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  1. preventiveservices.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/pruhealing/puh-factraining-guide.pdf
    December 15, 2016 - The training also explains the role of the Facilitator in working with the nursing home change team … The On-Time Facilitator will:  Establish a relationship with the change team. … o Guide the change team to implement the program. …  Multidisciplinary change team and designated team champion. …  At a change team meeting, Facilitator helps change team use these tools to select team meetings
  2. preventiveservices.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/prevhosp/preventablehospitalandedvisits-implmatl.pdf
    September 08, 2017 - Users and Potential Uses The main user is the preventable nursing home transfers change team. … Nurse shift change report 4. Nursing leadership meeting 5. … Nurse shift change report 4. Nursing leadership meeting 5. … Leadership agrees to identify a Change Team champion and establish a multidisciplinary Change Team to … Step 3: Identify Multidisciplinary Team Members To Serve as the Change Team The Change Team consists
  3. preventiveservices.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/lab-testiing/lab-testing-toolkit.pdf
    December 01, 2017 - ensure that you are creating evidence-informed change. … Use this survey as part of your planning for change. … Sample another group of patients after you implement a change to assess whether your change improved …  How will the change be made? … u Or: Develop a new change to test and measure.
  4. preventiveservices.ahrq.gov/evidencenow/tools/keydrivers/about.html
    November 01, 2018 - Contact Us Español FAQs Home EvidenceNOW Tools for Change … EvidenceNOW EvidenceNOW Model Practice Facilitation EvidenceNOW Projects Tools for Change … contributes to (or “drives”) the achievement of an overall quality improvement goal (“aim”) and the actions (“change … EvidenceNOW community, AHRQ also has identified tools and resources that can be used in implementing each change … Southwest Cooperative ) Heart of Virginia Healthcare ( Virginia Cooperative ) Evaluating System Change
  5. preventiveservices.ahrq.gov/cahps/quality-improvement/improvement-guide/6-strategies-for-improving/communication/strategy6gtraining.html
    March 01, 2020 - To help physicians better understand the process of behavioral change, some medical groups and health … A Model of Behavioral Change The Transtheoretical Model lays out five unique "Stages of Change:" … Precontemplation is the stage in which there is no intention to change behavior in the foreseeable future … Stages of change across ten health risk behaviors for older adults. … Helping patients at every stage of change.
  6. TransforMN Study (pdf file)

    preventiveservices.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/primary-care/tpc/tpc-profile-solberg.pdf
    April 01, 2015 - Results of Transformation Efforts Shortly after HCH certification, each clinic manager completed the Change … organizational factors, and most had successfully used nearly all (60% to 91%) of the 18 recommended change … Lessons Learned and Implications for Others • Findings indicated that there was not an abrupt change … and understanding the “big picture” reasons for transformation and 2) an overall change in practice … There is not an abrupt change that signifies primary care transformation.
  7. preventiveservices.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/fallpxtoolkit/webinar/webinar_mha_falls_prevent.pptx
    January 01, 2013 - Web based design Evidence-based tools for falls prevention (35 tools) Guidance for multidisciplinary change … prevention program Audience: mid-level managers and clinicians Coverage: all stages of organizational change … adaptable to local circumstances Toolkit/Resource Guide Six sections: Hospital readiness for change … Managing change Choosing fall prevention practices Implementing best practices Measuring fall rates … Checklist (2G) ‹#› Tool: Managing Change Checklist (2G) Continued ‹#› Challenge
  8. preventiveservices.ahrq.gov/funding/fund-opps/index.html
    April 01, 2024 - Improving Diagnostic Safety in Ambulatory Care: Incidence and Contributing Factors (R01) Notice of Change … AHRQ Improving Diagnostic Safety in Ambulatory Care: Strategies and Interventions (R18) Notice of Change … PA-23-196 AHRQ Health Services Research Dissertation Program (R36) Notice of Change PA-23 … Projects for Combating Antibiotic-Resistant Bacteria (CARB) (R18) Notice of Clarification Notice of Change … Projects for Combating Antibiotic-Resistant Bacteria (CARB) (R01) Notice of Clarification Notice of Change
  9. preventiveservices.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/fallprevention-training/module1/module1_slides_fallprev.pptx
    June 16, 2017 - Miake-Lye IM, Hempel S, Ganz D, et al., 2013 ‹#› Are You Ready To Change? … Do organizational members understand why change is needed? (Tool 1A) Is there urgency to change? … Toolkit Toolkit Sections: Is your hospital ready for this change? … How will you manage change? Which practices do you want to use? … Setting goals and plans for change Specific goals have been set.
  10. preventiveservices.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/sustainability/training-tools/training-tools-slideset.pptx
    May 01, 2017 - Leading Change. … Change Management: Instructor's Slides: TeamsTEPPS Fundamentals Course. November 2008. … Understanding the Sustainability of Health Programs and Organisational Change. … Leading Change. … Understanding the Sustainability of Health Programs and Organisational Change.
  11. preventiveservices.ahrq.gov/cahps/quality-improvement/improvement-guide/4-approach-qi-process/index.html
    January 01, 2020 - A change concept is a general idea with proven merit and sound scientific or logical foundation that … The communication process with the health plan might then be the target of a separate change. 4.B.1 … Failures are low-risk because you have not tried to change the entire culture. … A Framework for Spread: From Local Improvements to System-Wide Change . … Sometimes, the facilitator is the ability of a change to help achieve secondary goals.
  12. preventiveservices.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/resources/tools/cauti-surveillance/pocket-card.pptx
    March 13, 2017 - mm3 □ Increase in immature white blood cells (Left Shift) with >6% bands or >1,500 bands/mm3 Acute Change … Disorganized thinking (thinking is incoherent or hard to follow) OR Altered level of consciousness (change … Disorganized thinking (thinking is incoherent or hard to follow) OR Altered level of consciousness (change … Disorganized thinking (thinking is incoherent or hard to follow) OR Altered level of consciousness (change … Disorganized thinking (thinking is incoherent or hard to follow) OR Altered level of consciousness (change
  13. preventiveservices.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/pruhealing/puh-factraining-slides.pptx
    November 01, 2016 - November 2016 On-Time Overview 7 7 Role of the Facilitator Establish relationship with Change Team … Overview 10 10 Facilitator Role: Preliminary Support Provide input on the composition of the change … The Facilitator encourages the champion to lead a discussion to help the Change Team decide how to use … Monitor the team’s level of engagement: Are key members of the change team participating in meetings … November 2016 On-Time Overview 30 Facilitator Role: Monitoring Impact of On-Time Assist the Change
  14. preventiveservices.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/pruhealing/puh-implementation-handouts.pdf
    July 01, 2016 - Program Champion: How do you decide when to change the treatment? … a. √ Change in condition b. √ Weight loss c. √ Change in meal intake d. √ Change in fluid intake … e. √ Change in mobility f. √ Change in continence g.  Change in ability to communicate pain Based … X X Nursing assistant shift change Report CNAs meet at shift change to share summary of residents … X X X X Nurse shift change report Nurses meet at change of shift to review resident clinical and
  15. Guide (doc file)

