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361. Case Example #3: Fairview Health Services | Agency for Healthcare Research and Quality
     www.ahrq.gov/ncepcr/tools/workforce-financing/case-example-3.html
     July 01, 2019 - Care and transition management of high-risk patients RN care coordinators and the SW help with financial … Referral management RN care coordinators track and follow up on referrals. … The primary care team at the Edina Clinic also benefits from the services provided by central management … Primary Care Providers' experiences with Pharmaceutical Care-based Medication Therapy Management Services … Medication therapy management: 10 years of experience in a large integrated health care system.

362. Rubenstein LV et al. 1995 "Improving patient quality-of-life with feedback to physicians about functional status." | Digital Healthcare Research
     digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/research/rubenstein-lv-et-al
     January 01, 2023 - Abstract "OBJECTIVE: To improve functional status among primary care patients. … educational sessions for physicians, DESIGN: Randomized controlled trial, SETTING: University primary care … clinic, PARTICIPANTS: All 73 internal medicine houseofficers and 557 of their new primary care patients … Tools Used Survey Type Clinic Primary care Size Large Other Information … The study was conducted in an academic primary care clinic.

363. Home Heart Failure (HF) Care: Comparing Patient-Driven Technology Models - 2008 | Digital Healthcare Research
     digital.ahrq.gov/ahrq-funded-projects/home-heart-failure-hf-care-comparing-patient-driven-technology-models/annual-summary/2008
     January 01, 2008 - , the coordination of care across transitions in care settings, and the use of electronic exchange of … health information to improve quality of care. … , ranging from 29 to 47 percent; with more effective management, an estimated one-third to one-half of … management. … and Self Management.

364. Six Building Blocks How-To-Implement Toolkit: Overview (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/settings/ambulatory/6bb-toolkit-overview-rev.pdf
     October 01, 2021 - The Six Building Blocks: A Team-Based Approach to Improving Opioid Management in Primary Care How-To-Implement … for improving a primary care clinic’s management of patients who are on long-term opioid therapy (LtOT … of opioid prescribing and chronic pain care. … , either in the care setting or by outside referral. … Team-based clinic redesign of opioid medication management in primary care: impact on opioid prescribing

365. The Bettering Lives Utilizing Electronic Systems (BLUES) Project: Improving Diabetes Outcomes in Mississippi with Health Information Technology - 2011 | Digital Healthcare Research
     digital.ahrq.gov/ahrq-funded-projects/bettering-lives-utilizing-electronic-systems-blues-project-improving-diabetes/annual-summary/2011
     January 01, 2011 - care. … health IT system for diabetes management care throughout the United States. … , increased patient safety, and reduced care-related costs. … These findings imply that the promotion of best practices for disease management and care coordination … decisionmaking through the use of integrated data and knowledge management.

366. Practice Self-Assessment Tool for Opioid Use in Older Adults (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/opioids/compendium/opioids-compendium-self-assessment.pdf
     December 01, 2023 - Collection and analysis of data on disparities in chronic pain care and opioid management based on … …occur regularly and result in changes to care plans and chronic pain management. … …occur regularly and result in changes to care plans and chronic pain management. … …is consistently done across care teams but rarely results in any changes in medication management … …occur regularly and result in changes to care plans and chronic pain management. 1 2

367. A Facilitator’s Primary Care Toolkit to Improve Heart Health | Agency for Healthcare Research and Quality
     www.ahrq.gov/ncepcr/tools/transform-qi/facilitation/dashboard.html
     February 01, 2025 - the ABCS of heart health—aspirin use by high-risk individuals, blood pressure control, cholesterol management … Checklist to address blood pressure control ABCS of Heart Health: Blood Pressure Control Cholesterol Management … Facilitator, pp. 62-63 Checklist to address blood pressure control ABCS of Heart Health: Cholesterol Management … plans and meeting their health goals Medication Therapy Management (MTM) Fact Sheet and FAQ, pp. 166 … Medication Therapy Management (MTM) Patient Brochure, p. 169 Brochure reviews advantages of receiving

368. Program Performance Measures and Gaps | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/report/rep5.html
     June 01, 2010 - These remaining three constructs, access to case management, care coordination, and receipt of all services … The definition and role of case management services, sometimes known as service coordination or care … Both case management and care coordination can affect receipt of all specified care plan services. … We found few prevalent, common measures for the receipt of case management services (including care coordination … management services.

369. A Study of the Patient-Centered Medical Home: Lessons From a New York State Community Health Center | Agency for Healthcare Research and Quality
     www.ahrq.gov/ncepcr/research-transform-primary-care/transform/profile/calman.html
     October 01, 2015 - Other changes focused on improving the management of patients with diabetes and depression. … tool to support population-level assessment; outreach to patients in need of enhanced diabetes management … Multiple alerts were incorporated into the EHR to facilitate timely patient management and screening … (from crisis management to long-term mental health care) in a more comprehensive manner then they had … guidelines, screening reminders, and other elements used in patient management.

