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www.cpsi.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/medicaidreadmitguide/mcaidread_tool13_ed_care_plan.docx
May 01, 2015 - This person will either directly develop the ED care plan or will delegate that task to a specific person … , shared drive, or paper binder) and train providers on what to do when a patient has a care plan in … /Email: _____________________________
ED Care Plan Example 1
High-Risk Patient Assessment
1
Clinical … or life-threatening condition]
· [Attempt to treat symptomatic pain without the use of narcotics]
· … Patient:
Age/Sex:
MRN#:
DOB:
[Acute or ED] Care Plan
Care Plan Date:
· [date plan was created and
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www.cpsi.ahrq.gov/ncepcr/care/coordination/atlas/chapter6r.html
June 01, 2014 - Validated Applications*:
Patient Age: Children
Patient Condition : General Population/Not Condition … teams or settings : 2, 4, 5, 7, 8, 10
Information transfer:
Across health care teams or settings … : 1, 6, 11
Create a proactive plan of care: 3
Link to community resources: 9, 10, 23, 27, … Country: United States
Past or Validated Applications*:
Patient Age: Adults
Patient Condition … : United States
Past or Validated Applications*:
Patient Age: Adults
Patient Condition : Combined
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www.cpsi.ahrq.gov/ncepcr/care/coordination/atlas/chapter6p.html
June 01, 2014 - Country: United States
Past or Validated Applications*:
Patient Age: Adults
Patient Condition … : General Population/Not Condition Specific
Setting: Primary Care Facility
*Based on the sources … Country: United States
Past or Validated Applications*:
Patient Age: Not Applicable
Patient Condition … Microsystems in health care: Part 1. Learning from high-performing front-line clinical units. … Specific
Patient Condition : General Population/Not Condition Specific
Setting: Primary Care Facility
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www.cpsi.ahrq.gov/talkingquality/plan/quality-measures.html
November 01, 2018 - Contact Us
Español
FAQs
Home
Talking Quality
Plan … More topics in this section
Talking Quality
Plan … Such measures are usually too specific and clinical to be helpful to consumers, although some can be … In additions, some reports present measures only for a specific condition or procedure. … https://www.ahrq.gov/talkingquality/plan/quality-measures.html
Back
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www.cpsi.ahrq.gov/ncepcr/care/coordination/atlas/chapter6s.html
June 01, 2014 - measure is based on clinical guidelines with the highest level of evidence, including links to clinical … : United States
Past or Validated Applications*:
Patient Age: Adults
Patient Condition : Combined … Country: United States
Past or Validated Applications*:
Patient Age: Adults
Patient Condition … Condition Specific
Setting: Inpatient Facility, Primary Care Facility, Not Setting Specific
*Based … Create a proactive plan of care
Monitor, follow up, and respond to change
Medication Management
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www.cpsi.ahrq.gov/ncepcr/care/coordination/atlas/chapter6f.html
June 01, 2014 - Patient Condition: General Population/Condition Not Specific
Setting: Primary Care Facility … Country: United States
Past or Validated Applications*:
Patient Age: Children
Patient Condition … Country: Netherlands
Past or Validated Applications*:
Patient Age: Adults
Patient Condition: … Quality of integrated care for patients with head and neck cancer: Development and measurement of clinical … Condition: Combined Chronic Conditions, Children with Special Health Care Needs, General Population/
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www.cpsi.ahrq.gov/ncepcr/care/coordination/atlas/chapter6t.html
June 01, 2014 - care teams or settings
Facilitate Transitions
Across settings
Create a proactive plan of … Condition Specific
Setting: Inpatient Facility, Primary Care Facility, Not Setting Specific
*Based … or home health care, or their caregiver(s), who received a transition record at the time of ED discharge … Create a proactive plan of care
Monitor, follow up, and respond to change
Medication Management … Condition Specific
Setting: Emergency Care Facility, Primary Care Facility, Other Outpatient Specialty
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www.cpsi.ahrq.gov/ncepcr/care/coordination/atlas/chapter6d.html
June 01, 2014 - transfer:
Across health care teams or settings: 4-6
