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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
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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
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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.
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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
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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.
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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.
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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
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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
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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.
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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.
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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.
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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
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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
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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
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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
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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.
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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
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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
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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.
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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