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www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/03-pt-narratives-support-px-strategy-grob.pdf
December 27, 2024 - learning
Deepen operational knowledge • Motivate staff to commit to projects and take action • Motivate change … assessment
Cultivating a service-
oriented workplace culture
Catalyzing improvement
projects
Change … attention on positive
practices and improvement
opportunities
Promote deeper group learning
Motivate change
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/officebasedcare/impworkbook.pdf
December 11, 2015 - Create a Change Team
Objective: To assemble a team of leaders and staff members with the authority, … Essential Change Team Members
Change Team
Member
Name (Staff
Position) Key Characteristics Primary … Whose team behavior will change? … Whose behavior will change and/or which patient populations
will be affected? … Create a Change Team
Step 2.
-
www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2018qdr-appa2.pdf
January 01, 2018 - from 2000 through 2012, 2014, 2016, or 2017
Person-Centered Care
Improving
Average Annual
Percent Change … .2-2 | 2018 National Healthcare Quality and Disparities Report
Improving
Average Annual
Percent Change … 2 months of care
-1.1 0.0 0.02 HHCAHPS 6 (2012-
2017)
Not Changing
Average Annual
Percent Change … Data Source
Number of
Years
None
Patient Safety
Improving
Average Annual
Percent Change … home health care
-1.52 0.0 0.00 HHCAHPS 6 (2012-
2017)
Not Changing
Average Annual
Percent Change
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/pruhealing/facguide.html
December 01, 2017 - In the scripted exercise, you will play the parts of the Facilitator and change team members. … These handouts are intended to help the change team make their implementation decisions. … The change team then decides how to pilot the use of the reports. … In reality, a change team may make these decisions over a number of change team meetings. … to test a change and allow examination and refinement.
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/fallsprev/ontimefallspximplsteps.pdf
November 02, 2017 - It is
intended to be used by the team champion and the Change Team members to help keep the effort … Leadership agrees to identify a change team champion and establish a
multidisciplinary Change Team to … Step 2: Contact Vendor
The Change Team champion or information technology (IT) representative contacts … Step 3: Identify Multidisciplinary Team Members To Serve as the Change Team
The Change Team consists … Identify Multidisciplinary Team Members To
Serve as the Change Team
Within 2 weeks
4.
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/pruhealing/puh-impsteps.docx
January 19, 2017 - This document is intended to be used by the team champion and the change team members to help keep the … Leadership agrees to identify a change team champion and establish a multidisciplinary change team to … Step 2: Contact Vendor
The change team champion or information technology (IT) representative contacts … Step 3: Identify Multidisciplinary Team Members To Serve as the Change Team
The change team consists … of a change team champion, nurse managers from each nursing unit, a dietitian, and nursing assistants
-
www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/pruprev/ereports.html
December 01, 2014 - Supplement Intake % *
Weight Change lb
Most Recent Ulcer Access Date
# Pr Ulcers
A
001 … Date indicates when the weight change is first identified. … Has the care plan been updated to reflect this change? … Is this a subtle or dramatic change?
Has this been addressed? … Has there been follow-up to a potential change in behavior? What is the underlying cause?
-
www.ahrq.gov/sites/default/files/wysiwyg/cahps/surveys-guidance/cg/about/cg_3-0_overview.pdf
January 01, 2015 - [Yes/No]
No change.
3 3
How long have you been
going to this provider? … Change from
“phone” to
“contact”
accounts for
various modes of
communication
and coordination. … Change from
“phoned” to
“contacted”
accounts for
various modes of
communication
and coordination … [Excellent/Very
Good/Good/Fair/Poor]
No change.
25 28
What is your age? … [Yes, Hispanic or Latino/ No,
Not Hispanic or Latino]
No change.
29 32
What is your race?
-
www.ahrq.gov/research/findings/nhqrdr/2014chartbooks/womenhealth/wm-summ.html
September 01, 2015 - Change in Disparities
Change in disparities in measures of quality between males and females
Key … No change = Disparity is not changing or is changing at a rate less than 1% per year. … Change in Disparities by NQS Priorities and Access
Change in disparities between males and females, … No change = Disparity is not changing or is changing at a rate less than 1% per year. … Did not change for 40% (73 out 182) of the measures.
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/primary-care/tpc/tpc-profile-reid.pdf
April 01, 2015 - To facilitate spread across
the practices, the redesign was segmented into four practice
change and … four management change modules. … The four management change modules were:
strategy for telephone call management, use of team huddles … To develop each practice change module, Lean-based rapid process improvement workshops were held
to … There was no significant change in inpatient admission rates.
