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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/takeheart/training/module-5-implementation-guide.pdf
February 13, 2023 - • Developed an aim statement and action plan for the project. … The
visit diagnosis often indicates the ICD-10 code for a clinical encounter. … For example, a patient only receiving palliative care or one with advanced dementia
should probably … For referrals from the outpatient or community care environment, the recommendation is to embed
the … Patients meeting one of the criteria for AR but
that are identified as being in palliative care or
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/ncepcr/tools/PCMH/pcpf-module-26-ehr-and-mu.pdf
September 01, 2015 - https://www.healthit.gov/sites/default/files/del-3-7-condition-example-diabetes.pdf
Primary Care … https://www.healthit.gov/sites/default/files/del-3-7-condition-example-diabetes.pdf
Primary Care … Clinical Information Systems Plan and Manage Care
Generate lists of patients with a
specific condition … Use CPOE for medication,
radiology, and laboratory
orders
Clinical Information Systems Plan and Manage … Summary
Today, EHRs are central to the operations and clinical care of almost every practice.
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-166-fullreport.pdf
March 01, 2018 - • Fiscal burden of measure focus (e.g., clinical condition) on patients, families, public
and private … plan
or an emergency care plan, and black children remained more likely to have a transition plan. … , such as having a shared care plan or having a care coordinator who is
knowledgeable and supportive … or condition. … Patient-centered plan-of-care tool for improving clinical
outcomes.
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/research/findings/making-healthcare-safer/mhs3/care-transitions-1.pdf
March 01, 2020 - by
educating them on
their condition,
medications, patient-
centered health
record, follow-up
care … , and any
indications that their
condition is
worsening. … The APN
discusses the care
plan with patients and
their family caregivers,
and ensures that they … health condition may be worsening. … The APN uses the initial visit to assess the patient and develop
a plan of care based on medical needs
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ce.effectivehealthcare.ahrq.gov/cahps/quality-improvement/improvement-guide/6-strategies-for-improving/access/strategy6a-openaccess.html
March 01, 2020 - How often respondents got needed care: Percent answering never or sometimes
2016 Adult 6- … care as soon as they wanted.
28 percent of women in fair or poor health reported delaying care or … equivalent to two short ones. 3
Develop a contingency plan for days (or parts of the day) when … This plan should identify who can supplement or substitute for each physician, if and when needed. … condition.
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/teamstepps/longtermcare/essentials/ts2-0ltc_essentials_ig.pdf
July 11, 2017 - resident’s condition. … and circumstances; and
• The plan of care, including contingencies. … adjusting the plan based on known or anticipated changes. … of care; and
• Psychosocial condition (e.g., resident’s stress level). … • Has the team accomplished its tasks or actions?
• Is the plan still appropriate?
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ce.effectivehealthcare.ahrq.gov/teamstepps/instructor/fundamentals/module4/igleadership.html
March 01, 2019 - In health care, the team leader (whether designated or situational) must develop a plan of care for the … Ask:
How do your team leaders communicate a plan of care to the care team? … How do your team leaders communicate changes to the plan of care to the care team? … Clinical status of the team's patients—the current condition, diagnosis, and status of each patient assigned … Emergent plan of care.
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-245-fullreport.pdf
December 01, 2019 - • Prevalence of condition among children under age 21 and/or among pregnant
women. … • Fiscal burden of measure focus (e.g., clinical condition) on patients, families, public
and private … Health plan*: Can compare quality of care among health plans. … Adult depression in primary care. Clinical Guideline. … Depression, Adult in Primary Care. Clinical guideline.
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/cahps/quality-improvement/improvement-guide/6-strategies-for-improving/access/cahps-strategy-6a.pdf
July 27, 2017 - In 2001, 43 percent of adults with an urgent condition reported that they were
sometimes unable … 28 percent of women in fair or poor health reported delaying care or failing to
receive care because … Develop a contingency plan for days (or parts of the day) when demand far
outstrips the availability … This plan should identify who can
supplement or substitute for each physician, if and when needed. … condition.
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/cahps/quality-improvement/improvement-guide/6-strategies-for-improving/access/cahps-section-6a.pdf
July 27, 2017 - In 2001, 43 percent of adults with an urgent condition reported that they were
sometimes unable … 28 percent of women in fair or poor health reported delaying care or failing to
receive care because … Develop a contingency plan for days (or parts of the day) when demand far
outstrips the availability … This plan should identify who can
supplement or substitute for each physician, if and when needed. … condition.