370. The Bettering Lives Utilizing Electronic Systems (BLUES) Project: Improving Diabetes Outcomes in Mississippi with Health Information Technology | Digital Healthcare Research
     digital.ahrq.gov/ahrq-funded-projects/bettering-lives-utilizing-electronic-systems-blues-project-improving-diabetes
     January 01, 2023 - Needs Rural Populations Type of Care Specialty Care Health Care Theme … Chronic Disease Management The Delta Health Alliance and the University of Mississippi … Four diabetes management clinics, all using the same model for diabetes care, participated in this study … information technology (IT) system for diabetes management care throughout the United States. … However, these findings can be used to imply that best practices for disease management and care coordination

371. Using Smart Devices to Implement an Evidence-based eHealth System for Older Adults | Digital Healthcare Research
     digital.ahrq.gov/ahrq-funded-projects/using-smart-devices-implement-evidence-based-ehealth-system-older-adults
     January 01, 2023 - Needs Medicare Patient Type of Care Behavioral Health Primary Care Self-Management … may prevent dissemination of self-management tools and resources for patients to gain proper management … The overall goal of this research is to deliver healthcare self-management tools for skill development … As people get older, they need more support for management of their health, especially those who are … constraints can hinder PCPs’ ability to share and explain self-management tools and resources.

372. Learn Best Practices for Common Infectious Syndromes | Agency for Healthcare Research and Quality
     www.ahrq.gov/antibiotic-use/long-term-care/best-practices/index.html
     June 01, 2021 - Practices for Common Infectious Syndromes Tools that describe the diagnosis, treatment, and management … care residents. … Assessment and Management of the Resident With a Suspected Urinary Tract Infection   Assessment and … Management of the Resident With a Suspected Respiratory Tract Infection Assessment and Management … One-Page Document – Management of Clostridioides difficile Infection  (PDF, 212 KB)   Additional

373. Selected Best Practices and Suggestions for Improvement (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4f_combo_psi09-postophemorrhage-bestpractices.pdf
     May 20, 2016 - Recommended Practice Details of Recommended Practice Management of Blood Loss Proper management of … Care http://www.merckmanuals.com/professional/special-subjects/care-of-the-surgical- patient/postoperative-care … • WHO Surgical Care at the District Hospital 2003: Postoperative Care, World Health Organization … Management of antithrombotic agents for endoscopic procedures. … Best Processes/Systems of Care Introduction: Essential First Steps Recommended Practice: Management

374. Schillinger, Dean | Digital Healthcare Research
     digital.ahrq.gov/principal-investigator/schillinger-dean
     January 01, 2023 - Automated telephone self-management support for diabetes in low-income health plan: a health care utilization … support with nurse care management among patients with diabetes. … Cost-effectiveness of automated telephone self-management support with nurse care management among patients … care system. … Diabetes Care 2009 Apr;32(4):559-66.

375. Chapter-7 - Harm Due to Anticoagulants (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/research/findings/making-healthcare-safer/mhs3/anticoagulants-1.pdf
     March 01, 2020 - care or other models. … Systematic reviews of pharmacist-led anticoagulation management services compared with usual care or … comparisons with usual care to quality improvement efforts within a management service, assessing the … The pathway consists of a care map, decision aids, medication orders, management suggestions, and … , as compared with management by primary care provider Prospective cohort; pharmacist-managed

376. Community-Acquired Pneumonia Clinical Decision Support Training: Emergency Department Setting | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/tools/ambulatory-care/cap-ed-setting-slides.html
     January 01, 2018 - Site of Care Decision. CURB-65 Criteria for 30-Day Mortality. Demonstration. … the appropriate site of care." c Outpatient. … Slide 8: Site of Care "Cost of inpatient care of pneumonia is up to 25 times greater than outpatient … Displays patient-specific 30-day mortality and guideline-recommended site of care. … Make site of care decision and indicate agreement or disagreement with the site of care recommendation

377. Implementation Guide for the CANDOR Process: Appendix B | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/hospital/candor/impguide/apb.html
     August 01, 2022 - for the Caregiver program Physician, nurse, resident, risk management, social services, chaplain, … and implementing the event reporting, investigation and analysis process for the organization Risk management … Implements the resolution process; reports to the CANDOR Implementation Team Leader Director of Risk Management … Lead with developing, educating, and implementing the resolution process for the organization Risk management … and support CANDOR process implementation with the risk, legal, and claims staff Director of Risk Management

378. Taking risky business out of the MRI suite. | PSNet
     psnet.ahrq.gov/issue/taking-risky-business-out-mri-suite
     September 12, 2016 - Materials management in health care. 2006;15(1):18-23. … Materials management in health care . 2006; 15 (1) :18-23 . … cause analysis  to inform risk management methodologies. … Materials management in health care. 2006;15(1):18-23. … May 18, 2022 Measuring and comparing safety climate in intensive care units.

379. Impguide2 (pdf file)
     www.ahrq.gov/sites/default/files/publications/files/impguide2.pdf
     September 08, 2015 - The National Evaluation of the CHIPRA Quality Demonstration Grant Program Designing Care Management … The Maryland care management model: care coordination using high-fidelity wraparound to support the … Care management entities: a primer. … Center for Health Care Strategies. Case rate scan for care management entities. … Case management: a rich history of coordinating care to control costs.

380. CDS Connect Pilot Final Report Factors to Consider in Managing Chronic Pain: A Pain Management Summary (pdf file)
     cds.ahrq.gov/sites/default/files/cds/artifact/476/CDSConnectPilotFinalReport508gel10012018.pdf
     September 01, 2018 - ’s pain to inform the care decision making process. … Technology Does the CDS identify a component of patient care that could have been missed or a subset … care. … or end-of-life care (also described as hospice care and palliative care), as well as patients … (e.g., performed care, an order, or referral) is not routinely available in their system.