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www.cpsi.ahrq.gov/ncepcr/research-transform-primary-care/transform/profile/magill.html
October 01, 2015 - three principles: appropriate access, care teams, and planned care. … senior leadership allowed clinics to experiment with how to best adapt transformation principles to the clinical … summaries, use of advance directives, and medication reconciliation) were associated with improvements in clinical … team and services, including new roles for medical assistants, care managers, and clinical pharmacists … Connect With Us
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www.cpsi.ahrq.gov/patient-safety/settings/hospital/resource/nicu/packet/apa4.html
December 01, 2013 - Clinical Materials to Share With Primary Care Providers
Appendix B. … Clinical Materials to Share With Primary Care Providers (continued)
Appendix B. … Clinical Materials to Share With Primary Care Providers (continued)
Appendix C. … Plan ahead for extra help at home.
Schedule routine followup doctor visits. … baby has a gastrostomy tube
Clear the G tube or button as your health care provider showed you.
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www.cpsi.ahrq.gov/research/findings/nhqrdr/chartbooks/carecoordination/carecoordination-slides.html
June 01, 2018 - plan that anticipates and addresses pain and symptom management, psychosocial needs, and functional … care is critical in helping patients adequately prepare for and plan future care, and physicians’ communication … Readmission refers to an unplanned admission to a hospital for any condition or procedure 30 days after … Slide 36
Potentially avoidable adult hospitalizations, by type of condition, 2005-2013, and by race … Importance: Hypertensive emergency is a condition that affects approximately 1% of all patients with
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www.cpsi.ahrq.gov/health-literacy/professional-training/shared-decision/workshop/mod2-slides.html
September 01, 2020 - the benefits and risks of each option
Understand how they relate to your patient's situation and condition … Replace clinical practice guidelines or provide clinical recommendations. … promote shared decision making
Slide Content:
AHRQ's interactive decision aids:
Describe the condition … Help patients assess what is important to him or her. … Slide 45: Examples of how AHRQ's PCOR resources have been used
Slide Content:
Urban Health Plan
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www.cpsi.ahrq.gov/talkingquality/distribute/placement/settings.html
January 01, 2023 - More topics in this section
Talking Quality
Plan … in the next few months or year. … Examples include:
Women who are pregnant or planning to become pregnant very soon. … the energy and ability to focus on comparative quality data, even if the data are specific to their condition … served its client population and provided educational programs, information, and resources, but not clinical
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www.cpsi.ahrq.gov/hai/cusp/modules/patient-family-engagement/notes.html
September 01, 2013 - best plan of action. … may experience better clinical outcomes … or avoid. … A equals A ssess how well doctors and nurses explain the diagnosis, condition, and next steps in care … of a discharge plan and provides guidance for involving the patient and family members in the discharge
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www.cpsi.ahrq.gov/ncepcr/research-transform-primary-care/transform/profile/cooley.html
August 01, 2018 - was composed of a pediatric physician champion, two parent partners, and a member of the practice's clinical … or administrative staff. … (e.g., responding to patient concerns by phone or seeing patients in a "quiet room" or other space that … The greatest gains were seen in the domains of "Care Coordination" and "Chronic Condition Management, … 12 practices, parents completed the Consumer Assessment of Healthcare Providers and Systems Health Plan
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www.cpsi.ahrq.gov/sites/default/files/wysiwyg/ncepcr/tools/healthy-aging-roundtable.pdf
September 08, 2022 - care plan that minimizes burden on patients and caregivers while supporting them in achieving these … Making the Comprehensive
Shared Care Plan a Reality. … NEJM Catalyst. 2016: https://catalyst.nejm.org/making-the-comprehensive-shared-care-
plan-a-reality/ … other health condition, disability, or functional limitation.16 Paid
caregivers, including home health … Hubs may serve as contractor to a Medicare
Advantage plan or a health system and provide access through
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www.cpsi.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/teamwork/sensemaking/learn-from-defects-facilitator-guide.pdf
May 01, 2017 - • Failure to recognize clinical
emergencies and intervene rapidly and
appropriately: Staff participated … What clinical or operational problems
have or could have endangered patient
safety?
2. … An antecedent describes the preceding event,
condition, or cause. … Develop an action plan for
implementation.
4. How will you know the risk is reduced? … • Defects are clinical or operational
events that you do not want to happen
again.
