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141. Study Finds Evidence of Intentional Inappropriate Painkiller Prescribing | Agency for Healthcare Research and Quality
     www.talkingquality.ahrq.gov/news/newsletters/e-newsletter/846.html
     January 01, 2023 - AHRQ Seeks Research Proposals on Intersection of Climate Change and Healthcare . … AHRQ Seeks Research Proposals on Intersection of Climate Change and Healthcare A Special Emphasis … interest in receiving health services research grant applications that address the intersection of climate change … Addressing the inequitable impacts of climate change. … also noted that using telehealth for provider education and mentoring might improve patient outcomes, change

142. AHRQ's Safety Program for Nursing Homes: On-Time Falls Prevention Training (pdf file)
     www.talkingquality.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/fallsprev/ontimefallpxreports-ig.pdf
     November 09, 2017 -  Which acute change was seen most often? Least often? … Acute Mental Status Change. … Med: New Med or Dose Change. … Room Change. … Other: Room Change Within 30 Days of Fall Date.

143. Creating a Learning Health Care System: The Role of Practice Facilitators in Primary Care (pdf file)
     www.talkingquality.ahrq.gov/sites/default/files/wysiwyg/evidencenow/tools-and-materials/evidence-now-webinar-learning-health-care-systems.pdf
     August 02, 2017 - audits • Observation of workflows • Identification of exemplar workflows • Found motivation for change … Learning Environment  Teach models and techniques like the Model for Improvement (small test of change … over time) Help practices use the whole team to create sustainable change  Support practices …  The coach brings tools, resources, and techniques for the team to learn to manage change. … Southwest Engaged Leadership Innovative mindset Anticipates change

144. Module 1: Preventing Falls in Hospitals (doc file)
     www.talkingquality.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/fallprevention-training/module1/module1_fall-prevention.docx
     March 01, 2013 - Slide 8 SAY: Given the need for change in your hospital, the overall objectives for this training are … Is your hospital ready for this change? (covered in Training Module 1) 2. … How will you manage change? (covered in Training Module 2) 3. … All the steps in the change process need to be continued and adapted as needed to sustain our gains. … Slide 30 SAY: Senior leadership support is a prerequisite for system change, but actual change in fall

145. Identifying Key Areas for Delivery System Research | Agency for Healthcare Research and Quality
     www.talkingquality.ahrq.gov/practiceimprovement/delivery-initiative/casalino/paper/idkeydsr2.html
     February 01, 2014 - But what do we need to know about the delivery system to change it in ways that will benefit patients … their structure, even when incentives change). … Additionally, as the medical care system changes over time, key areas for study are likely to change … Seeking ways to structure incentives so that they are likely to induce desirable change in the demography … Analyses of ways of structuring incentives so that they are likely to induce desirable change in the

146. PCIP Provider Qualitative Interview Guide (pdf file)
     www.talkingquality.ahrq.gov/sites/default/files/wysiwyg/evidencenow/results/research/interview-protocol-staff-ny.pdf
     August 23, 2018 - If you want to make a change in this practice, how does that happen? … PROBE: Can you give me an example of a recent change you made and the process for making a change? … PROBE: what was the process for making the change? … PROBE: Why did you decide to work on this particular change? What else have you worked on? 5. … Can you describe how this change will affect your practice?

147. Slide 1
     www.talkingquality.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/system/delivery-system-initiative/rodriguez/rodriguez.pptx
     September 05, 2012 - Practice structural capabilities survey (RR=100% in 2011 and 2013) Focus on Intervention Effects Change … Patient experiences of care quite low- need for improvement and appear to be difficult to change over … Staff readiness for change Teamwork Perceptions Clinic Workload … Care Team Functioning and Organizational Readiness for Change Composite measure Intervention Mean … 63.8 (42.5 to 77.5) 63.9 (38 to 80.8) 63.9 (38 to 80.8) Staff readiness for change 70.0 (60.4 to

148. Job Aid: 5 Whys and Fishbone Diagrams (pdf file)
     www.talkingquality.ahrq.gov/sites/default/files/wysiwyg/ncepcr/resources/job-aid-5-whys.pdf
     May 17, 2021 - Design a change or counter-measure to correct the problem. … Suggest they use the Plan-Do-Study-Act (PDSA) process to test the change. … Use the causes to generate change ideas to test.

149. Quick Reference Guide to TeamSTEPPS Action Planning | Agency for Healthcare Research and Quality
     www.talkingquality.ahrq.gov/teamstepps/instructor/reference/quickrefguide.html
     March 01, 2014 - Quick Reference Guide to TeamSTEPPS Action Planning Step 1: Create a Change … ), and when and where the change will occur. … For each aim, create a testing plan, including: Change Team member responsible for data collection, … Identify Change Team member(s) responsible for implementation and oversight. … Ensure that your final Action Plan includes all of the following: Identification of the Change Team

150. Slide 1
     www.talkingquality.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/officebasedcare/module11/11_ts_office_impplan.pptx
     January 20, 2006 - 05.2 Mod 1 05.2 Page ‹#› Page ‹#› Office-Based Care 10 Steps of Implementation Planning Create a Change … profession ® TEAMSTEPPS 05.2 Mod 1 05.2 Page ‹#› Page ‹#› Office-Based Care 6 Step 1: Create a Change … Team Key Actions: Select a multidisciplinary Change Team Ensure representation from different leadership … Level IV—Results Key Actions: Identify who on your Change Team will be responsible for data collection … Identify the Change Team 2. Define the Main Problems 3. Define TeamSTEPPS Aims 4.

