-
preventiveservices.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy4/Strat4_Implement_Hndbook_508_v2.pdf
April 01, 2011 - back
All clinical staff
• Explain medicines to the patient and family and use teach back All clinical … staff
• Discuss progress toward goals All clinical staff
• Involve the patient and family in care … needs after they leave the hospital.9 Hospital staff
cannot plan discharge in isolation from the patient … concerns
Daily during
hospital stay
• Manage the patient’s
condition
• Assign a case manager or … • Plan the IDEAL Discharge Planning training for clinicians. Decide who
will conduct the training.
-
preventiveservices.ahrq.gov/patient-safety/quality-resources/tools/chtoolbx/uses/index.html
June 01, 2020 - Allows comparison of plan or program performance with that of other plans or programs in the State or … AHRQ's evidence reports and technology assessments review the relevant scientific literature on certain clinical … care topics for others to use as a basis for clinical guidelines and other quality improvement activities … Target a particular health condition such as pediatric asthma? … Identifiable racial or ethnic groups with potential health care disparities?
-
preventiveservices.ahrq.gov/patient-safety/settings/hospital/red/toolkit/redtool3.html
March 01, 2013 - Research the patient's medical history and current condition. … What Are the Components of the After Hospital Care Plan? … The patient's advanced directives for his or her end-of-life care. … Advanced directives or health proxy.
Medical team's discharge plan. … Advanced directives and health care proxy.
Durable equipment he or she has/should have at home.
-
preventiveservices.ahrq.gov/teamstepps-program/curriculum/communication/tools/sbar.html
November 01, 2019 - Background covers clinical background such as patient history related to the current situation, signs … SBAR can be modified for use by the patient or family caregivers to communicate with the care team. … to ask the care team about their care. … The recommendation was initiated by the nurse for additional labs, and a plan was discussed for future … care.
-
preventiveservices.ahrq.gov/patient-safety/quality-resources/tools/chtoolbx/understand/index.html
June 01, 2020 - other than their clinical condition or preferences for care. … Getting help with managing an ongoing, chronic condition or dealing with a disability that affects function … Health plan or program.
Hospital.
Health care practitioner. … The experience with health care and/or the level of satisfaction with care. … Example: To assess the quality of a health plan or program in delivering health care to enrolled children
-
preventiveservices.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/primary-care/tpc/tpc-profile-cooley.pdf
April 01, 2015 - or administrative
staff. … (e.g., responding to patient
concerns by phone or seeing patients in a “quiet room” or other
space … The greatest gains were seen in the domains of “Care Coordination” and
“Chronic Condition Management … 12 practices, parents completed the Consumer Assessment of Healthcare Providers
and Systems Health Plan … or adminis...
-
preventiveservices.ahrq.gov/sites/default/files/wysiwyg/patient-safety/settings/mcc-summit/mcc-summit-dorr-samal.pdf
May 19, 2020 - giver
daughter
son
Dorr, Frontiers of Engineering
6
Care planning with HIT – eCare Plan
Project … are only for
billing and diagnosis, so presentation of these terms on an eCare Plan need to be grouped … plan for CKD
Need to integrate these care plans with the voice of the
person and their goals … or
Increase walking 5 times per week.
or
A1c < 8.0%. … • Generate summarized
clinical information
• Facilitate structured
conversations
24
Wilcox, 2005
-
preventiveservices.ahrq.gov/challenges/past/step-up-app/index.html
January 01, 2022 - Challenge
Patient-reported outcomes (PROs) are defined as "any report of the status of a patient’s health condition … PRO tools look beyond the clinical data to assess how a patient thinks about his or her physical, mental … To complement clinical assessments, use of PROs for guiding and improving care is especially important … The goal is to integrate this mobile app into a patient’s treatment plan by discussing scores and trends … The discrete clinical data and PRO data enable providers to improve clinical decision making while reducing
-
preventiveservices.ahrq.gov/teamstepps/lep/hospitalguide/lephospitalguide.html
December 01, 2012 - condition. … Managing their condition.
Taking their medications. … Knowing which symptoms should prompt a return to care or when to follow up. … situations related to:
Patient comprehension of medical condition. … Treatment plan.
Discharge instructions.
Complications and followup.
-
preventiveservices.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/rrs/rrsinstructmod.ppt
January 01, 2008 - A handoff back to the primary nurse or primary physician.
