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www.ahrq.gov/data/apcd/envscan/findings.html
July 01, 2022 - Health plan
Costs
Population health and policy
Care components
State or region
Relative … costs may depend on whether condition-specific clinical guidelines are followed). … The clinical episode beings as Phase 1 ends and Phase 2 begins.
Phase 3: Followup care. … Thus, some aspects of clinical care such as symptom severity or individual treatments administered during … for enough patients with a given condition to reliably assess quality of care.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Jack_28.pdf
February 21, 2008 - care
of the patient, is often not available to them or is missing key information.23, 24 Thus, the … • Instruct on a specific plan of how to contact the PCP (or coverage) by providing contact
numbers … • The patient’s condition at discharge. … • Instructions on what to do if their condition changes. … We call our discharge plan the “After Hospital Care Plan”
because, in the course of our work, we realized
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/pfeprimarycare/shareddec-1.pdf
September 08, 2016 - lead to confusion about the care plan or to selection of a
suboptimal care plan … with the
care plan.13–16
Description of the Innovative
Activity
The James Madison University (JMU … plan. … need to know or do. … Identify one or two clinical problems that
are most prevalent among the patients you serve
(e.g., respiratory
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www.ahrq.gov/prevention/resources/vision/visfig1.html
October 01, 2002 - Figure 1: Framework of Rehabilitation
Vision Rehabilitation: Care and Benefit Plan Models: Literature … Level of interaction or experience affected by the disabling condition, including (1) the disabling condition's … outpatient therapeutic setting, and (3) home or community-based care. … The utility of this framework could be evaluated by how well it helps to identify gaps in care or lack … or professional jurisdictions) that act as barriers or disincentives to optimal care.
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www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/heart-health/smoking-detail-aid.pdf
January 01, 2015 - Smoking Cessation in Primary Care
Smoking Cessation in Primary Care
Aspirin when appropriate
Blood … ,\ 'IN PRIMARY,CARE''.
.. , . . … based on an individual patient's clinical condition. … all visits whether someone is smoking and
ADVISE strongly to quit, offering a treatment
plan … that fits the patient.4
Choose a treatment plan that fits the patient
A comprehensive approach
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www.ahrq.gov/sites/default/files/wysiwyg/mcc/pccp4p/baseline-scan-appendices.pdf
February 22, 2024 - Patient Care Planning
Clinical Decision-
Making
Person-centered
management plan;
personalized care … or clinical services, added functions or changes to how care is
organized/prioritized). … "long term") adj3 (condition* or disease*)).tw,kf … " or "patient priori*" or ((person* or
individual* or integrated) adj3 (care or management or plan*) … of Patient Care"/ (296276)
13 exp Patient Care Management/ (932608)
14 ((model* or plan* or
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/medicaidreadmitguide/aspire_webinar1/aspire_webinar1.ppt
January 01, 2011 - Do Medicare incentives create a “trickle down” or “halo effect” for all patients? … How to Use This Guide
Analyze Your Data
Survey Your Current Readmission Reduction Efforts
Plan a … Plan Examples
The guide comes with 13 customizable tools to be used in hospital teams’ day-to-day … 6 Foundational Message from CMS
Reducing readmissions pays – or at least inaction hurts
Hospitals … the highest rates of readmissions
Patients with readmission risks are not limited to the “penalty condition
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www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/strategies/rapid-response/tool-rapid-response-systems.html
July 01, 2023 - A clinical team that can rapidly respond to and manage maternity care conditions. … General activation criteria:
An emergent or potentially emergent maternity care condition. … Rapid responders should—
Possess specialized maternity care clinical skills, knowledge, and equipment … When regrouping to discuss plan of care if patient fails to respond to initial measures. … condition.
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/find6.html
December 01, 2012 - plan or 1915(c) waiver services that can be classified as HCBS. … For example, only 8 States offer adult day care as a State plan option, but 37 States offer adult day … /health care as either a State plan option or a 1915(c) waiver service. … , geography, or waiting list), whereas State plan services must be available to all. … Personal care as a State plan service is associated with lower rates of hospitalization.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/continuing-ed/moc_smsresources.pdf
July 01, 2014 - • Improving Primary Care: Self‐Management Action Plan (provided by the Neighborhood Family Practice … )
• The National Heart, Lung, and Blood Institute provides a similar Asthma Action Plan in print or … Step 2: My next step in reaching
this goal is to share it with my doctor or
the health care team … I will share my plan with my
spouse or partner, who will ask me
how it is going at least once a week … patient's role in the decision-making process.
