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381. AHRQ’s Safety Program for Nursing Homes: On-Time Falls Prevention | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/fallspx/faclevel.html
     November 01, 2017 - Sample Quarterly Summary of Falls Risk Factors by Facility (continued)   High-Risk Change in … Condition   Acute Mental Status Change Behavior: New Unsafe New Gait/Balance … or Device Order New Fall Med: New Med or Dose Change Orthostatic Hypotension … Uncontrolled chronic Urinary Incontinence: New or Increase Mobility: More Independent Room Change … Mobility Transfer Toileting Depression Score Monthly BMI <18.5 kg/m 2 Significant Wt Change

382. Just Culture Webcast Presentation (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patientsafetyculture/hospital/hospwebinar/just-culture-webcast-2-presentation.pdf
     May 01, 2007 - Medical Staff Bylaws • In-Person Learning/Sharing – 3 Days • Monthly conference calls Creating Change … high-profile leaders and organizations • Education • Weaving into the fabric of the organization • Policy Change … Practice into Policy Two years to change the Corrective Action Policy Policy into Practice • … When staff take shortcuts that put patient safety at risk, supervisors or managers work with them to change … pitched this to my boss Fortuitous Serendipity The UNC Collaborative Team The Collaborative Creating Change

383. PowerPoint Presentation
     www.ahrq.gov/sites/default/files/wysiwyg/teamstepps/webinars/2017-materials/TS_OBC_Webinar_Plitt_FINAL.pptx
     January 01, 2017 - Explore opportunities to develop “change capacity” within the medical office. … The “Change Team” By Bit Boy - Flickr: The Elephant in the Room, CC BY 2.0, https://commons.wikimedia.org … Efforts: All change programs intended to improve organizational performance B WORK Change Capacity … : Organizational competency in planning, leading, and sustaining change efforts C WORK How Change … 05.2 Mod 1 05.2 Page ‹#› Slide ‹#› Small Office Setting 20 Leveraging Different Approaches to Change

384. Part 3: Trends in Access and Priorities of the National Quality Strategy—National Quality Strategy Priorities | Agency for Healthcare Research and Quality
     www.ahrq.gov/research/findings/nhqrdr/2014chartbooks/hispanichealth/part3-nqs.html
     May 01, 2018 - No Change = Quality is not changing or is changing at an average annual rate less than 1 percent per … Did not change for 34% (49 out of 144) of the measures. … Improve for 73% (16 of 22) of Person-Centered Care measures and did not change for 27% (6 of 22). … Improved for 63% (24 of 38) of Healthy Living measures and did not change for 37% (14 of 38). … No Change = Disparities are not changing.

385. AHRQ's Safety Program for Nursing Homes: On-Time Pressure Ulcer Prevention | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/pruprev/erepguide-slides.html
     December 01, 2017 - Weight Change. Most Recent Ulcer Assessment Date. # Pressure Ulcers. … report Risk Change Report Slide 32: Risk Change Report: Resident Changes and Declines From Prior … Acute change in health status. … Slide 33: Sample Risk Change Report   Name Room Number Nutrition Risk Change Within … Acute Change in Status.

386. QDR 2014: Chartbook for Hispanic Health Care, Part 2 (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2014chartbooks/hispanichealth/2014nhqdr-hispanichealth-pt2.pdf
     July 01, 2015 - Breast Cancer Care for Hispanics Measure Most Recent Disparity Disparity Change Women ages 50- … Breast cancer deaths per 100,000 female population per year Better No Change  Trends: Most … This disparity did not change over time. … per 100,000 population per year Better No Change Women ages 21-65 who received a Pap smear in the … These disparities did not change over time.

387. 4. How do you implement the fall prevention program in your organization? | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/hospital/fall-prevention/toolkit/implementation.html
     January 01, 2013 - Are you ready for this change? 2. How will you manage change? 3. … How do you manage the change process at the front line? … How do you manage the change process at the front line? … Help reduce resistance to change by ensuring that staff understand the reasons for change and agree that … change is needed.

388. Chapter 6: Reflections on the Critical Elements for Successful Bridge Building | Agency for Healthcare Research and Quality
     www.ahrq.gov/ncepcr/tools/obesity/obpcp6.html
     May 01, 2014 - As such, these sites were able to negotiate the challenges of practice change (e.g., implementing new … calling meetings, reminding other staff about the project, and supporting implementation of clinic change … However, without clinic leadership support this small change didn’t translate into larger project goals … practice led these groups; noting efficacy and familiarity with the program’s philosophy of lifestyle change … Some practices handled this better than others, having either adaptive reserve to juggle many change

389. Engage Module Alternate Text | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/cusp/modules/engage/alt-text.html
     April 01, 2013 - Slide 10 Supports Both Technical and Adaptive Work of Change Technical Work Addresses problems … Slide 11 Supports Both Technical and Adaptive Work of Change Adaptive Work Addresses problems … that require a change in: attitudes beliefs behaviors Leaders, staff, and key stakeholders … share responsibility for change A provider and a senior executive standing next to a line cart … Slide 12 Supports Both Technical and Adaptive Work of Change Technical Work Synchronizes

390. CUSP Toolkit: Spread Presentation Slides | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/cusp/modules/spread/spread.html
     December 01, 2012 - A Framework for Spread: From Local Improvements to System-Wide Change. … Spread Sequencing 5 Developing a change Theory and prediction Testing a change Test under … a change to other locations Plan Do Study Act The Plan-Do-Study-Act cycle. … Scaling Up—From Vision to Large-Scale Change: A Management Framework for Practitioners. … Framework for Spread: From Local Improvements to System-Wide Change .

