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pcmh.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2019qdr-datasources.pdf
December 01, 2020 - , getting care quickly, how well doctors communicate, and health plan information
and customer service … NHANES excludes all people in supervised care or custody in institutional settings, all active-
duty … Hospitals submit data to the CMS Clinical Data Warehouse, CMS’s central repository for
clinical data … preventive care or screening examinations. … Records are sent to the Clinical Data Abstraction Center, where trained abstractors abstract each
clinical
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pcmh.ahrq.gov/evidencenow/tools/keydrivers/engage-patients-families.html
November 01, 2018 - Quality Improvement
Print this page to PDF
The best evidence will not result in improved clinical … plan. … , such as an exercise class or a nutritional assistance program to make healthy eating affordable. … invite patients to bring family members or friends with them. … This function could be handled centrally by the practice, or each clinical team could take responsibility
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pcmh.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/rrs/rrsspecscen.pdf
January 11, 2010 - • If one of the Responders expected to arrive does not show up,
what is the contingency plan? … The patient was intubated and transferred to a higher level
of care. … The forms
were not collated or reviewed for several weeks. … She did not note any specific change in
clinical status, though she agreed that the patient seemed … insistence that the nurse call the physician rather than conveying
a specific description of the patient’s condition
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pcmh.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/hospitalresourcelist.pdf
January 01, 2019 - teams
make care safer by combining improved teamwork, clinical best practices, and the science of
safety … (PDSA) cycle is shorthand for testing a change by developing a plan to
test the change (Plan), carrying … It refers to needed nursing care that is
delayed, partially completed, or not completed at all. … Nurses also plan, deliver, and evaluate nurse-initiated care
to manage patients’ symptoms and responses … care partners to
use when planning for care or during a stay in a hospital or skilled nursing facility
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pcmh.ahrq.gov/sites/default/files/wysiwyg/professionals/clinicians-providers/iadapt/lauby.pdf
December 19, 2014 - diabetes and
hypertension, but are less likely than some other populations to
receive appropriate health care … control trial to
test whether the adapted guides improved the men's
knowledge of medications for their condition … , ability
to manage their health, appropriate medication use,
and communication with health care providers … study adoption, reach, cost, and sustainability of
the materials in community settings.
5) Devise a plan … intervention had no significant effects on health
Study Populations
African American men
Health Condition
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pcmh.ahrq.gov/page/medical-home-what-do-we-know-what-do-we-need-know-review-earliest-evidence-effectiveness-of-the-patient-centered-medical-home-model-table-1
March 01, 2013 - Advantage members and collaborate with the clinical team. … Geisinger Health System Proven-Health Navigator Geisinger Health Plan embedded a nurse case manager for … assess low-income seniors in the home, and develop and implement a care plan with a geriatrics interdisciplinary … specialist care manager (a nurse or psychologist) is embedded in the primary care practice to provide … with complex, chronic, terminal, or disabling diseases.
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pcmh.ahrq.gov/sites/default/files/wysiwyg/cahps/cahps-database/2022-hp-chartbook.pdf
January 01, 2022 - Getting Needed Care Getting Care Quickly
How Well Doctors Communicate Health Plan Information and … Got care for illness, injury or condition as soon as needed 59% 61% 62% 61% 53%
Got check-up or routine … Quickly for a Child 70% 69% 73% 72% 64%
Child got care for illness, injury, or condition as soon as … for a Child 72% 72% 75% 65%
Child got care for illness, injury, or condition as soon as needed 79% … did your child get
care as soon as he or she needed?
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pcmh.ahrq.gov/page/coordinating-care-medical-neighborhood-critical-components-and-available-mechanisms-table-4
June 01, 2011 - responsibilities HITECH “meaningful use” measure on practice capacity for electronic exchange of clinical … clinicians following hospital discharge Appropriateness, Overuse, or Efficiency measures Duplication … reordering tests based simply on current convenience Provides evidence that clinicians share all relevant clinical … should be more likely to report care coordination and care transition management efforts Health plan, … hospital, or medical group CAHPS survey items on domains of care coordination* Coleman Care Transitions
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pcmh.ahrq.gov/talkingquality/resources/comparative-reports/health-plans.html
December 01, 2022 - care health care options allows users to view plan materials by county in California and compare the … The scores reflect how well the health plan provides members with access to needed care and good customer … Clinical performance and patient experience ratings are represented by one to five stars, with five stars … The score for clinical performance is based on meeting HEDIS standards for delivering recommended care … ,
clinical ratings,
provider network ratings, and
overall performance ratings.
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pcmh.ahrq.gov/sites/default/files/wysiwyg/data/SyH-DR-Codebook.pdf
December 01, 2023 - patient
is admitted to the first available and suitable accommodation.
3 Elective: The patient’s condition … psychologist
Clinical laboratory (billing independently)
Multispecialty clinic or group practice … institution for outpatient services as
specified by the discharge plan of care (eff. 9/01) (discontinued … effective
10/1/05).