Revising the treatment plan. … Performance: You can adapt to changes in the plan of care. … No amount of teamwork can compensate for clinical and technical proficiency. … A revised plan of care. … Evolving patient condition.
-
preventiveservices.ahrq.gov/talkingquality/resources/comparative-reports/physicians.html
October 01, 2022 - Clinical quality measures are reported for asthma care, cancer screening, diabetes care, mental health … Subject: Primary and specialty care clinics
Developer: HealthPartners
Developer Type: Health plan … The cost ratings take into account the total cost of care for treating a whole person or specific conditions … , or both. … performance of over 200 medical groups who provide care to commercial HMO health plan members in California
-
preventiveservices.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/pruprev/menu.html
December 01, 2017 - of potential ways facility teams may choose to integrate the pressure ulcer prevention reports into clinical … The team may pilot report use in one unit initially and then implement in all units or implement more … Other
Resident Clinical, Functional, and Intervention Profile Report – 4-Week View
… Resident change in condition reviews
2. Weekly nutrition-at-risk meetings
3. … Care plan meetings
4. Weekly wound review meetings
5.
-
preventiveservices.ahrq.gov/sites/default/files/2024-02/gurwitz2-report.pdf
January 01, 2024 - Key Words: Clinical Trials, Care Transitions, Medication Safety, Health Systems Intervention
PURPOSE … by the clinical pharmacist were communicated to the primary care team via the EHR immediately after … dosage
outside of the usual range, the clinical pharmacist called the primary care provider’s office … National Action Plan for Adverse Drug Event
Prevention. 2014; http://www.health.gov/hai/pdfs/ADE-Action-Plan … Post-hospital syndrome--an acquired, transient condition of generalized risk.
-
preventiveservices.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/primary-care/tpc/tpc-profile-magill.pdf
April 01, 2015 - Transformed Primary Care: Care by Design
Transformed Primary Care: Care by Design™
Principal Investigator … : appropriate access, care teams, and
planned care. … senior
leadership allowed clinics to experiment with how to best adapt transformation principles to the clinical … summaries, use of advance directives, and medication
reconciliation) were associated with improvements in clinical … team and services, including new roles for medical assistants, care managers, and clinical
pharmacists
-
preventiveservices.ahrq.gov/teamstepps/rrs/instructor_slides/rrsinstructmod.html
October 01, 2014 - A handoff back to the primary nurse or primary physician.
Revising the treatment plan. … Performance: You can adapt to changes in the plan of care. … A revised plan of care. … What is the plan? Are there contingency plans?
… Evolving patient condition.
-
preventiveservices.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/cpcf.pdf
December 31, 2015 - • 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.
Yes
No
Enter Response
Here. … CHIPRA defines a clinical quality measure as “a
measurement of clinical care that is capable of being … settings, including the structure of the clinical care system,
the process of care, the outcome of care
-
preventiveservices.ahrq.gov/patient-safety/settings/hospital/red/toolkit/redtool4.html
March 01, 2013 - In cross-cultural clinical encounters, multiple cultural influences and health belief systems come into … Plan the followup of results from tests or labs that are pending at discharge. … Create an after hospital care plan (AHCP) in the patient's preferred language as well as in English. … his or her condition, confer with the medical team on how to proceed. … delay care because of perceived or real homophobia, biphobia, or transphobia.
-
preventiveservices.ahrq.gov/teamstepps-program/curriculum/intro/explain.html
July 01, 2023 - for a serious health condition. … Performance: High-functioning teams will be able to adapt to changes in the care plan. … They will be more efficient in providing care, will have a plan, and will know who is supposed to do … No amount of teamwork can compensate for inadequate clinical or technical proficiency, chronic major … outcomes by making care safer while achieving other benefits across a range of clinical settings.
-
preventiveservices.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hypertension_3_communication.pptx
July 01, 2023 - observation; clinical laboratory testing; and care decisions),
Leadership (i.e., organizational planning … established care plan. … Johnson with some clinical background that can be used to make informed care decisions. … , and any recent or anticipated changes to the patient’s status or plan of care, including contingency … next step in care, whether any changes are anticipated, what the rest of the current care plan articulates
-
preventiveservices.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hypertension_3-communication-speaker-notes.pdf
July 01, 2023 - o Background―What is the clinical background or context? … an established care plan. … Johnson with some clinical background that can
be used to make informed care decisions. … , and any recent
or anticipated changes to the patient’s status or plan of care, including contingency … the next step in
care, whether any changes are anticipated, what the rest of the current care plan articulates