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  1. www.innovations.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/primary-care/tpc/tpc-profile-calman.pdf
    April 01, 2015 - A Study of the Patient-Centered Medical Home: Lessons From a New York State Community Health Center A Study of the Patient-Centered Medical Home: Lessons From a New York State Community Health Center Principal Investigator: Neil Calman, MD Institution: The Institute for Family Health AHRQ Grant Number: R18…
  2. www.innovations.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/pdi/c1_pdi_prioritizationworksheet.pdf
    June 05, 2016 - Are affected staff willing to change?
  3. www.innovations.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/primary-care/tpc/tpc-profile-tai-seale.pdf
    April 01, 2015 - Front-line staff often expressed feeling overwhelmed by changes and experienced change fatigue.
  4. www.innovations.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/pressure_ulcer_prevention/module2/putoolkit_module2_tools.docx
    February 16, 2011 - gaps and problems in your current processes, and use the results of this analysis to systematically change … When a change in condition occurs Does your hospital’s policy state that a skin assessment … Provide regular pain med administration · Reassess effectiveness of med · Assess/treat side effects · Change
  5. www.innovations.ahrq.gov/sites/default/files/wysiwyg/teamstepps/longtermcare/module1/ts2-0ltc_module1_ig_intro.pdf
    January 01, 2007 - Provides a brief overview of TeamSTEPPS, including a brief video and an interactive TeamSTEPPS Model of Change … The Master Trainer, as a change agent, must serve as a leader to implement TeamSTEPPS and facilitate … change. … This includes: • Change Management—Provides information about organizational change through Kotter … ’s Eight Steps of Change
  6. www.innovations.ahrq.gov/policymakers/chipra/demoeval/what-we-learned/highlight05.html
    November 01, 2013 - A South Carolina physician commented, “Everybody has to understand that change is not one person’s job … “Everybody has to understand that change is not one person’s job, it is the practice’s job.” … The providers interviewed for this study were beginning to accept and adapt to that change.
  7. www.innovations.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/pressure_ulcer_prevention/module5/module5_pu_measurement.docx
    January 01, 2016 - you will know whether care is improving, staying the same, or getting worse in response to efforts to change … Pressure injury rates may change based on the season or month of the year. … can be displayed as an annotated run chart to show the impact of prevention strategies during the QI change … injury data over time, especially in an annotated run chart, you can see how the pressure injury rates change
  8. www.innovations.ahrq.gov/ncepcr/research-transform-primary-care/transform/profile/calman.html
    October 01, 2015 - Skip to main content An official website of the Department of Health and Human Services Careers Contact Us Español FAQs Search all AHRQ sites Search small Search Menu …
  9. www.innovations.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/demoeval/what-we-learned/highlight10.pdf
    September 08, 2015 - health, even if limited to a subset of high- priority Format requirements, could help spur desired change … specifically required the development of a Children’s EHR Format and thus became an impetus for change … industry’s understanding of the role of technology in children’s health care but also to accomplish change … 1 Yes Yes Yes Yes No change to existing EHR 2 Yes No N/A Yes—in upgrade Consider purchasing upgrade … Yes No N/A Yes Training opportunity 4 Yes No N/A No IT solution 5 No Yes or no N/A Yes or no No change
  10. www.innovations.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/implementation/implementing-guide.pdf
    March 01, 2017 - The Comprehensive Unit-Based Safety Program (CUSP) is a change model designed to improve resident safety … Each section of this guide is further described: • Program Elements highlights the culture change model … The culture change model for this program is CUSP. … As resident outcomes change, an LTC facility wants to know that the interventions or changes applied … To change the way facilities do their work and provide care, refer to the Long-Term Care Safety Toolkit
  11. www.innovations.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/20160315/improving-cg-cahps-scores-webcast-transcript.pdf
    March 01, 2016 - So making change in patient experience here is challenging and has to be done really at scale and so … You can see that also there hasn't been tremendous change over the three-year period. … Small changes are not going to make a change in our CAHPS survey. … That has really been a powerful motivator for staff to know that they can make the change. … They are the ones who are responsible for developing, implementing and evaluating the change.
  12. www.innovations.ahrq.gov/hai/tools/ambulatory-surgery/sections/sustainability/management/overview-slides.html
    June 01, 2017 - Slide 4: Sustaining Change Is Not Easy! … Many (if not most) change implementations fail to sustain. 6 Few studies provide practical guidance
  13. www.innovations.ahrq.gov/teamstepps/rrs/instructor_slides/rrsinstructmod.html
    October 01, 2014 - For example, if the Activator was the nurse, his or her role could change from primary caregiver in the … Physician shift change (responsibility). Evolving patient condition. … What went wrong and how can we change the RRS to prevent recurrence? … She did not note any specific change in clinical status, though she agreed that the patient seemed lethargic … The nurse called the physician at 3 a.m. and described the patient's general status change as being "
  14. www.innovations.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/fallprevention-training/module3/module3_slides_best-practices.pptx
    June 16, 2017 - If not, how would you change it? … Communicate patient’s risk factors orally at shift change and medical rounds. ‹#› Document and Communicate … huddles (safety briefing) Page 44 ‹#› 37 Practice Insight Convene safety huddles at every shift changeChange plan of care. Involve patient/family in learning about the fall occurrence.
  15. www.innovations.ahrq.gov/ncepcr/research-transform-primary-care/transform/final-impact/lessons.html
    October 01, 2015 - IMPaCT grants helped to develop and disseminate packaged resources; for example, North Carolina’s change … Where there is resistance to practice transformation, attitudes are likely to change when payers begin
  16. www.innovations.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/primary-care/workforce-financing/case_example_4.pdf
    October 01, 2016 - records and changes in history, helping with procedures, doing preventive screenings, and some behavior change … To make changes, they now start small, working out the change with one provider and one team before … Measurement and data are foundations of QI, but empowering care teams to use data to change care patterns … The data specialist role is important, bridging data management and practice change.
  17. www.innovations.ahrq.gov/policymakers/chipra/demoeval/what-we-learned/implementation-guides/implementation-guide1/impguide1step2.html
    March 01, 2019 - Who has the political or professional clout to make change happen? … sustained and strengthened, ask: How has the membership changed over time, or how is it likely to change … Has there been a change in the leadership of your institutional home?
  18. www.innovations.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/a2_combo_boardpresentation.pdf
    October 01, 2015 - This tool is part of the Readiness To Change section in the Toolkit Roadmap. … Slide 12 Toolkit for Using the AHRQ Quality Indicators How To Improve Hospital Quality and Safety • Change … Laterality – Greater specificity in code assignment • The AHRQ QIs have been updated to reflect this change
  19. www.innovations.ahrq.gov/patient-safety/settings/hospital/fall-prevention/workshop/module-3/guide.html
    September 01, 2017 - Reassessment should be done whenever there is a change in a patient’s condition, or when he or she is … What elements in this case study may change quickly and reduce his risk for a fall? … If not, how would you change it? … You also need to communicate patients’ risk factors orally at shift change, and by review of the medical … Slide 49 Do: Start a discussion of opportunities for change and action steps for Key Intervention
  20. www.innovations.ahrq.gov/sites/default/files/wysiwyg/ncepcr/resources/job-aid-presenting-data.pdf
    May 17, 2021 - Job Aid: Presenting Performance Data Primary Care Practice Facilitator Training Series 1 Job Aid: Presenting Performance Data Overview Presenting performance data to a practice in a way that facilitates meaningful action is an important part of quality improvement and an essential activity for a …

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