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www.monahrq.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/chipra_14-p008-1-ef.pdf
October 01, 2014 - Measure: Pediatric All-Condition Readmission Measure
Measure: Pediatric All-Condition
Readmission … 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. … Evaluating hospital discharge planning: a randomized clinical trial.
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www.monahrq.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-0129-fullreport.pdf
December 31, 2015 - Pediatric All-Condition Readmission Measure
Pediatric All-Condition Readmission Measure
Section 1 … • 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 … Health plan: Can compare quality of care among health plans. … Clinical or Other Rationale Supporting the Focus of the Measure (optional)
Section 6.
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www.monahrq.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/chipra-1416-p005-3-ef.pdf
October 01, 2015 - thus, treating ADHD as a chronic care condition within a medical home is
guideline-recommended care.2,4 … practice guideline2,4 recommends that:
--- Primary care clinicians recognize ADHD as a chronic condition … is intended for aggregation and comparison at the State, regional, payment model type, and health
plan … measure uses administrative claims data, it is impossible to attribute children to specific
physicians or … measure can only be used to evaluate performance at the State,
region, payment model type, and health plan
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www.monahrq.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.monahrq.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.monahrq.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.monahrq.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.monahrq.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.monahrq.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.
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www.monahrq.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.monahrq.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/demoeval/what-we-learned/mhi-rsf.docx
March 25, 2009 - 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 at … evaluate the care plan. … care, care plan and related coordination and the determination of outcomes (e.g. clinical, functional
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www.monahrq.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.monahrq.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-208-fullreport.pdf
May 13, 2019 - Care All-Condition Readmissions
Without Gestational Age
Section 1. … Neonatal Intensive Care All-Condition Readmissions.
2
2. … • Fiscal burden of measure focus (e.g., clinical condition) on patients, families, public
and private … plan for the years of analysis; (2)
had their managed care system classified as a Primary Care Case … Health plan*: Can compare quality of care among health plans.
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www.monahrq.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.monahrq.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-199-section-2-chart-tech-specs.pdf
January 01, 2013 - Process
Stratification
Risk Adjustment None
Rate Aggregation State, geographic region, health plan … Clinical The following clinical recommendation statements are quoted verbatim from the referenced clinical … ; the patient's presenting condition(s); and whether the patient agrees to the recommended care, treatm … condition according to defined tim
frames. … The hospital completes a nutritional screening (when warranted by the patient's needs or condition) within
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www.monahrq.ahrq.gov/health-literacy/professional-training/shared-decision/tool/resource-8.html
September 01, 2020 - Decide which clinical procedures and/or treatments your practice wants to focus on first, and gather … Once you have successfully integrated shared decisionmaking into one department (or for one health condition … Each publication provides background on a specific clinical condition while comparing the benefits, risks … They include information on the condition and the treatment options. ( https://effectivehealthcare.ahrq.gov … "We are using the Effective Health Care Program materials to educate clinical leaders at member health
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www.monahrq.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/demoeval/what-we-learned/mhi-rsf.pdf
May 29, 2013 - 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
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www.monahrq.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/chipra-1416-p006-2-ef.pdf
December 01, 2015 - Measure: Thermal Condition of Low Birth Weight Neonates Admitted to Level 2 or Higher Nurseries in the … Denominator Exclusions:
Neonates with comfort care, neonates
with anencephaly; and/or optional:
Neonates … intensive care nursery. … Time values,
temperature values, and clinical covariates are to be abstracted from the medical record … required measures developed under this program to
“permit comparison of quality and data at a State, plan
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www.monahrq.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-145-fullreport.pdf
July 01, 2016 - of measure focus (e.g., clinical condition) on patients, families, public
and private payers, or society … ADHD as a Chronic Condition
The 2011 American Academy of Pediatrics (AAP), ADHD Clinical Practice Guidelines … ADHD as a Chronic Condition
As included in the 2011 clinical practice guideline, the AAP suggests that … ) by plan or geography. … Health plan*: Can compare quality of care among health plans.
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www.monahrq.ahrq.gov/professionals/prevention-chronic-care/improve/coordination/webinar01/fuzzysets_slides.html
July 01, 2013 - Coverage: Measures the degree to which a subset condition "covers" or "explains" an outcome. … Women or senior patients, OR Weak team care capabilities for diabetic patients. … project to examine delegation of care management from health plan to physician organizations and their … Aims: Compare patient outcomes among those offered PDCM versus health plan delivered care management … Sufficient Condition(s) alone or in combination will result in a good outcome.