391. Implications for the Guide | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/reports/engage/implications.html
     March 01, 2017 - during our work and that our interventions themselves will emerge at a time of increased readiness for change … In addition, multiple initiatives are competing for provider and practice attention for implementing change … Implication 2: Engagement Interventions Need To Focus on the Patient as Change Agent Our environmental … of evidence revealed during our environmental scan included "education"” as a key driver in behavior change … Guide development process include bringing our human factors and safety specialists, health behavior change

392. PCIC Staff Qualitative Interview Guide (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/results/research/interview-protocol-pcip-staff-ny.pdf
     August 23, 2018 - If you want to make a change in this practice how does that happen? … PROBE: What is the process for making a change? … Can you give me an example of a recent change you made in the practice and how that was implemented? … PROMPT: Could be related to a change in patient care or the way you are using the Electronic Health … PROBE: Why did you decide to work on this particular change? What else have you worked on? 4.

393. Chapter 6. Measure Maps and Profiles (continued, 11) | Agency for Healthcare Research and Quality
     www.ahrq.gov/ncepcr/care/coordination/atlas/chapter6j.html
     June 01, 2014 - Facilitate transitions          Across settings          As coordination needs change …   ■   Create a proactive plan of care   ■   Monitor, follow up, and respond to change … , 1D5 Create a proactive plan of care: 1A10, 1B10, 1C6, 1C8 Monitor, follow up, and respond to change …     Create a proactive plan of care □     Monitor, follow up, and respond to change … goals: 2-4, 6, 19 Create a proactive plan of care: 10, 22 Monitor, follow up, and respond to change

394. Chapter 6. Measure Maps and Profiles (continued, 24) | Agency for Healthcare Research and Quality
     www.ahrq.gov/ncepcr/care/coordination/atlas/chapter6w.html
     June 01, 2014 - Facilitate transitions            Across settings □          As coordination needs change …     Create a proactive plan of care       Monitor, follow up, and respond to change … settings: 49, 50 Assess needs and goals: 22, 23, 24, 38 Monitor, follow up, and respond to change … 19a, 19b, 19c, 20a, 20b, 21a, 21b, 21c, 22a, 22b, 22c, 23 Monitor, follow up, and respond to change … Facilitate transitions: Across settings: 18 Monitor, follow up, and respond to change

395. Chapter 6. Measure Maps and Profiles (continued, 23) | Agency for Healthcare Research and Quality
     www.ahrq.gov/ncepcr/care/coordination/atlas/chapter6v.html
     June 01, 2014 - Facilitate transitions            Across settings            As coordination needs change …     Create a proactive plan of care □     Monitor, follow up, and respond to change …     Create a proactive plan of care □     Monitor, follow up, and respond to change … needs and goals: 5, 6 Create a proactive plan of care: 7, 8 Monitor, follow up, and respond to change …     Create a proactive plan of care ■     Monitor, follow up, and respond to change

396. Module 1: Using the Comprehensive Long-Term Care Safety Modules: Applying Safety Principles: Facilitator Notes | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/quality/tools/cauti-ltc/modules/implementation/long-term-modules/module1/mod1-facguide.html
     March 01, 2017 - These tools supplement other quality and performance improvement initiatives, all of which aim to change … Implementing Change in Long-Term Care: A Practical Guide to Transformation . … For example, Kotter's Eight Steps of Change describes what happens to get change to occur. … Culture are only two components for implementing change in your facility. … Implementing Change in Long-Term Care: A Practical Guide to Transformation .

397. Statistical Process Control: Possible Uses to Monitor and Evaluate Patient-Centered Medical Home Models (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/tools/PCMH/statistical-process-control.pdf
     March 01, 2013 - of good short-term process metrics, and a lack of knowledge regarding tools to differentiate true change … Using frequently measured data, SPC can be used to detect, early on, whether any change has taken place … Measures appropriate for control chart analysis are those that change frequently over time. … SPC methods can be supplemented by multivariate time series regression analysis to test change over … does not make it obvious what exactly brought about the change.

398. Appendix B. Search Terms | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/reports/engage/appb.html
     March 01, 2017 - Physician assistant Primary practice General practice General Practitioner Change … Theories Organizational change Process management Transtheoretical model Stages of change

399. Preventing Falls in Hospitals
     www.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.

400. Improving Communication and Teamwork in the Surgical Environment
     www.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.