81 Discharged to home or self-care with a planned acute care hospital inpatient … to a facility that provides custodial or supportive care with a planned acute care hospital inpatient
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pcmh.ahrq.gov/patient-safety/settings/emergency-dept/index.html
November 01, 2023 - Setting
Hospital
Hospital Labor and Delivery Units
Emergency Department
Long Term Care … Ambulatory Care
End-Stage Renal Disease (ESRD) Clinics
Pharmacy
Multiple Settings … is a guide to train rural emergency department (ED) clinicians on how to integrate remote intensive care … They include clinical scenarios for simulation sessions, standardized patient and emergency medicine
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pcmh.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/asc/asc-resource-list.pdf
April 01, 2023 - technique provides a
framework for communication between members of the healthcare team about a patient’s
condition … It refers to needed nursing care that is delayed, partially completed, or not completed
at all. … Nurses also
plan, deliver, and evaluate nurse-initiated care to manage patients’ symptoms and responses … Clinical Emergency: Are You Ready in Any Setting? … (PDSA) cycle is shorthand for testing a change by developing a plan to
test the change (Plan), carrying
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pcmh.ahrq.gov/data/qualityindicators/index.html
November 01, 2020 - postdischarge followup care. … preventive care. … In addition, they provide a quick check on primary care access or outpatient services in a community … Implementing Evidence-Based Strategies To Improve Clinical Care. … It includes a concise set of tools to facilitate efforts to improve clinical quality and can be used
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pcmh.ahrq.gov/sites/default/files/attachments/Coordinating%20Care%20in%20the%20Medical%20Neighborhood.pdf
June 01, 2011 - medication care plan for each patient (which includes
medication management and self-management goals … ) and communicating the care plan to the patient
and others in the medical neighborhood (Smith et al. … Other care coordination activities, which may be undertaken either by non-clinical staff or
13
clinical … Financing for a nurse care manager or coordinator position could come through redirecting health plan … should
be more likely to report care
coordination and care transition
management efforts
Health plan
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pcmh.ahrq.gov/sites/default/files/attachments/coordinating-care-in-the-medical-neighborhood-white-paper.pdf
June 01, 2011 - medication care plan for each patient (which includes
medication management and self-management goals … ) and communicating the care plan to the patient
and others in the medical neighborhood (Smith et al. … Other care coordination activities, which may be undertaken either by non-clinical staff or
13
clinical … Financing for a nurse care manager or coordinator position could come through redirecting health plan … should
be more likely to report care
coordination and care transition
management efforts
Health plan
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pcmh.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/medication/tool_safe-oxytocin.docx
May 01, 2017 - clinical deterioration are communicated for situational awareness and response if needed. … , and knowing the plan for a timely response to prevent further deterioration. … Use of transition communication techniques assures a shared mental model of plan of care and patient … but are not limited to—
· hypertensive disorders of pregnancy
· chorioamnionitis
· maternal medical condition … other transitions of care team
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pcmh.ahrq.gov/sites/default/files/attachments/pcpf-module-31-facilitating-panel-management.pdf
September 01, 2015 - or her care team. … appear, but to plan care for all of the patients assigned to their panel. … Panel Management Training
Part 2: Creating clinical practice guidelines
How are clinical practice … of a chronic condition (for example a patient with
high LDL cholesterol who has not had a cholesterol … gap (preventive
or chronic care) and try to close the care gap.
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pcmh.ahrq.gov/page/coordinating-care-medical-neighborhood-critical-components-and-available-mechanisms
June 01, 2011 - They are also involved in care transitions, helping patients plan for their medication use as they move … medication care plan for each patient (which includes medication management and self-management goals … ) and communicating the care plan to the patient and others in the medical neighborhood (Smith et al. … Other care coordination activities, which may be undertaken either by non-clinical staff or clinical … Financing for a nurse care manager or coordinator position could come through redirecting health plan
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pcmh.ahrq.gov/research/findings/factsheets/translating/action3/actionIIIpartners.html
June 01, 2019 - have difficulty accessing or engaging in health care. … Johns Hopkins Institute for Clinical and Translational Research. … Georgetown-Howard Universities Center for Clinical and Translational Science. … partnership goals are consistent with RTI's mission: to improve the human condition by turning knowledge … University of Pittsburgh Medical Center and UPMC Health Plan.
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pcmh.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/f1_combo_returnoninvestment.docx
January 01, 2013 - that aims to improve the quality or safety of hospital inpatient care, which may include a focus on … before improvement actions, and the “after” condition the service processes after implementation. … Hospital-Acquired Condition Reduction Program would have an even more direct effect on revenues. … They did not include costs for the pharmacy system, medication administration system, or clinical data … Training includes training of clinical, financial, or other staff involved in the quality improvement