-
www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/changing-system-facilitator-guide.docx
June 01, 2021 - These are factors you want to change. In this case, negative contributing factors were:
1. … These help us change or redesign the system to help reduce the risk of an event like this happening again … · Finally, find out if staff members believe that the policy or change is effective at reducing risks … Did the change make things safer for residents? Has the policy led to unintended consequences? … Change cannot occur if the workforce is not aware and engaged, so share the results from your hard work
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/fallpxtoolkit/fallpxtool1f.docx
January 28, 2013 - Why is change needed?
Hospital-specific reasons for change have been identified. … Do organizational members understand why change is needed? … Is there a sense of urgency about the change?
-
www.ahrq.gov/professionals/quality-patient-safety/patientsafetyculture/nursing-home/2014/nhsurv14-chap7.html
November 01, 2014 - Often, the perceived failure of surveys as a means for creating lasting change is actually due to faulty … to help your nursing home go beyond simply conducting a survey to realizing patient safety culture change … Use survey feedback as an impetus for change. … It is also important to identify other obstacles you may encounter when trying to implement change and … that involves first developing a small-scale plan to test a proposed change (Plan), carrying out the
-
www.ahrq.gov/professionals/quality-patient-safety/patientsafetyculture/medical-office/2014/mosurv14chap7.html
June 01, 2014 - Often, the perceived failure of surveys as a means for creating lasting change is actually due to faulty … Use survey feedback as an impetus for change. … It is also important to identify other obstacles you may encounter when trying to implement change and … that involves first developing a small-scale plan to test a proposed change (Plan), carrying out the … If you determine that a change has worked, communicate that success to staff by telling them what was
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/fallsprev/ontimefallpxsamplereports.docx
September 29, 2017 - Resident
Within 90 Days
Within 7 Days
Name
Room
High-Risk Existing Conditions
High-Risk Change … Which acute change was seen most often? Least often? … How many residents at highest risk had a change in status during the report week? … report date; referred to in this document as high-risk change of condition or HRCC elements. … CNA Shift Change Report
Nurse managers or charge nurses.
-
www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/fallspx/factraining.html
November 01, 2017 - The training also explains the role of the Facilitator in working with the nursing home Change Team to … The On-Time Facilitator will:
Establish a relationship with the Change Team. … 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 or huddles
-
www.ahrq.gov/research/findings/nhqrdr/chartbooks/blackhealth/part3-nqs.html
March 01, 2016 - Did not change for 32% (57 of 179) of the measures. … Improved for 72% (13 of 18) of Person-Centered Care measures and did not change for 28% (5 of 18). … Improved for 63% (12 of 19) of Care Coordination measures and did not change for 21% (4 of 19). … Improved for 58% (37 of 64) of Healthy Living measures and did not change for 36% (23 of 64). … No Change = Disparities are not changing.
-
www.ahrq.gov/funding/policies/polnotice/index.html
February 01, 2025 - State-based Solutions to Healthcare Improvement (U54) Notice Number: NOT- HS-24-027 9/26/24 Notice of Change … Extend Expiration Dates for PA-21-264 and PA-21-265 Notice Number: NOT- HS-24-022 8/27/24 Notice of Change … for AHRQ Awards that end after October 1, 2024 Notice Number: NOT- HS-24-020 7/22/24 Notice of Change … to PA-23-291 Notice Number: NOT- HS-23-021 9/8/23 Notice of Change to PA-23-290 Notice Number: NOT … for PA-21-264, PA-21-265, PA-22-047, and PA-22-048 Notice Number: NOT- HS-23-014 5/30/23 Notice of Change
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/fallpxtoolkit/fallpxtool6a.docx
January 01, 2007 - Is change goal focused (not too encompassing) and actionable? … Financial resources
Is funding adequate for the time period required to achieve the change goal? … Integration
Are change goals aligned with strategic goals of participating entities (macro level) … Are change goals integrated with other performance measures and reward systems of participating entities … Problem solving: If change goals are not aligned and integrated with the strategic goals, performance
-
www.ahrq.gov/prevention/resources/chronic-care/ccrm-atlas-suppl/ccrm-apptabA-1.html
October 01, 2013 - community resource
Informed and activated patient
Process domains
Readiness for behavior change … Outreach to obtain knowledge of and familiarity with community resources
Readiness for behavior change … Outreach to obtain knowledge of and familiarity with community resources
Readiness for behavior change … Knowledge of and familiarity with community resources
Stage of behavior change
Knowledge of … and familiarity with community resources
Stage of behavior change
Marketing results
Patient