-
ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-194-fullreport.pdf
April 01, 2019 - • Prevalence of condition among children under age 21 and/or among pregnant
women. … • Fiscal burden of measure focus (e.g., clinical condition) on patients, families, public
and private … Medicaid or CHIP Payment model: Can compare payment models (e.g., managed care,
primary care case management … Health plan*: Can compare quality of care among health plans. … Possibly a scanned or electronic clinical document in the medical record
11.F.
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ce.effectivehealthcare.ahrq.gov/teamstepps/instructor/fundamentals/module3/igcommunication.html
March 01, 2019 - about a patient's condition. … , treatment and services, current condition, and any recent or anticipated changes. … Recent changes in condition and circumstances.
The plan of care, including contingencies. … Plan of care was discussed.
High threats unique to Mrs. Peters were announced. … Evolving patient condition.
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/teamwork/implement/implement-facilitator-guide.docx
May 01, 2017 - Working condition barriers include—
Lack of coordination or followup,
Distractions,
Misinterpretation … A briefing immediately does the following:
Maps out the care plan for one or more patients,
Identifies … Background—What is the clinical background?
Assessment—What do I think the problem is? … ) about diagnoses, response to treatment, recent changes in condition and circumstances, and the care … plan (including contingencies).
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/fallsprev/ontimefallpxreports-ig.pdf
November 09, 2017 - plan decisions … of the report date;
referred to in On-Time Falls Prevention as high-risk change
of condition or HRCC … Certain changes or suspected changes in the resident’s condition,
which represent a potential decline … condition within 7 days of the
report date or clinical conditions that exist. … Resident Care Plan
c. Postfall Assessment
d.
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ce.effectivehealthcare.ahrq.gov/challenges/data-visualization/index.html
February 01, 2024 - care gaps. … Plan for incorporating the patient perspective. … Implementation and evaluation plan, including plan for sustainability or further research after the project … Proven or expected clinical impact, sustainability plan, and recommendations for how the data visualization … Shall not be required to purchase liability insurance as a condition of participation in this competition
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/teamstepps/webinars/2013-materials/teamstepps-monthly-webinar-oct2013.pptx
January 01, 2013 - by
Providing instruction on TeamSTEPPS tools and strategies
Providing an opportunity to develop and plan … instructions, such as:
Preparing for a procedure
Managing their condition
Taking their medications
Knowing … which symptoms should prompt a return to care or when to follow up
TEAMSTEPPS 05.2
Mod 1 05.2 Page … related to:
Patient comprehension of medical condition
Treatment plan
Discharge instructions
Complications … and follow-up
Inaccurate and incomplete medical history
Ineffective or improper use of medications or
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-229-fullreport.pdf
February 01, 2018 - • Prevalence of condition among children under age 21 and/or among pregnant
women. … • Severity of condition and burden of condition on children, family, and society
(unrelated to cost … • Fiscal burden of measure focus (e.g., clinical condition) on patients, families, public
and private … the clinical care setting, designed to limit the progression of sepsis
severity. … Health plan*: Can compare quality of care among health plans.
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/availability/chipra-235-fullreport.pdf
September 01, 2018 - health plan that includes outpatient specialty care for at least one 90-day period (or 3
consecutive … health plan that includes outpatient specialty
care for at least one 90-day period (or 3 consecutive … • Prevalence of condition among children under age 21 and/or among pregnant
women. … • Fiscal burden of measure focus (e.g., clinical condition) on patients, families, public
and private … health plan that includes outpatient specialty care for at
least one 90-day period (or 3 consecutive
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/labor-delivery-unit/tool_cord-prolapse.docx
May 01, 2017 - coordinated approach.
· Team members—
· Use callouts with fetal condition per National Institute for … scenarios or “drills” related to cord prolapse; many of these focus on technical/clinical skills of … team members who arrive to support a rapid response, and
· when regrouping to discuss plan of care if … Use of transition communication techniques assures a shared mental model of plan of care and perceived … Umbilical cord prolapse: a plan for an OB emergency.
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/primary-care/workforce-financing/case_example_1.pdf
October 01, 2016 - The SCC practice is a service of the health plan and offers care to high-risk, high-
cost plan members … Pharmacist/Certified Diabetes
Educator
Performs both condition management and
patient education … model by the care coordinator
• A 60-minute clinical visit with a physician
• A 30-minute action-oriented … with a care coordinator
• A 30-minute clinical visit with a physician
• A 15-minute “close-the-loop … condition, the CC and MD can search for an answer.