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www.ahrq.gov/hai/cusp/toolkit/content-calls/framework.html
April 01, 2013 - surfaced have to do with teamwork, in communication, in system issues that allow us to achieve the clinical … Again, update and revise them to fit your plan. … We had an improvement plan for the competency. … Our competency plan wasn't followed. … they aren’t going to be included as a comorbid condition, so you could be losing that payment, that
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www.ahrq.gov/research/findings/nhqrdr/chartbooks/intro.html
June 01, 2018 - Healthy Living examines health care services that typically cut across clinical conditions: maternal … Modifications have been made when clinical recommendations change. … For example, clinical recommendations often set new target levels or recommended frequencies for specific … National CAHPS ® Benchmarking Database (NCBD)—Health Plan Survey Database. … prescribed by a doctor; the need or use of more medical care, mental health care, or education services
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Linzer.pdf
January 01, 2002 - Key MEMO personnel have
worked in collaboration with other working condition grantees to develop models … Our compensation plan rewards those who work hard for our
group.
2.3 (1.1)
k. … Our clinical leadership is concerned with quality of care
issues.
2.9 (0.8)
dd. … There is a great deal of sharing of clinical information. 2.8 (0.8)
h. … or patient safety.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/rapid-response/rapidresponse.pptx
October 01, 2017 - team response based on patient criteria
A multidisciplinary clinical team that can rapidly respond to … issues or arrest)
10
AHRQ Safety Program for Perinatal Care
Rapid Response
Perinatal Safety
10
Key … Rapid responders should—
possess specialized maternity care clinical skills, knowledge, and equipment … teams
Core rapid response staff typically includes a maternity care provider (obstetrician or midwife … Preparing for clinical emergencies in obstetrics and gynecology. Committee Opinion No. 590.
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www.ahrq.gov/policymakers/chipra/demoeval/what-we-learned/supplhighlight06.html
January 01, 2014 - These three States are working together as a State-level learning collaborative in order to implement or … expand their care management entities (CMEs). … and intensive care coordination. … The three States are seeking to improve (1) access to home- and community-based services, (2) clinical … practices in quality improvement activities, including identifying child health needs, adopting and/or
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www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/demoeval/what-we-learned/supplhighlight06.pdf
June 02, 2025 - These three States are working together as
a State-level learning collaborative in order to implement or … expand their care management entities
(CMEs). … enhanced and intensive care coordination. … The three States are seeking to improve (1) access to
home- and community-based services, (2) clinical … practices in quality
improvement activities, including identifying child health needs, adopting and/or
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/cusp/actionplan-trip-facguide.docx
January 01, 2017 - to a local unit and the global issues that impact particular care service lines or patient populations … Collect baseline data on your daily care, early mobility, and/or low tidal volume ventilation process … Outcome measures are high-level clinical or financial results that concern health care organizations. … The Plan-Do-Study-Act cycle, or PDSA, is the core of the Institute for Healthcare Improvement’s model … Slide 27
PDSA Step 1: PLAN
SAY:
The first step is plan. Plan the test or observation.
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www.ahrq.gov/policymakers/hrqa99a.html
October 01, 2014 - needs, including individuals with disabilities and individuals who need chronic care or end-of-life … to such services; (4) clinical practice, including primary care and practice-oriented research; (5) … , and market forces; (7) health promotion and disease prevention, including clinical preventive services … (e) DISCLAIMER- The Agency shall not mandate national standards of clinical practice or quality health … in this section shall be construed to imply that the Agency's role is to mandate a national standard or
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www.ahrq.gov/sites/default/files/wysiwyg/action-alliance/CMS-Aug-23-board-session.pdf
August 22, 2023 - Our board covers primarily safety and rarely discusses clinical performance,
population health … among top two
priorities, and about one-
third received training on
clinical quality … Board conducts rounds at the point of care or visits the health system and community to hear directly … Board reviews trends or drivers of effective and appropriate care as defined for the different areas … by evaluating variations in
care outcomes for key conditions or service lines based on race, gender
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/pfeprimarycare/envscan-app-f.pdf
January 01, 2015 - Better care coordination requires streamlined,
efficient, secure clinical communication
Yes Yes Moderate … Online tools and services activate plan enrollees and
engage them in their care, enhance efficiency, … Team-developed care plan and ongoing care
management by social workers and nurse
practitioners result … Talking to your doctor or nurse Yes Yes Moderate Guidelines for talking to physician or nurse. … novel clinical program (Dorflinger, Pain Med, 2014,
PMID 25234837)
Yes Yes Moderate Pain care service
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/surgery/19-perioperative-teams.docx
June 01, 2023 - Have a structured approach to learning
Plan forward, reflect back, and act on the learning. … , or “What other options could we consider?” … or “Do you have any concerns about this?” … through building a structured approach to learning, you will have a systematic way to reflect back and plan … Care Physician
Current work involves continuous clinical QI, hospital-acquired conditions, and physician
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www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/highlights/ps-project-highlights-medication-safety.pdf
April 30, 2025 - safety transitions in care settings and during clinical
handoffs between healthcare professionals. … Patients who received the messages were
more likely to plan to dispose of their pills. … planning;
however, several PM tasks also arise dynamically depending on changes to the patient’s
condition … Treatment delays were attributed to care plan discrepancies
and missing orders, uncommunicated day-of-treatment … As a result of this work, nephrotoxic acute kidney injury has been
selected as a hospital-acquired condition
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/urinary-catheter-insertion-notes.docx
April 01, 2022 - Even when inserting catheters during clinical rotations, the instructor is often hovering nearby, with … One way to implement an insertion checklist is to use a PDSA (or Plan-Do-Study-Act) cycle. … of care. … can be sure barriers to aseptic insertion can be reduced by sharing these best practices with other clinical … Delay catheter insertion until after the patient’s condition has stabilized.
