitions of care … NIH/NCI/ HSIRB • Grants awarded to improve care management of depression o A new grant awarded,
  2. pcmh.ahrq.gov/sites/default/files/attachments/pcpf-module-27-ehr-and-pcmh.pdf
    September 01, 2015 - Comprehensive team-based care Coordinated care Continuous access to care … )  Adopt proactive preventative care practices  Adopt or improve value-driven care processes (e.g … They can help improve coordination of care and communication among care team members working with the … proactive patient care possible. … in care.
  3. pcmh.ahrq.gov/sites/default/files/attachments/pcpf-module-14-collecting-performance-data.pdf
    September 01, 2015 - 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 … HGBA1C Metabolic Panel Lipid Panel Hemoccult Education/Counseling (time): 10 minutes Coordination … 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
  4. pcmh.ahrq.gov/cpi/centers/cepi/dpi.html
    September 01, 2023 - how to: increase adoption of effective healthcare practices, integrate behavioral health into primary care … , provide practice facilitation for primary care, redesign health systems to make them more efficient … EvidenceNow Learn about projects that use the EvidenceNOW Model of external support for primary care … The Academy Visit the Academy for Integrating Behavioral Health and Primary Care, a national resource … AHRQ Announces Interest in Primary Care Research .
  5. pcmh.ahrq.gov/page/engaging-patients-and-families-medical-home-table-4
    June 01, 2010 - engagement in the medical home INSERT HEADING INSERT HEADING Patients and families engaged in their own care … Learn about how the practice works Discuss roles with team Get help with organizing and coordinating care … Self-care Work with team to set self-care goals Get help with managing chronic illness Participate in … evidence-based decision aids Discuss risks and benefits of different options Decide jointly with the health care
  6. pcmh.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/rrs/rrs_slides/rrsslides.pdf
    January 01, 2008 - Crit Care Med. 2004;32:916-921. … Qual Saf Health Care. 2004;13(4):251-254. … Watch the RRS in Action TEAMSTEPPS 05.2Mod 1 05.2 Page 16Page 16 RRS ConflictConflict Lack of coordination … Lack of coordination DistractionsDistractions FatigueFatigue WorkloadWorkload Misinterpretation of … The patient was intubated and transferred to a higher level of care.
  7. pcmh.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/instructor/fundamentals/module5/ebsitmonitor.pdf
    January 01, 2013 - .2 SMMs and situation awareness have been empirically linked to improved communication,3-5 team coordination … whereas high situation awareness has been linked to increased team performance needed for patient care … .10 Fortunately, situation awareness is a learnable skill, and health care providers can increase their … 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. 15.
  8. pcmh.ahrq.gov/teamstepps/instructor/fundamentals/module1/slintro.html
    June 01, 2019 - 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 … Lack of coordination and followup. Distractions. Fatigue. Workload.
  9. pcmh.ahrq.gov/sites/default/files/attachments/logic-model-brief.pdf
    March 01, 2013 - , patient-centeredness, coordinated care, accessible care, and a commitment to providing safe, high … and of high quality Activities (Examples) Comprehensive care • Use care teams • Use care plans … (e.g., more preventive care, better planned care, better clinical outcomes, lower mortality … so they begin to use this care? … (e.g., preventive care, better planned care) Improved patient experience Formative feedback
  10. pcmh.ahrq.gov/ncepcr/communities/pbrn/registry/colorado-research-network.html
    January 01, 2012 - More topics in this section National Center for Excellence in Primary Care … improve health and well-being by the application of scientific methods to questions important to primary care … with the potential to understand health, disease, and illness, and the roles and values of primary care
  11. pcmh.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/instructor/fundamentals/module4/ebleadership.pdf
    January 01, 2013 - effectiveness by facilitating team problem solving through developing a shared vision or plan; facilitating coordination … Proper leadership has been demonstrated to be effective within the health care context. … Crit Care Med 2003;31(6):1620-9. 16. Hynes P, Kissoon N, Hamielec C, et al. … J Crit Care 2006;21(2):224-8. 17. Capella J, Smith S, Philp A, et al. … Teamwork training improves the clinical care of trauma patients.