Create a proactive plan of care: 1-3 … Developing a reliable, valid, and feasible plan for quality of care measurement for cancer. … re-hospitalization for their index condition and (2) health care facilities with differing levels of … Past or Validated Applications *:
Patient Age: Children , Adults, Older Adults
Patient Condition … Condition: General Population/Not Condition Specific
Setting: Inpatient Facility, Primary Care Facility
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www.cpsi.ahrq.gov/ncepcr/care/coordination/atlas/chapter6o.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: Adults
Patient Condition … Tufts Medical Center: Institute for Clinical Research and Health Policy Studies Web site. … Country: United States
Past or Validated Applications*:
Patient Age: Adult
Patient Condition:
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www.cpsi.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 Condition … Validated Applications * :
Patient Age: Children
Patient Condition: General Population or Not
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www.cpsi.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.cpsi.ahrq.gov/questions/resources/diagnosis/step3.html
November 01, 2020 - questions about your disease or condition. … your disease or condition. … Contact your health plan or your local hospital, medical society, or medical school. … What is the technical name of my disease or condition, and what does it mean in plain English? … Is there a clinical trial (research study) that is right for me?
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www.cpsi.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.cpsi.ahrq.gov/talkingquality/measures/setting/health-plan/examples.html
December 01, 2022 - are a combination of clinical quality (doing the right thing, at the right time, to the right patient … ) and the health plan member’ experiences with care. … or an assessment) for a specific health condition. … Rates of health plan member complaints or appeals over coverage decisions. … The percentage of pregnant women receiving prenatal care during the first trimester or postpartum care
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www.cpsi.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/pressure_ulcer_prevention/module3/module3_pu-bestpractices.docx
June 12, 2018 - a significant change in condition. … It incorporates the patient’s response to the interventions and any changes in his or her condition. … Slide 26
SAY: Each patient should understand his or her pressure injury risk and how a care plan addresses … care plan. … · Having prompts to update the plan as the patient’s condition changes helps ensure the patient’s needs
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www.cpsi.ahrq.gov/patient-safety/settings/hospital/resource/pressureulcer/tool/pu7b.html
October 01, 2014 - developing pressure ulcers and plan the care accordingly. … Plan
Background: Developing a care plan specific to the needs of each individual patient is critical … Use: Individualize the care plan to address the needs of at-risk patients. … Mobility
Nutrition
Friction/Shear
Performs or supervises performance of care plan procedures … deteriorates (or according to facility policy)
Documents care plan tied to identified risk
Sensory
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www.cpsi.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
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www.cpsi.ahrq.gov/patient-safety/settings/hospital/match/table-1.html
July 01, 2022 - Events
Education & Training
Resources
Medications at Transitions and Clinical … High-Risk Situations for Medication Reconciliation
Conclusion
References
Appendix: The MATCH Work Plan … (Yes/No)
"One-to-One" Match
Medications ordered for the patient during the episode of care or upon … Discrepancy
(i.e., purposeful)
Discrepancies exist but are appropriate based on the patient's plan … condition or care plan.
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www.cpsi.ahrq.gov/patient-safety/settings/hospital/match/table-3.html
July 01, 2022 - Events
Education & Training
Resources
Medications at Transitions and Clinical … High-Risk Situations for Medication Reconciliation
Conclusion
References
Appendix: The MATCH Work Plan … (Yes/No)
&One-to-One" Match
Medications ordered for the patient during the episode of care or upon … Intended Discrepancy (i.e., purposeful)
Discrepancies exist but are appropriate based on the patient's plan … condition or care plan.
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www.cpsi.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/Not … Past or Validated Applications*:
Patient Age: Children
Patient Condition: General Population/Not