151. Module 4: Component Kit (doc file)
     www.talkingquality.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/sustainability/management/observation/observation-component-kit.docx
     May 01, 2017 - Data to reveal patterns that can help you to change work flow and communication to get the desired performance … It’s OK to continue to adapt your surgical safety checklist; just make a note of when you make the change … so you can match the change to any patterns in observations. · You can focus your observations on key … Test the change and see if it makes a difference! … Whys”[footnoteRef:2]—ask why five times to get beyond the initial (proximate) cause and identify a change

152. 2023 National Healthcare Quality and Disparities Report Appendixes (pdf file)
     www.talkingquality.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2023-NHQDR-appendixes-ACDE-rev.pdf
     January 01, 2023 - Modifications have been made when clinical recommendations change. … To assess change over time considering both magnitude of change and statistical significance. … Insignificant change: the average annual change is not statistically significant (p≥0.05) or the average … annual change is zero. 4. … The coefficient is the average annual change (AAC).

153. Key Driver 3: Optimize Health Information Systems to Extract Data and Support Use of Evidence in Practice | Agency for Healthcare Research and Quality
     www.talkingquality.ahrq.gov/evidencenow/tools/keydrivers/optimize-health-it.html
     November 01, 2018 - Contact Us Español FAQs Home EvidenceNOW Tools for Change … EvidenceNOW EvidenceNOW Model Practice Facilitation EvidenceNOW Projects Tools for Change … Select a Change Strategy to access related tools and resources. … Change Strategies Create dashboard reports for selected measures Dashboards – ongoing targeted reports … Access descriptions of all EvidenceNOW Key Drivers and Change Strategies.

154. Making Effective Behavior Changes Around Antibiotic Prescribing | Agency for Healthcare Research and Quality
     www.talkingquality.ahrq.gov/antibiotic-use/acute-care/improve/behavior-changes.html
     November 01, 2019 - theories regarding implementation science to implement antibiotic stewardship (AS) interventions and to change

155. The Quick Reference Guide to TeamSTEPPS Action Planning | Agency for Healthcare Research and Quality
     www.talkingquality.ahrq.gov/teamstepps/instructor/essentials/implguide3.html
     November 01, 2018 - Step 1: Create a Change Team Objective: To create a team of leaders and staff members with the authority … ), and when and where the change will occur. … For each aim, create a testing plan including: Change Team member responsible for data collection, … Identify Change Team member(s) responsible for implementation and oversight. … Ensure that your final Action Plan includes all of the following: Identification of the Change Team

156. Team STEPPS for Office-Based Care - Practice Facilitator Debrief Worksheet : Video 1: Team Structure and Communication (pdf file)
     www.talkingquality.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/officebasedcare/video-debrief1.pdf
     November 30, 2015 - What are suggestions your Change Team has on how teamwork issues could be best handled? 2. … What are key issues from this video your Change Team has identified?

157. Provider CHCANYS Qualitative Interview Guide (pdf file)
     www.talkingquality.ahrq.gov/sites/default/files/wysiwyg/evidencenow/results/research/interview-protocol-qi-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? … Can you describe an example of a specific practice change you have made as part of the HealthyHearts … PROBE: Why did you decide to work on this particular change?

158. Developing State-Level Capacity for Dissemination and Implementation of Patient-Centered Outcomes Research into Primary Care (U18) (pdf file)
     www.talkingquality.ahrq.gov/sites/default/files/wysiwyg/funding/fund-opps/state-level-cpcq.pdf
     December 01, 2019 - noted in the funding announcement: “The measurement plan must include the use of 14 questions from the Change … Organizing people into teams focused on accomplishing the change process for improved care 6. … Scoring the Change Process Capability Questionnaire Strategies Items https://www.ahrq.gov/sites/default

159. FileNewTemplate
     www.talkingquality.ahrq.gov/sites/default/files/wysiwyg/teamstepps/officebasedcare/ts-obc-online-module1.pptx
     March 01, 2010 - Modules 8 through 11, Teaching & Coaching, Change Management, Measurement, and Implementation Planning … Team Take time to identify members of your Change Team Module 1: Introduction ‹#› As the Practice … Facilitator leading your TeamSTEPPS intervention, it is important to have the support of a Change Team … Your Change Team should be multi-disciplinary, and the members should be able to help you drive your … The change team does not need to watch all of these online modules but it is up to you as the practice

160. EvidenceNOW Publications | Agency for Healthcare Research and Quality
     www.talkingquality.ahrq.gov/evidencenow/projects/heart-health/research-results/results/publications.html
     June 01, 2023 - and individual behavioral response to change and burnout among healthcare professionals. … , a positive response to change, and lower burnout. … The Change Process Capability Questionnaire improved slightly, mean change 0.30 (0.09–0.51), but did … in AR and change in the QICA. … A Path Toward Health Care Equity: System-Based Interventions for Change.