    preventiveservices.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/implementation/long-term-modules/module6/guide.docx
    March 01, 2017 - Learning Objectives: · Define sustainability and recognize the importance of maintaining positive change … Facility · Slides 4–6 Planning for Sustainability · Slides 7–11 Steps for Achieving Sustainable Change … administrators and frontline staff; residents and families Topic: Steps for Achieving Sustainable Change … Of the seven steps for achieving sustainable change, ask the staff to identify one step the facility
  16. preventiveservices.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/pruprev/pruprev-menu.pdf
    January 29, 2015 - Once particular meetings/huddles are identified, the expectation is that the change team and the facilitator … Strategies 3 Pressure Ulcer Prevention Menu of Implementation Strategies Existing New Risk Change … Nurse shift change report 2. CNA shift change report 3. CNA worksheet 4. … Resident change in condition reviews 2. Weekly nutrition-at-risk meetings 3.
  17. preventiveservices.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/implementation/implementation-guide/appendix-k-study-elements.docx
    April 13, 2017 - Consider additional testing or make adjustments to the intervention to achieve greater change. · Abandon … · Keep the intervention as simple as possible to avoid confusion and change overload for the team. … Change Data Compare the baseline data with the data collected after the intervention was initiated. … Consider additional testing or make adjustments to the intervention to achieve greater change. · Abandon … · Conclusions are typically presented in narrative form and should be directly related to your change
  18. preventiveservices.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/fallprevention-training/module4/module4_slides_best-practices.pptx
    November 20, 2014 - How do you manage the change process at the patient care level? … Page 59 ‹#› Manage the Change Process Ensure staff understand new roles. … Ensure staff understand reasons for change and agree change is needed. … . ‹#› Manage the Change Process Have adequate access to supplies and equipment available. … Implementation Progress Baseline measures of fall rates and processes should be obtained before any change
  19. preventiveservices.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/fallprevention-training/webinars/webinar3_falls_staffroles.pdf
    January 01, 2013 - • Incorporate change into routine care. … • Give all patients noted to have a change in mental status a Delirium Evaluation Bundle to determine … 24 Training Staff on New Practices • Managing change process • Getting staff engaged and excited … • Helping staff learn new practices 25 Strategies for Managing Change Process • Engage staff to … • Change practices or the implementation plan to address their concerns.
  20. preventiveservices.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/prevhosp/ontime-preventablehospitaledvisits-overview.pptx
    May 01, 2017 - decisionmaking May 2017 On-Time Overview 7 7 Role of the Facilitator Establish relationship with Change … Overview 10 10 Facilitator Role: Preliminary Support Provide input on the composition of the change … The Facilitator encourages the champion to lead a discussion to help the Change Team decide how to use … Monitor the team’s level of engagement: Are key members of the Change Team participating in meetings … May 2017 On-Time Overview 29 Facilitator Role: Monitoring Impact of On-Time Assist the Change Team

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