-
cmext.ahrq.gov/confluence/pages/viewpage.action?pageId=114991038
October 26, 2021 - (s); used to inform, monitor, and optimize care plan and outcomes. 13 Condition Management Policy/ Procedure … preventive service coming due or possible OUD, or condition (e.g., out of range clinical parameter) … or return notifications (e.g., to care team and/or patient/caregiver) for clinical attention and/or action … care plan addresses the patient’s clinical problems and concerns as well as preventive care, and guides … The care plan is accessible on the portal, smartphone app, and/or paper.
-
cmext.ahrq.gov/confluence/display/PUB/Care+Delivery+Perspective
October 26, 2021 - (s); used to inform, monitor, and optimize care plan and outcomes. 13 Condition Management Policy/ Procedure … preventive service coming due or possible OUD, or condition (e.g., out of range clinical parameter) … or return notifications (e.g., to care team and/or patient/caregiver) for clinical attention and/or action … care plan addresses the patient’s clinical problems and concerns as well as preventive care, and guides … The care plan is accessible on the portal, smartphone app, and/or paper.
-
cmext.ahrq.gov/confluence//display/PUB/Care+Delivery+Perspective
October 26, 2021 - (s); used to inform, monitor, and optimize care plan and outcomes. 13 Condition Management Policy/ Procedure … preventive service coming due or possible OUD, or condition (e.g., out of range clinical parameter) … or return notifications (e.g., to care team and/or patient/caregiver) for clinical attention and/or action … care plan addresses the patient’s clinical problems and concerns as well as preventive care, and guides … The care plan is accessible on the portal, smartphone app, and/or paper.
-
www.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.
-
www.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.
-
digital.ahrq.gov/ahrq-funded-projects/implementation-electronic-care-plan-people-multiple-chronic-conditions
January 01, 2023 - Medical Condition
Cardiovascular Disease
Chronic Pain
Diabetes Mellitus
Renal (Kidney) Disease … Health Care Theme
Care Coordination
Care Planning
Clinical Decision Making
Care … Existing care plans are typically those focused on a single disease or care setting and do not meet the … for managing those with chronic kidney disease and at least one additional chronic condition, such as … Design and execute a plan for pilot-testing the e-care plan applications by using the IG in a mix of
-
www.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
-
digital.ahrq.gov/sites/default/files/docs/survey/mainehealthcoalitionossurvey_comp.pdf
January 01, 2007 - Does your practice have an intervention program (written care
plan or tool kit, or referral source) … promote the best practice of care for a specific condition. … physicians and patients in discussing the care
plan for the patient. … referral to educators specializing in a specific disease or condition. … from a hospital, health plan, PHO, or other organization.
-
www.healthcare411.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.
-
www.innovations.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.
-
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.
-
www.qualitymeasures.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.
-
www.cahps.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.
-
ce.effectivehealthcare.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.
-
www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/pruprev/care/resources/ontime/pruprev/saworksheet.html
December 01, 2017 - Clinical areas to be covered
___
___
b. … Do you develop a care plan for residents at risk of developing a pressure ulcer? … Does your plan include interventions for skin care ? … Care plan review
b. Report or brief with CNAs
c. … QAPI * or performance improvement plan meeting
f.
-
www.uspreventiveservicestaskforce.org/uspstf/about-uspstf/methods-and-processes/procedure-manual/procedure-manual-section-3-topic-work-plan-development
May 04, 2025 - Effective Health Care Program review or a Cochrane review. … settings or are judged to be feasible for delivery in or referable from primary care. … Additionally, clinicians and/or related staff in the primary care setting should have (or could have) … or initiated by a primary care clinician. … and the impact of the condition on the health of these populations (including societal or caregiver
-
cmext.ahrq.gov/confluence/download/temp/pdfexport-20230227-270223-1043-17/Care+Delivery+Perspective_c47e9f7ef81c464882bb25ec0b0faa17-270223-1043-18.pdf?contentType=application/pdf
(s); used to inform, monitor, and optimize care plan
and outcomes.
13 Condition
Manage
ment
Policy … as indicated preventive service coming due or possible OUD, or condition (e.
g., out of range clinical … parameter) or return notifications (e.g., to care team and/or patient/caregiver) for clinical attention … care plan addresses the patient’s clinical problems and concerns as well as preventive care, and guides … The care plan
is accessible on the portal, smartphone app, and/or paper.
-
cmext.ahrq.gov/confluence/download/export/pdfexport-20230320-200323-1144-211/Care+Delivery+Perspective_48af5cf7bd56404893da8b776426b788-200323-1144-212.pdf?contentType=application/pdf
(s); used to inform, monitor, and optimize care plan
and outcomes.
13 Condition
Manage
ment
Policy … as indicated preventive service coming due or possible OUD, or condition (e.
g., out of range clinical … parameter) or return notifications (e.g., to care team and/or patient/caregiver) for clinical attention … care plan addresses the patient’s clinical problems and concerns as well as preventive care, and guides … The care plan
is accessible on the portal, smartphone app, and/or paper.
-
cmext.ahrq.gov/confluence/download/export/pdfexport-20230424-240423-1211-2703/Care+Delivery+Perspective_32856957cf4242918fbda5342471f7e5-240423-1211-2704.pdf?contentType=application/pdf
(s); used to inform, monitor, and optimize care plan
and outcomes.
13 Condition
Manage
ment
Policy … as indicated preventive service coming due or possible OUD, or condition (e.
g., out of range clinical … parameter) or return notifications (e.g., to care team and/or patient/caregiver) for clinical attention … care plan addresses the patient’s clinical problems and concerns as well as preventive care, and guides … The care plan
is accessible on the portal, smartphone app, and/or paper.
-
cmext.ahrq.gov/confluence/download/export/pdfexport-20230703-030723-1236-83/Care+Delivery+Perspective_2a3fd3f3f18c48a6acc222fa55b9b589-030723-1236-84.pdf?contentType=application/pdf
(s); used to inform, monitor, and optimize care plan
and outcomes.
13 Condition
Manage
ment
Policy … as indicated preventive service coming due or possible OUD, or condition (e.
g., out of range clinical … parameter) or return notifications (e.g., to care team and/or patient/caregiver) for clinical attention … care plan addresses the patient’s clinical problems and concerns as well as preventive care, and guides … The care plan
is accessible on the portal, smartphone app, and/or paper.