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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hypertension_8_program-evaluation.pptx
July 01, 2023 - justify the need for our program and its evaluation.
3
As a Reminder…
The Safety Program in Perinatal Care … 4
Hospital AIM Team
Leads
SPPC-II
SCRIPT
First, as a reminder:
The Safety Program in Perinatal Care … audits and improve quality of care
to increase awareness/knowledge of SMM recognition and management … audits and improve quality of care
to increase awareness/knowledge of SMM recognition and management … Between the program start-up and inputs
And the expected impact or changes – in our case, impact or
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www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/tools-and-materials/60-tenn-health-coach-sustainability-plan-toolkit.pdf
March 30, 2023 - Health Coach Intervention Sustainability Plan
Health Coach Intervention Sustainability Plan
Medicare … supports consists of clinical staff in
primary care office who can advice the physician of the screening … visit for diabetes or
other condition. … 99487-Complex Chronic Care Management Services (60 min) of
clinical staff time directed by physician … or have an acute episode
▪ Chronic Condition Education
▪ Smoking/Nicotine Cessation
▪ Weight Management
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www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-terminology7.html
April 01, 2025 - Similar to the term wrong diagnosis or incorrect diagnosis . 30 Missed Diagnosis A condition that … , if recognized, an unsafe condition. … condition and optimizes the outcome. … A patient might define timely as a plan that reduces the period of uncertainty. … Can also refer to how well the clinical reasoning and testing perform to rule in or rule out diagnostic
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www.ahrq.gov/talkingquality/measures/setting/physician/measurement-sets.html
January 01, 2023 - Implemented in the early 1990s to measure health plan performance, HEDIS incorporated physician-level … the measures of physician quality are adapted from HEDIS indicators commonly reported at the health plan … Their goal was to work together to recommend core sets of quality measures by clinical area for use in … Questionnaires are available for adults or children receiving primary or specialty care. … issues specific to a particular specialty or health condition.
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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/outcomes/chipra-146-fullreport.pdf
January 01, 2020 - Responses from a survey sample derived from a clinical program or health
plan are summarized in three … • 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 … For the two Medicaid plan field tests, we determined the type of condition by
applying the Pediatric … program, chronic condition type, or
presence of mental health conditions.
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www.ahrq.gov/coronavirus/long-covid.html
February 01, 2025 - COVID-19 or SARS-CoV-2 infection. … Long COVID is not one condition. … The project aims to develop a standards-based, interoperable, electronic care (eCare) plan designed to … plan. … Plan Development and Multiple Chronic Conditions e-Care Plan Project .
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www.ahrq.gov/sites/default/files/wysiwyg/cahps/quality-improvement/improvement-guide/6-strategies-for-improving/communication/cahps-strategy-6l.pdf
August 01, 2017 - 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 … for his or her condition, including training in self-management. … o Those who have not received important medications or other services
indicated for their condition. … o Collaboratively develop an action plan that the patient can and will follow.
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www.ahrq.gov/policymakers/chipra/demoeval/what-we-learned/mhi-rsf.html
May 01, 2013 - plan and used by other practice staff (e.g. fax, e-mail or web messages, home, school or residential … The team (including PCP , family, and staff) develops a plan of care for CSHCN which details visit … within the care plan; it is made available to families and all involved providers. … In addition to Level 3, the PCP /staff and families create a written plan of care that is monitored … care, care plan and related coordination and the determination of outcomes (e.g. clinical, functional
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/pressure_ulcer_prevention/module3/module3_pu-bestpractices_slides.pptx
November 20, 2014 - one part of risk assessment
Meant to be used in conjunction with a review of other risk factors and clinical … in condition. … an action plan to address his or her needs:
Implement care practices so that your patient does not develop … 3
Nutrition Care Plan Triggered
Friction & Shear
Less than 3
Friction & Shear Care Plan Triggered … Use prompts to update the plan as your patient’s condition changes (helps ensure his or her needs will
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www.ahrq.gov/ncepcr/care/coordination/atlas/chapter6b.html
June 01, 2014 - Country: United States
Past or Validated Applications*:
Patient Age: Adults
Patient Condition … Country: United States
Past or Validated Applications*:
Patient Age: Adults
Patient Condition … Country: United States
Past or Validated Applications*:
Patient Age: Children
Patient Condition … Validated Applications * :
Patient Age: Adults
Patient Condition: General Population or Not … Validated Applications * :
Patient Age: Children
Patient Condition: General Population or Not
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www.ahrq.gov/patient-safety/resources/resdesign-tool/tkappb.html
August 01, 2016 - Assessment
Assessing a patient's condition. A provider or a nurse can do this. … Care question
Patient asks question(s) of a clinician regarding his or her care. … Discuss care
Patient discusses the plan or course of care with a clinician. … their medical condition or clinical care. … Report
Clinical or change of shift report at the patient's bedside.