  12. pcmh.ahrq.gov/teamstepps/lep/handouts/leptrlist.html
    December 01, 2012 - 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
  13. pcmh.ahrq.gov/sites/default/files/wysiwyg/teamstepps/instructor/onlinecourse/tsonlinemodule1.pptx
    January 01, 2011 - sharing Hierarchy Defensiveness Conventional thinking Varying communication styles Conflict Lack of coordination … emergency department risk management cases determined that 43% of errors resulted from problems with team coordination … Former President Clinton established a quality interagency coordination task force to develop a coordinated … You'll be able to adapt to changes in the care plan. … people in decisions and examining and adjusting the team's physical workplace all works to optimize coordination
  14. pcmh.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/medicaidreadmitguide/mcaidread_tool11_comm_resource.docx
    September 12, 2016 - Use the quick reference part of this tool to populate Tool 12: Whole Person Transitional Care Planning … Care management contacts at Medicaid health plans. … for warm handoff; center has onsite social worker] [HIV/AIDS Clinic] [Point person] [XXX] [Care … work] [High-Volume Dialysis Center] [Point person] [XXX] [Contact center care coordinator for … Resource Reference for Hospital ABC Care Management Readmissions Community Care, Inc.
  15. pcmh.ahrq.gov/healthsystemsresearch/hspc-research-study/research-gaps.html
    June 01, 2020 - Impacts Research Gaps & Prioritization Conclusions & Recommendations Overlap & Coordination … prioritization of different conditions, deescalating medications or treatments to meet people’s values, coordination … on coordination of specific conditions between primary and specialized care (i.e., medical homes for … Starfield and colleagues in the 1980s and 1990s (comprehensiveness, coordination, continuity, and first … , access to care, management and coordination of care, and patient- and relationship-centered care.
  16. pcmh.ahrq.gov/sites/default/files/attachments/Strategies%20to%20Put%20Patients%20at%20the%20Center%20of%20Primary%20Care.pdf
    February 01, 2011 - with this model of care and may think patient in care plans. that the PCMH is simply a primary care … way care is oftenneeds, including prevention and wellness, acute care, and provided.chronic care and … self-care goals and care plans. … coordination) and to engagement. … Primary care and accountable care—two essential elements of delivery-system reform.
  17. pcmh.ahrq.gov/sites/default/files/attachments/strategies-to-put-patients-at-center-of-primary-care-brief.pdf
    February 01, 2011 - with this model of care and may think patient in care plans. that the PCMH is simply a primary care … way care is oftenneeds, including prevention and wellness, acute care, and provided.chronic care and … self-care goals and care plans. … coordination) and to engagement. … Primary care and accountable care—two essential elements of delivery-system reform.
  18. pcmh.ahrq.gov/evidencenow/research-results/results/infographics/ehr-text.html
    April 01, 2019 - Incontinence Tools for Change A Snapshot of EHR Use in Small Primary Care … Practices (Text Description) AHRQ’s EvidenceNOW: Snapshot of EHR Use in Small Primary Care Practices … EvidenceNOW regional cooperatives worked with more than 1,500 small- and medium-sized primary care … Use of EHRs Before EvidenceNOW Before EvidenceNOW: 93 percent of primary care practices used EHRs … originally created April 2019 Internet Citation: A Snapshot of EHR Use in Small Primary Care
  19. pcmh.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2021qdr-final-es.pdf
    January 01, 2021 - , receiving timely care, and receiving care when needed. … Quality of Care • Person-Centered Care: More than half (14 of 26) of Person-Centered Care measures were … • Care Coordination: More than half (5 of 9) of Care Coordination measures were improving, but one-third … • Affordable Care: When accounting for the overall population, all (2 of 2) Affordable Care measures … on more measures than better care.
  20. pcmh.ahrq.gov/sites/default/files/attachments/pcpf-module-5-working-with-safety-net-practices.pdf
    September 01, 2015 - www.ahrq.gov Primary Care Practice Facilitation Curriculum MODULE 5 M5-i Primary Care Practice … such as team-based care. … coordination with specialists and hospitals, and the addition of case managers to care teams to provide … Continuity of Care and Access to Care Every patient is empaneled to a primary care provider (PCP -- … Providers have one 20-minute slot for each 5 slots for catch-up and care coordination, but many transfer

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