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/ambulatory-care/common-cold-slides.pptx
September 01, 2022 - Does my patient understand what to expect and the
followup plan? … Does my patient understand what to expect and the followup plan? … for treatment and the followup plan. … Moment 4: What To Expect and Followup Plan
Upper Respiratory Infection
AHRQ Safety Program for Improving … Multisite exploration of clinical decision making for antibiotic use by emergency medicine providers
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/ambulatory-care/bronchitis-guide.docx
September 01, 2022 - Commentary
Slide Number and Slide
The “Never Antibiotics” Diagnoses: Acute Bronchitis
Ambulatory Care … Does my patient understand what to expect and the followup plan? … Unfortunately, many healthcare practitioners continue to prescribe antibiotics for this condition. … Antibiotic Decision Making
SAY:
Moment 4 is: Does my patient understand what to expect and the followup plan … or chest pain, if the cough increases in extent or frequency, or if a significant cough persists beyond
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www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/resources/primer-for-pbrn-business-opportunities.pdf
September 01, 2015 - Savings from reducing total care costs are shared between clinical ACO members and
payers.
2.1.1 The … practice change such as improving care for diabetes, chronic obstructive pulmonary disease, or
multiple … ORPRN gave a bid that met OHA needs, with adjustments from ORPRN,
to improve the plan. … Structured clinical documentation support, clinical decision support in the EHR
L. … Practice facilitation to improve diabetes care in
primary care: a report from the EPIC randomized clinical
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www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-rural-healthcare4.html
October 01, 2024 - acquisition in rural healthcare settings, requires substantial organizational resources, staff time, and clinical … models (e.g., value-based payment models, 89 global budgets 90,91 ) do not capture diagnostic accuracy or … , or help address unmet social needs, through referrals. … , and new biomarker or genetic testing (e.g., multicancer early detection screening). … (e.g., on-hand interpreter services to improve medical history or symptom discussions). 26 Care coordination
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www.ahrq.gov/hai/cusp/modules/implement/teamwork.html
December 01, 2012 - Not following plan of care.
Ambiguous orders or directions.
Change in team members. … team and family members regarding the patient's plan of care. … The checklist provides a care plan that prompts health care staff to focus on tasks to accomplish that … A briefing immediately:
Maps out the care plan. … B ackground―What is the clinical background or context?
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www.ahrq.gov/cahps/quality-improvement/improvement-guide/4-approach-qi-process/sect4part2.html
January 01, 2020 - At the heart of the Model for Improvement is the Plan-Do-Study-Act (PDSA) cycle (see Figure 4-1 ). … During this first part, a QI team guides development of its strategy and action plan by answering the … In the second part of the model, the QI team uses RCI and the PDSA cycle to implement its action plan … Microsystems in health care: Part 9. Developing small clinical units to attain peak performance. … Clinical Microsystems. Transformational Framework for Lean Thinking.
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www.ahrq.gov/sites/default/files/2025-03/concannon-report.pdf
January 01, 2025 - as well as in other clinical domains. … This clinical module could be replaced in future iterations with
new clinical predictive instruments … One class of strategies is the development of voluntary STEMI
systems of care in local communities or … Baseline inventories of hospital
capability and capacity are priorities for any regional plan. … Seek consensus about key features of the plan from area hospitals and EMS providers.