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www.ahrq.gov/ncepcr/care/coordination/atlas/chapter6y.html
June 01, 2014 - electronic clinical information (audit trails). … teams or settings: 2
Information transfer:
Across health care teams or settings: 1, 3, … Country: United States
Past or Validated Applications*:
Patient Age: Adult
Patient Condition … : Not Condition Specific
Setting: Primary Care Facility, Inpatient Care Facility, Emergency Department … Country: United States
Past or Validated Applications*:
Patient Age: Adults
Patient Condition
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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/patient-safety/settings/long-term-care/resource/ontime/fallspx/implmatls.html
November 01, 2017 - and care plan teams
|__|
|__|
Creation of an individualized, interdisciplinary care plan aimed … new admission)
|__|
|__|
Recent hospitalization or change in condition
|__|
|__| … Are interventions for primary prevention* included in a falls prevention care plan? … resident risk factors, inadequate care plan)? … The team considers meetings, huddles, care plan meetings, or other existing meetings where a report would
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/fallprevention-training/module4/module4_tools.docx
August 03, 2017 - Example:
Perform comprehensive fall risk assessment on admission, daily, or if condition deteriorates … Documents care plan tied to identified risk:
Mental status.
Continence.
Mobility level. … Performs or supervises performance of care plan procedures or treatments:
Close observation of delirious … Documents care plan tied to identified risk:
Mental status.
Continence.
Mobility level. … Performs or supervises performance of care plan procedures or treatments:
Close observation of delirious
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www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/chipra_1415-p008-2-ef.pdf
January 01, 2015 - Denominator: Certain hospitalizations
based on clinical criteria or for issues of
data completeness … or data quality criteria,
including primary diagnosis for a mental
health condition, hospitalization … for birth
of a healthy newborn, or hospitalization
for obstetric care. … the Measure9
The measure is intended for aggregation and comparison at the State, regional, health plan … Evaluating hospital discharge planning: a randomized clinical trial.
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www.ahrq.gov/sites/default/files/publications/files/ltcinstructor.pdf
June 01, 2012 - Workbook Content Overview
Clinical Content
A change in a resident’s condition may mean that he or she … Workbook Content Overview
Clinical Content
A change in a resident’s condition may mean that he or she … an individualized care plan.
› Develop a falls management program. … Which of the following is the best reason to have an individualized care plan?
a. … Which of the following is the best reason to have an individualized care plan?
a.
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www.ahrq.gov/ncepcr/care/coordination/atlas/chapter6g.html
June 01, 2014 - Condition: Combined Chronic Conditions, Children with Special Health Care Needs, General Population … , and detailed clinical, functional, satisfaction, and cost outcomes of child and family. … Country: United States
Past or Validated Applications*:
Patient Age: Children
Patient Condition … Past or Validated Applications*:
Patient Age: Children
Patient Condition: General Population … Past or Validated Applications*:
Patient Age: Children
Patient Condition: General Population
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/prevhosp/preventablehospitalandedvisits-implmatl.pdf
September 08, 2017 - Do you develop a care plan for residents at risk for hospital transfers? … Does your plan include ongoing discussions about advance care planning
with resident and/or family … QAPI or Performance Improvement
Plan meeting
f. Care plan meeting
g. … Care plan meetings
2. Dietary Department internal review
3. Nurse shift change report
4. … The team considers
meetings, huddles, care plan, or other existing meetings where a report would enhance
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/prevention-chronic-care/improve/system/pfhandbook/Mod3App.pptx
September 01, 2002 - Productive
Interactions
Prepared,
Proactive
Practice Team
Delivery
System
Design
Decision
Support
Clinical … treatment, physical and social consequences and lifestyle changes inherent in living with a chronic condition … Regarding clinical care, remember techniques from shared decision making. … Often the goal or plan does not seem related to the chronic illness from our point of view, but to the … Sometimes they have been overly ambitious with the plan and chosen too much or too often.