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441. Key Study Outcomes Across Grants | Agency for Healthcare Research and Quality
     www.monahrq.ahrq.gov/ncepcr/research-transform-primary-care/transform/synthesis-report/outcomes.html
     October 01, 2015 - extensive variation among Health Care Home (HCH) clinics, their overlap with non-HCH clinics, and the small change … in performance over time suggest that medical homes are not similar, that change in outcomes is slow … reduction in emergency room visits but a 10 percent increase in specialty care visits and no significant change

442. Key Study Outcomes Across Grants | Agency for Healthcare Research and Quality
     www.monahrq.ahrq.gov/ncepcr/reports/grants-transform/key-study-outcomes.html
     March 01, 2017 - extensive variation among Health Care Home (HCH) clinics, their overlap with non-HCH clinics, and the small change … in performance over time suggest that medical homes are not similar, that change in outcomes is slow … reduction in emergency room visits but a 10 percent increase in specialty care visits and no significant change

443. Leading Teams (Instructor Guide) (pdf file)
     www.monahrq.ahrq.gov/sites/default/files/wysiwyg/teamstepps/longtermcare/module4/ts2-0ltc_module4_ig_lead.pdf
     May 10, 2017 - The responsibility of leading the team may change depending on the flow of the case. … team can repeat the behavior or plan the next time; and • Establishment of a method to formally change … highlighted the clinical status of one resident who was found wandering during the night, which was a change … highlighted the clinical status of one resident who was found wandering during the night, which was a change … highlighted the clinical status of one resident who was found wandering during the night, which was a change

444. How did CHIPRA quality demonstration States employ learning collaboratives to improve children's health quality? Evaluation Highlight #13 (pdf file)
     www.monahrq.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/demoeval/what-we-learned/highlight13.pdf
     September 08, 2015 - • Practices valued learning about the evidence base supporting a change as well as practical information … Many practices learned how to conduct small tests of change, often using the Plan-Do-Study-Act (PDSA … ) approach.9 The PDSA approach involves assessing whether a small change has a positive impact and … then continuing to refine and test the change until it is successfully incorporated into a practice … Evaluation Highlight #5 discusses how practices used PDSA cycles to facilitate practice change.

445. Hospital Language Services: Quality Improvement and Performance Measures (pdf file)
     www.monahrq.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Regenstein_54.pdf
     May 08, 2008 - apply techniques and tools similar to those used in other QI collaboratives, including rapid cycle change … Identifying a Framework for Organizational Change After determining that the IOM domains of quality … Thus, this measure required hospitals to change data collection practices to focus less on numbers of … Such a change required hospitals to interact, either directly or indirectly, with registration staff … True change in the quality of language services requires the ongoing support and participation of multiple

446. Coop_Context_Info_Assessment (pdf file)
     www.monahrq.ahrq.gov/sites/default/files/wysiwyg/evidencenow/results/research/cooperative-context-external.pdf
     January 01, 2016 - : We want to understand how particular circumstances in your region influenced your Cooperative to change … and successes are fresh in your minds, and b) how particular circumstances might influence you to change

447. EvidenceNOW: Evaluation Measures | Agency for Healthcare Research and Quality
     www.monahrq.ahrq.gov/evidencenow/projects/heart-health/research-results/research/methods/measures.html
     August 01, 2018 - Unhealthy Alcohol Use Building State Capacity Managing Urinary Incontinence Tools for Change … The surveys include items assessing practice capacity (using validated Adaptive Reserve and Change Process

448. Management Practices for Sustainability Module 3: Problem Solving and Escalation | Agency for Healthcare Research and Quality
     www.monahrq.ahrq.gov/hai/tools/ambulatory-surgery/sections/sustainability/management/problem-solving-slides.html
     June 01, 2017 - How will you know that a change is an improvement? … What can you change to make an improvement?

449. Reporting Subawards and Executive Compensation - October 1, 2010 (pdf file)
     www.monahrq.ahrq.gov/sites/default/files/wysiwyg/funding/grant-mgmt/subawards.pdf
     December 31, 2010 - Change in pension value. … This is the change in present value of defined benefit and actuarial pension plans. v.

