-
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
-
www.ahrq.gov/cahps/quality-improvement/improvement-guide/6-strategies-for-improving/access/strategy6f-ondemand.html
April 01, 2023 - , or condition that needed care right away in a clinic, emergency room, or doctor's office?" … related to a health condition or problem. … manage the condition at home, a referral for an in-person physician visit, or immediate referral to … of care), better clinical outcomes, and high levels of member/patient satisfaction. … If members or nurses consistently have difficulty with specific questions, the clinical team should take
-
www.ahrq.gov/patient-safety/settings/hospital/match/intro.html
July 01, 2022 - High-Risk Situations for Medication Reconciliation
Conclusion
References
Appendix: The MATCH Work Plan … she is admitted to the hospital or is seen in an outpatient setting. … condition or formulary status). … The Appendix also functions as a Work Plan to implement medication reconciliation in your facility according … The Work Plan is available as a standalone file so you can print multiple copies for use with leadership
-
www.ahrq.gov/es/patient-safety/settings/hospital/match/intro.html
July 01, 2022 - High-Risk Situations for Medication Reconciliation
Conclusion
References
Appendix: The MATCH Work Plan … she is admitted to the hospital or is seen in an outpatient setting. … condition or formulary status). … The Appendix also functions as a Work Plan to implement medication reconciliation in your facility according … The Work Plan is available as a standalone file so you can print multiple copies for use with leadership
-
www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/webinars/perinatal-care-experience-slides.pdf
March 06, 2025 - To learn about a clinical trial on how primary care coordination
as a standard practice in postpartum … Prevents disrespect, mistreatment, or abuse toward individuals who are utilizing
maternal care services … • Birth = dangerous
• Care provider
Examples of clinician influences:
Training, clinical experiences … Visit for Routine or
Chronic Condition Care Within 4 Months of EDD
Control Group Intervention Group … for diabetes
screening
Plan for mental
health care
Plan for
contraception
Results: Secondary
-
www.ahrq.gov/patient-safety/reports/candor-demo-program/plan-grants/findings.html
August 01, 2022 - her clinical decisions. … condition and less effective in engaging patients as partners in decisionmaking.” 1 The elements of … components of the management plan. … patient–provider communication, and lack of continuity of care; and the top three clinical factors were … An implementation plan was recommended that outlines the process for identifying and disclosing events
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/pressureulcertoolkit/putoolssect7.docx
February 16, 2011 - Assessment of Pressure Ulcer Care Plan
Does the care plan for pressure ulcers address all the areas below … Start a skin care plan.
C. … Start a skin care plan.
C. … pressure ulcers and plan the care accordingly. … Mobility
· Nutrition
· Friction/Shear
· Performs or supervises performance of care plan procedures or
-
www.ahrq.gov/ecareplan/about/index.html
August 01, 2024 - About the eCare Plan for Multiple Chronic Conditions
The eCare Plan project aims to build care … These tools include data standards and electronic care plan applications that allow all members of the … Project There is a mismatch between the way healthcare is delivered and the needs of people at risk for or … , patient-centered outcomes research (PCOR) by developing an interoperable electronic care plan to facilitate … This collaborative process involves discussing patient and clinical goals of care and identifying, through
-
www.ahrq.gov/diagnostic-safety/resources/issue-briefs/nurse-role-dxsafety-apa.html
September 01, 2022 - for a health-related condition)
I-1. … Are your impressions consistent with those of the primary care provider/care team? … their diagnosis or treatment plan? … What would you tell patients or ancillary members of the care team to get them more involved in a culture … made by anyone on the care team?