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www.cpsi.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/howtogetstarted/Best_Practices_Hosp_Leaders_508.docx
March 13, 2013 - A patient is an individual to be cared for, not a medical condition to be treated. … Incorporate patient and family engagement into
the hospital’s strategic plan
A hospital’s strategic … plan can help lay out how patient and family engagement fits into organizational processes on a daily … care or a patient experience team with responsibility for these functions. … (e.g., about facilities and services or clinical information), communicate with physicians, make appointments
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www.cpsi.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/primary-care/workforce-financing/case_example_8.pdf
October 01, 2016 - For patients with chronic conditions seen in 2014 and 2015,
62 percent had one chronic condition, 36 … These appointments are scheduled before or just after a clinical visit, if
possible. … Any staff member from the front desk, dental clinic, or clinical team who is concerned about a
patient … Patient navigation LVN distributes Patient Care Plan to patient at the end of the visit to review
provider … Plan with a review of the provider’s
plan of care and connections to other services for followup on
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www.cpsi.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/teamwork/sensemaking/learn-from-defects-facilitator-guide.docx
May 01, 2017 - Failure to recognize clinical emergencies and intervene rapidly and appropriately: Staff participated … What clinical or operational problems have or could have endangered patient safety?
2. … The Staff Safety Assessment is designed for all health care staff to use. … An antecedent describes the preceding event, condition, or cause. … Defects are clinical or operational events that you do not want to happen again.
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www.cpsi.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy4/Strat4_Tool_4_PPT_508.pdf
May 22, 2013 - about their ability to take care of themselves
or the patient
– Hesitant to ask questions or raise … at admission
• May not start to think about discharge until later in the
stay
• May prioritize clinical … family throughout
the hospital stay
• Assess how well doctors and nurses explain the diagnosis,
condition … (continued 2)
• Daily:
– Educate the patient and family about the patient’s
condition
at every … Benefits of IDEAL Discharge Planning
for clinicians
• Improves information about the patient’s condition
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www.cpsi.ahrq.gov/cpi/about/35th-anniversary/index.html
April 01, 2024 - Congress also directs AHRQ, CDC, and CMS to partner on the development of a National Action Plan to reduce … The Road Map to Elimination (HAI Action Plan) is designed to help prevent HAIs in multiple healthcare … outcomes, and encourage the development of clinical registries and clinical data networks and other … Researchers found that 60 percent of the 80 ICUs evaluated went 1 year or more without an infection, … than $2 million in healthcare costs.
2014
AHRQ releases the report, Annual Hospital-Acquired Condition
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www.cpsi.ahrq.gov/ncepcr/care/coordination/atlas/chapter6q.html
June 01, 2014 - joint arthroplasty, General Population/Not Condition Specific
Setting: Inpatient Care Facility, Primary … Country: United States
Past or Validated Applications*:
Patient Age: Adults
Patient Condition … /family : C1c, C1d, D26, D26a, D27, D27a, D28, D28a, E1
Across health care teams or settings: D18 … Patient Condition: Other – End-of-life
Setting: Inpatient Facility, Long Term Care Facility, Home … transitions:
Across settings: S5
Assess needs and goals: Q12
Create a proactive plan of care
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www.cpsi.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/g2_combo_specifictoolstosupportchange.pdf
January 01, 2011 - or condition. … However, because the patients’ age, sex, or severity
of condition may increase their risk of death, … professionals use research evidence
in their clinical practice. … Users can
search the NQMC for measures that target a
particular disease or condition, treatment, age … range,
gender, vulnerable population, setting of care, or
contributing organization.
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www.cpsi.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/primary-care/tpc/tpc-profile-solberg.pdf
April 01, 2015 - and manage
services
• Care coordination for improved patient- and family-
centered care
• Care … plans for patients with chronic or complex conditions
and their families
• Continuous improvement … Each practice, or group of practices, determined how to best implement
changes to meet the standards … Seventy-five percent of the
HCHs were part of large medical
groups with 20 or more clinics,
and nearly … practitioners or physician
assistants.
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www.cpsi.ahrq.gov/practiceimprovement/delivery-initiative/redesigningprimaryhealthcareteams.html
November 01, 2017 - In response to this challenge, many organizations are implementing condition-specific quality improvement … at Penobscot had made referrals on their own, including routine referrals to pharmacists, licensed clinical … Orders overdue or upcoming care, using motivational interviewing to discuss services due with patients … ’s ability to capture rewards for clinical performance. … Redesign of care teams seems preferable to condition-specific quality improvement efforts, because redesign
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www.cpsi.ahrq.gov/sites/default/files/wysiwyg/lhs/lhs_case_studies_bsw.pdf
April 01, 2019 - has over 47,000 employees and more than 7,800 active physicians as well as the
Scott & White health plan … What data do a physician, a nurse, or a physician’s assistant need at the point of care? … What data do C-suite leaders need to understand care continuity across service lines or
facilities? … behind a patient’s use of healthcare
services and find opportunities to help
better manage a chronic condition … , avoid or
reduce hospital stays, enhance preventive care, or otherwise improve the quality of care.
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www.cpsi.ahrq.gov/prevention/chronic-care/decision/mcc/mccpublications.html
May 01, 2014 - The publications listed below are those that were published or in press as of August 2013. … Clinical complexity and mortality in middle-aged and older adults with diabetes. … Is patient-perceived severity of a geriatric condition related to better quality of care? … A framework for crafting clinical practice guidelines that are relevant to the care and management of … Connect With Us
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