450. Lessons From Healthcare Organizations on Improving Patient Experience webcast-Ginsberg (pdf file)
     www.monahrq.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/cahps-lessons-ahrq-program.pdf
     November 01, 2006 - Sustaining more substantial change is likely to require organizational strategies, engaged leadership

451. Appendix-K-Material-Guide (doc file)
     www.monahrq.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/implementation/implementation-guide/appendix-k-material-guide.docx
     April 21, 2014 - project are completed in the proper sequence to facilitate progression from a simple idea to sustainable change

452. Strategies for Improving CAHPS Clinician & Group (CG-CAHPS) Survey Scores (pdf file)
     www.monahrq.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/20160315/rick-evans-slides.pdf
     March 15, 2016 - . – access  Targets – organizational history, national change reports Structures and Initiatives

453. Module 3: Best Practices in Fall Prevention (doc file)
     www.monahrq.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/fallprevention-training/module3/module3_fall-prevention.docx
     January 01, 2013 - 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 2:

454. CUSP Toolkit, The Role of the Nurse Manager, Facilitator Notes | Agency for Healthcare Research and Quality
     www.monahrq.ahrq.gov/hai/cusp/modules/nursing/nursing-notes.html
     December 01, 2012 - Nurse managers are the leader of their unit and can influence the unit's culture and ability to embrace change … Because nurse managers are in a position to align the unit's goals and processes with a culture change … Serving in this capacity, nurse managers are change agents on their unit. … Nurse managers are the change agents for the unit and make decisions that guide the unit's activities … Unless nurse managers can express the financial advantages of a change in process, the organization may

455. How are CHIPRA quality demonstration States testing the Children's Electronic Health Record Format? | Agency for Healthcare Research and Quality
     www.monahrq.ahrq.gov/policymakers/chipra/demoeval/what-we-learned/highlight10.html
     August 01, 2014 - child health, even if limited to a subset of high-priority Format requirements, could help spur desired change … CHIP 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 … Training opportunity 4 Yes No N/A No IT solution 5 No Yes or no N/A Yes or no No change

456. 2017Qdr-Patsafchartbook (pdf file)
     www.monahrq.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/chartbooks/patientsafety/2017qdr-patsafchartbook.pdf
     October 01, 2018 - Measures are aligned so that positive change indicates improved access to care. … • No Change = Rate of change is less than 1% per year or is not statistically significant. … Relative Change in Taking Medication Correctly, by State Relative change from 2010 to 2016 in how often … From 2010 to 2016, the median relative rate of change across States was 43.2%. …  Examine trends in patient safety culture change over time.

457. Culture Checkup Tool | Agency for Healthcare Research and Quality
     www.monahrq.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/teamwork/culture-checkup-tool.html
     July 01, 2023 - conversations, evaluate cultural issues (between survey administrations), and monitor the progress of culture change … Conclude the meeting by establishing a tentative plan and timeline for carrying out an agreed-upon change

458. Sustaining Fall Prevention Practices at Your Hospital (pdf file)
     www.monahrq.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/fallprevention-training/webinars/webinar6_falls_sustainingpractices.pdf
     January 01, 2013 - • Repeated cycles of change and evaluation are needed to achieve the goal, with each cycle closer … the success of your Fall Prevention Program allows you to generate and maintain excitement about change

459. PA SPREAD: Pennsylvania Spreading Primary Care Enhanced Delivery Infrastructure (pdf file)
     www.monahrq.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/primary-care/tpc/impact-profile-pa.pdf
     April 01, 2015 - data reporting was another critical component of practice facilitation that coaches used to drive change … collaboratives were well funded and could provide individual practices with financial incentives for change

460. Spotlight on Pennsylvania -- The National Evaluation of the CHIPRA Quality Demonstration Grant Program (pdf file)
     www.monahrq.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/statesummaries/chipra-750-pennsylvania-state-snapshot.pdf
     January 01, 2018 - resistance to making changes, staff availability to implement changes, and provider resistance to change