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cmext.ahrq.gov/confluence/pages/viewpage.action?navigatingVersions=true&pageId=114991555
October 05, 2021 - and inserted into the integrated care plan. 14 Care Plan This is the least developed of the technologies … · How will the care plan fit into existing clinical workflows? … Guidelines) 13 Condition Management Policy/ Procedure/ Protocol AHRQ EPC Program (228) (229) 14 Care … and inserted into the integrated care plan. 14 Care Plan This is the least developed of the technologies … · How will the care plan fit into existing clinical workflows?
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/overviewhandouts2.html
December 01, 2017 - Clinical areas to be covered
X
___
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.
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cmext.ahrq.gov/confluence/pages/viewpage.action?pageId=114991536
October 12, 2021 - Execution
Organizations Working on Plan Execution and Coordinating Efforts Care Delivery … each of the targeted conditions (see below), e.g., to pull together above issues around the targeted condition … ► AMA ► CDC Electronic Clinical Decision Support (CDS) Tools that Support the Implementation of the CDC … their desire to improve patient care and outcomes related to a specific clinical target or outcome, … practices and guidelines (both inside and outside the CDO) Current pilots/proofs of concept for targeted clinical
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cmext.ahrq.gov/confluence/pages/viewpage.action?navigatingVersions=true&pageId=114991536
October 12, 2021 - Execution
Organizations Working on Plan Execution and Coordinating Efforts Care Delivery … each of the targeted conditions (see below), e.g., to pull together above issues around the targeted condition … ► AMA ► CDC Electronic Clinical Decision Support (CDS) Tools that Support the Implementation of the CDC … their desire to improve patient care and outcomes related to a specific clinical target or outcome, … practices and guidelines (both inside and outside the CDO) Current pilots/proofs of concept for targeted clinical
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cmext.ahrq.gov/confluence/pages/diffpagesbyversion.action?originalVersion=13&pageId=114991027&revisedVersion=27
October 12, 2021 - Organizations Working on Plan Execution and Coordinating Efforts Care Delivery VA: Ross Speir, Brenna … each of the targeted conditions (see below), e.g., to pull together above issues around the targeted condition … ► AMA ► CDC Electronic Clinical Decision Support (CDS) Tools that Support the Implementation of the CDC … their desire to improve patient care and outcomes related to a specific clinical target or outcome, … Front stage / care delivery activities are also addressed in care process reengineering planning and
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www.ahrq.gov/patient-safety/settings/hospital/match/table-3.html
July 01, 2022 - Medications at Transitions and Clinical Handoffs (MATCH) Toolkit for Medication Reconciliation
Table … Discrepancies
Previous Page Next Page
Table of Contents
Medications at Transitions and Clinical … (Yes/No)
&One-to-One" Match
Medications ordered for the patient during the episode of care or … of care (e.g., based on information gathered on rounds, based on a review of the physician's history … condition or care plan.
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www.ahrq.gov/patient-safety/settings/hospital/match/table-1.html
July 01, 2022 - Medications at Transitions and Clinical Handoffs (MATCH) Toolkit for Medication Reconciliation
Table … Discrepancies
Previous Page Next Page
Table of Contents
Medications at Transitions and Clinical … (Yes/No)
"One-to-One" Match
Medications ordered for the patient during the episode of care or … of care (e.g., based on information gathered on rounds, based on a review of the physician's history … condition or care plan.
-
www.ahrq.gov/es/patient-safety/settings/hospital/match/table-3.html
July 01, 2022 - Medications at Transitions and Clinical Handoffs (MATCH) Toolkit for Medication Reconciliation
Table … Discrepancies
Previous Page Next Page
Table of Contents
Medications at Transitions and Clinical … (Yes/No)
&One-to-One" Match
Medications ordered for the patient during the episode of care or … of care (e.g., based on information gathered on rounds, based on a review of the physician's history … condition or care plan.
-
www.ahrq.gov/es/patient-safety/settings/hospital/match/table-1.html
July 01, 2022 - Medications at Transitions and Clinical Handoffs (MATCH) Toolkit for Medication Reconciliation
Table … Discrepancies
Previous Page Next Page
Table of Contents
Medications at Transitions and Clinical … (Yes/No)
"One-to-One" Match
Medications ordered for the patient during the episode of care or … of care (e.g., based on information gathered on rounds, based on a review of the physician's history … condition or care plan.