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/pressure_ulcer_prevention/module4/putoolkit_module4_tools.docx
January 01, 1995 - Example:
Perform comprehensive skin assessment on admission, daily or if condition deteriorates. … Braden Risk Assessment) on admission, daily, and if condition deteriorates (or according to facility … policy)
· Documents care plan tied to identified risk
· Sensory perception
· Moisture
· Activity
· … Mobility
· Nutrition
· Friction/Shear
· Performs or supervises performance of care plan procedures or … deteriorates (or according to facility policy)
· Documents care plan tied to identified risk
· Sensory
-
www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/demoeval/what-we-learned/mhi-rsf.pdf
June 02, 2025 - plan and used
by other practice staff (e.g. fax, e-mail
or web messages, home, school or
residential … 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 … and evaluate the care plan … care, care plan and related
coordination and the determination of
outcomes (e.g. clinical, functional
-
www.ahrq.gov/ncepcr/care/coordination/atlas/chapter6x.html
June 01, 2014 - hospital clinical practice. … coordination within their clinical practice. … Condition: Not Applicable
Setting: Primary Care Facility, Inpatient, Emergency Department
*Based … Condition: Not Applicable
Setting: Primary Care Facility, Other Outpatient Specialty Care Facility … Condition: Not Applicable
Setting: Primary Care Facility, Other Outpatient Specialty Care Facility
-
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.
-
www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-207-fullreport.pdf
June 01, 2019 - Care All-Condition Readmissions
with Gestational Age Reported
Section 1. … Neonatal Intensive Care All-Condition Readmissions.
2
2. … Neonatal Intensive Care All-Condition Readmissions with Gestational Age; All-
Condition Readmissions … • 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.
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Kind_31.pdf
March 31, 2008 - plan to the post-hospital care team.1, 2 Often, the discharge summary is the only form of
communication … system to transmit information regarding their condition and care plan. … discharge
summaries.1, 2, 3, 5, 19, 20, 22, 23 Omission of information regarding pending tests and plan … research needs to address the impact specific discharge summary
components—such as discharge medications, plan … Middleton Hospital, Geriatric
Research Education and Clinical Center, U.S.
-
www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/fry-administering.pdf
June 02, 2025 - Patient Satisfaction
Experience
• Whether something
happened, or how often it
happened
• Frequency … measures
▪ Clinical outcomes
▪ Patient safety
Business Outcomes
▪ Malpractice risk
▪ Employee satisfaction … ► Outpatient and Ambulatory Surgery
Patient Experience with Condition-
Specific Care
► Cancer Care … ► Mental Health Care
Enrollee Experience with Health
Plans
► Health Plan
► Home and Community-Based … Patient Experience with Condition-Specific Care
Enrollee Experience with Health Plans
Examples of
-
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.
-
www.ahrq.gov/es/patient-safety/settings/hospital/resource/pressureulcer/tool/pu7a.html
August 01, 2017 - Assessment of Pressure Ulcer Care Plan
Does the care plan for pressure ulcers address all the areas … Alginate dressings can be used for heavily draining pressure injury/ulcers or those with clinical evidence … Alginate dressings can be used for heavily draining pressure injury/ulcers or those with clinical evidence … Start a skin care plan.
C. … Start a skin care plan.
C.
-
www.ahrq.gov/patient-safety/settings/hospital/resource/pressureulcer/tool/pu7a.html
August 01, 2017 - Assessment of Pressure Ulcer Care Plan
Does the care plan for pressure ulcers address all the areas … Alginate dressings can be used for heavily draining pressure injury/ulcers or those with clinical evidence … Alginate dressings can be used for heavily draining pressure injury/ulcers or those with clinical evidence … Start a skin care plan.
C. … Start a skin care plan.
C.
-
www.ahrq.gov/ncepcr/care/coordination/atlas/chapter6i.html
June 01, 2014 - Age: Not Applicable
Patient Condition : Not Applicable
Setting: Primary Care Facility
*Based … , including: (1) organization of care within the health system, (2) clinical information systems, (3) … 4, 5A-6A, 7A-F, 8B, 9.1-9.4
As coordination needs change: 6B
Create a proactive plan of care: … Country: United States
Past or Validated Applications*:
Patient Age: Adults
Patient Condition … Country: United States
Past or Validated Applications*:
Patient Age: Adults
Patient Condition