• I discussed the essential issues about my patient's condition
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www.ahrq.gov/cahps/quality-improvement/improvement-guide/6-strategies-for-improving/coordination-of-care/strategy6l-planned-visits.html
March 01, 2020 - Sometimes, the problem is that they are trying to fit it into an acute care visit, whether or not the … The purpose of the visit is to ensure that the clinical team reviews the care for each patient with a … for his or her condition, including training in self-management. … Those who have not received important medications or other services indicated for their condition. … Collaboratively develop an action plan that the patient can and will follow.
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www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/chipra-1416-p006-2-ef.pdf
December 01, 2015 - Measure: Thermal Condition of Low Birth Weight Neonates Admitted to Level 2 or Higher Nurseries in the … Denominator Exclusions:
Neonates with comfort care, neonates
with anencephaly; and/or optional:
Neonates … intensive care nursery. … Time values,
temperature values, and clinical covariates are to be abstracted from the medical record … required measures developed under this program to
“permit comparison of quality and data at a State, plan
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www.ahrq.gov/professionals/prevention-chronic-care/improve/coordination/webinar01/fuzzysets_slides.html
July 01, 2013 - Coverage: Measures the degree to which a subset condition "covers" or "explains" an outcome. … Women or senior patients, OR Weak team care capabilities for diabetic patients. … project to examine delegation of care management from health plan to physician organizations and their … Aims: Compare patient outcomes among those offered PDCM versus health plan delivered care management … Sufficient Condition(s) alone or in combination will result in a good outcome.
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www.ahrq.gov/research/findings/final-reports/crcscreeningrpt/crcscreen3.html
April 01, 2018 - Assessment Plan and Methodology
Previous Page Next Page
Table of Contents
Health Care … systems of care. … A primary care practice that treated adults of both genders (family or general internal medicine, but … provider was (i.e., the care or service did not have to be provided by a participating practice to be … Since this condition varies between practices based on available data sources, we include data source
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www.ahrq.gov/sites/default/files/wysiwyg/CHIPRA_15-P002-EF-revised.pdf
March 01, 2015 - condition using the
pediatric medical
complexity algorithm
(PMCA).1
2. … 0.02, 0.08)***
Protocols/Plans
Child has shared care plan 998 0.07 (0.04, 0.09)*** 996 0.07 (0.05, … care plan 1042 0.07 (0.04, 0.1)*** 1040 0.06 (0.03, 0.08)***
*p<0.05; **p<0.01, ***p<0.001
aAdjusted … Patient-centered plan-of-care tool for improving clinical outcomes. … Clinical practice
guidelines development:methodology perspectives.
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www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/chipra_15-p002-ef.pdf
March 01, 2015 - or not … 0.02, 0.08)***
Protocols/Plans
Child has shared care plan 998 0.07 (0.04, 0.09)*** 996 0.07 (0.05, … care plan 1042 0.07 (0.04, 0.1)*** 1040 0.06 (0.03, 0.08)***
*p<0.05; **p<0.01, ***p<0.001
aAdjusted … Patient-centered plan-of-care tool for improving clinical outcomes. … Clinical practice
guidelines development:methodology perspectives.
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/prevhosp/ereports.html
September 01, 2017 - High-risk change in condition within 7 days (CHF or chest pain or MI, pneumonia or bronchitis, mental … These symptoms and clinical condition elements are captured from multiple data sources within the facility … ’s electronic medical record and represent changes that occurred in a resident’s clinical condition within … A resident with hospital admission within 90 days of report date and clinical condition (or associated … Current Clinical Condition Contributing to Risk ( Table 2 , Row 9)
Polypharmacy ( Table 2 , Row 10)
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/rapid-response/tool_rapidresponse-systems.docx
May 01, 2017 - General activation criteria:
· An emergent or potentially emergent maternity care condition
· An event … Rapid responders should—
· possess specialized maternity care clinical skills, knowledge, and equipment … 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 … condition
· An event that requires a team response
· An acute situation that the provider or nurse or
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www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/chipra-88-measure-1-section-5-attachment-5.pdf
February 02, 2012 - The primary care clinician should recognize ADHD as a chronic
condition and, therefore, consider children … The school environment,
program, or placement is a part
of any treatment plan.
c. … These
clinical options are interventions
that a reasonable health care pro
vider might or might not … If a diagnosis
of ADHD or other condition is made
by a subspecialist, the primary care
clinician should … The school environ
ment, program, or placement is a
part of any treatment plan.
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www.ahrq.gov/es/patient-safety/settings/hospital/red/toolkit/redtool3.html
March 01, 2025 - 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.