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ecareplan.ahrq.gov/collaborate/download/temp/downloadM2Uu4142558.zip?contentType=application/zip
May 01, 2022 - plan application
Identify existing or build new clinical information models (CIM)/FHIR profiles building … be brought into an MCC care Plan) and for the aggregation of multiple chronic condition care plans. … The plan is to bring questionnaire in directly or related to a certain condition. … Plan (or to be brought into an MCC care Plan) and for the aggregation of multiple chronic condition … Plan in clinical setting
Expose (share) eCare Plan to clinical care team and patient/caregiver
Identify
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ecareplan.ahrq.gov/collaborate/download/temp/downloadJhlcp223213.zip?contentType=application/zip
May 01, 2022 - plan application
Identify existing or build new clinical information models (CIM)/FHIR profiles building … be brought into an MCC care Plan) and for the aggregation of multiple chronic condition care plans. … The plan is to bring questionnaire in directly or related to a certain condition. … Plan (or to be brought into an MCC care Plan) and for the aggregation of multiple chronic condition … Plan in clinical setting
Expose (share) eCare Plan to clinical care team and patient/caregiver
Identify
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ecareplan.ahrq.gov/collaborate/download/temp/downloadAZ2BG222954.zip?contentType=application/zip
May 01, 2022 - plan application
Identify existing or build new clinical information models (CIM)/FHIR profiles building … be brought into an MCC care Plan) and for the aggregation of multiple chronic condition care plans. … The plan is to bring questionnaire in directly or related to a certain condition. … Plan (or to be brought into an MCC care Plan) and for the aggregation of multiple chronic condition … Plan in clinical setting
Expose (share) eCare Plan to clinical care team and patient/caregiver
Identify
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ecareplan.ahrq.gov/collaborate/download/temp/downloadVatm6143310.zip?contentType=application/zip
May 01, 2022 - plan application
Identify existing or build new clinical information models (CIM)/FHIR profiles building … be brought into an MCC care Plan) and for the aggregation of multiple chronic condition care plans. … The plan is to bring questionnaire in directly or related to a certain condition. … Plan (or to be brought into an MCC care Plan) and for the aggregation of multiple chronic condition … Plan in clinical setting
Expose (share) eCare Plan to clinical care team and patient/caregiver
Identify
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cmext.ahrq.gov/confluence/download/export/downloadb6ZH1015505.zip?contentType=application/zip
September 01, 2022 - The plan is to bring questionnaire in directly or related to a certain condition. … Plan (or to be brought into an MCC care Plan) and for the aggregation of multiple chronic condition … plan application
Identify existing or build new clinical information models (CIM)/FHIR profiles building … be brought into an MCC care Plan) and for the aggregation of multiple chronic condition care plans. … Plan in clinical setting
Expose (share) eCare Plan to clinical care team and patient/caregiver
Identify
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digital.ahrq.gov/sites/default/files/docs/citation/09-10-0091-1-EF.pdf
October 01, 2009 - Patients may request for a variety of reasons that aspects of their medical care or
condition be protected … Chronic Care Use Case
A chronic condition is an affliction that lasts a year or longer, limits what … chronic conditions: monitoring the
condition(s) and adapting the treatment plan. … EHR System Boundary
Patient
Clinician
Staff
Monitor
Condition
Adapt
Treatment
Plan … the patient care plan
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digital.ahrq.gov/sites/default/files/docs/page/asthma-action-plan-overdue.pdf
July 31, 2017 - Pediatric Rules and Reminders - Asthma, Overdue for Action Plan Review
Pediatric Rules and … Review
Primary Clinical Area Pediatrics
Secondary Clinical Area
http://www.nhlbi.nih.gov/guidelines … Details for Risk Group
Asthma problem
Asthma med codes
Triggering Condition
Last documented visit … Condition
Displayed Message
Patient has asthma. … their
interpretation by clinicians at Partners Healthcare System, may not represent the
standard of care
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cmext.ahrq.gov/confluence/pages/viewpage.action?pageId=114990839
August 04, 2022 - and inserted into the integrated care plan. 14 Care Plan This is the least developed of the technologies … · How will the care plan fit into existing clinical workflows? … Guidelines) 13 Condition Management Policy/ Procedure/ Protocol AHRQ EPC Program (228) (229) 14 Care … and inserted into the integrated care plan. 14 Care Plan This is the least developed of the technologies … · How will the care plan fit into existing clinical workflows?
-
cmext.ahrq.gov/confluence/display/PUB/Ecosystem+Gaps+and+Steps+to+Close
August 04, 2022 - and inserted into the integrated care plan. 14 Care Plan This is the least developed of the technologies … · How will the care plan fit into existing clinical workflows? … Guidelines) 13 Condition Management Policy/ Procedure/ Protocol AHRQ EPC Program (228) (229) 14 Care … and inserted into the integrated care plan. 14 Care Plan This is the least developed of the technologies … · How will the care plan fit into existing clinical workflows?
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cmext.ahrq.gov/confluence/pages/viewpage.action?pageId=114992884
October 05, 2021 - and inserted into the integrated care plan. 14 Care Plan This is the least developed of the technologies … · How will the care plan fit into existing clinical workflows? … Guidelines) 13 Condition Management Policy/ Procedure/ Protocol AHRQ EPC Program (228) (229) 14 Care … and inserted into the integrated care plan. 14 Care Plan This is the least developed of the technologies … · How will the care plan fit into existing clinical workflows?
-
cmext.ahrq.gov/confluence/pages/viewpage.action?navigatingVersions=true&pageId=114992884
October 05, 2021 - and inserted into the integrated care plan. 14 Care Plan This is the least developed of the technologies … · How will the care plan fit into existing clinical workflows? … Guidelines) 13 Condition Management Policy/ Procedure/ Protocol AHRQ EPC Program (228) (229) 14 Care … and inserted into the integrated care plan. 14 Care Plan This is the least developed of the technologies … · How will the care plan fit into existing clinical workflows?