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integrationacademy.ahrq.gov/expert-insight/measures
June 01, 2022 - Clinical health outcomes were used as the primary markers of quality. … The Academy first performed an extensive search for clinical outcome measures that assess the quality … for evaluating quality of integrated care exist. … Measures in the articles either focused on an individual behavioral health condition or the physical … Connect With Us
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To sign up for updates or
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www.ahrq.gov/ncepcr/tools/workforce-financing/case-example-1.html
July 01, 2019 - The SCC practice is a service of the health plan and offers care to high-risk, high-cost plan members … A 60-minute clinical visit with a physician. … A 30-minute clinical visit with a physician. … condition, the CC and MD can search for an answer. … The MD is in the room while the action plan is reviewed, but then leaves while the CC completes the plan
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www.ahrq.gov/pqmp/implementation-qi/toolkit/antipsychotic/about.html
September 01, 2021 - Numerator: Received psychosocial care 90 days prior to or within 30 days after starting an antipsychotic … improvement, rates of youth on multiple concurrent antipsychotics became consistently low with minimal plan-to-plan … Consequently, the utility of this measure in making plan comparisons diminished over time. … recommended type and duration of the psychotherapy intervention for first-line treatment varies by condition … endpoint treatment for children and adolescents unless there is a clear rationale, after which a clinical
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digital.ahrq.gov/sites/default/files/docs/citation/r01hs024537-sockolow-final-report-2020.pdf
January 01, 2020 - In 25.6% the prob-
lem appeared in referral and/or assessment phases and not the plan of care (POC). … Problems to include in the plan of care. … Nurses completed the admission documenta-
tion, including the plan of care (POC), in the home or at the … “Plan of Care”. … Further research
is needed to determine whether changes were related to EHR use or care plan formulation
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www.ahrq.gov/sites/default/files/wysiwyg/news/events/ahrq-research-summit/brady-summit2016-breakout.pdf
September 28, 2016 - failure to:
(a) establish an accurate and timely explanation
of the patient’s health problem(s)
or … Develop and deploy approaches to identify, learn from,
and reduce diagnostic errors and near misses in
clinical … discharge from an ED for chest
symptoms is rare, but admission for other cardiovascular,
respiratory, or … system
o Health plan
o Accreditor/Regulator
• WHAT to measure
► Care settings
► Timing
► Clinical … text
Tables
Rule Name Status Description
Rows Passed TR must be a child of Table, THead, TBody, or
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integrationacademy.ahrq.gov/sites/default/files/2020-07/Controlling_High_Blood_Pressure.pdf
January 01, 2020 - Exclusions:
Exclude all patients with evidence of end-stage renal disease (ESRD) or kidney transplant … on or prior to the end of the measurement year. … Setting:
Ambulatory Care: Clinician Office/Clinic, Ambulatory Care: Urgent Care
Condition:
Cardiovascular … Cardiovascular: Hypertension
Cross-Cutting Area:
Data Source:
Administrative claims, Electronic Clinical … Data, Paper Medical Records
Level of Analysis:
Health Plan, Integrated Delivery System
Measure Type
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www.ahrq.gov/hai/cusp/toolkit/learn-defects.html
December 01, 2012 - A defect is any clinical or operational event or situation that you would not want to have happen again … (Oncoming care team was debriefed by outgoing staff regarding patient's condition.)
… Was verbal or written communication during care clear, accurate, clinically relevant, and goal directed … (Team leader quickly explained and directed his or her team regarding the plan of action.)
… Make an action plan for two to five of the highest scoring interventions.
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www.ahrq.gov/faqs/index.html?page=15
January 01, 2009 - "Patients" refer to individuals who have an existing health need or health care condition and who may … impact on patient care or service delivery. … clinical category, IOM domains of quality, setting of care, patient population, and more. … clinical category, IOM domains of quality, setting of care, patient population, and more. … structures, or business models as a means of improving one or more domains of health care quality or
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psnet.ahrq.gov/curated-library/rapid-response-systems
September 15, 2024 - response teams represent an intuitively simple concept: when a patient demonstrates signs of imminent clinical … The surgical team had difficulty controlling bleeding and the patient left the operating room (OR) with … Over the next 14 hours, the patient’s blood pressure remained at or below 90/60 with continued complaints … This early detection allowed clinicians to devise and implement a care plan to prevent deterioration … of the patient’s condition and/or align the care plan with the goals of the patient.
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psnet.ahrq.gov/node/865467/psn-pdf
March 27, 2024 - at home or at a board and care through hospice. … They must also
agree to forgo treatments directed at curing the nominal terminal condition, “waiv[ing … is assumed that with appropriate treatments, he would recover from this treatable acute medical
condition—which … It is not clear whether this patient had any form of advance health care directive or designated surrogate … It is important when discussing goals of care with patients (and/or their
surrogates) to provide objective
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www.ahrq.gov/sites/default/files/wysiwyg/takeheart/training/module-5-implementation-guide.pdf
June 02, 2025 - • Developed an aim statement and action plan for the project. … The
visit diagnosis often indicates the ICD-10 code for a clinical encounter. … For example, a patient only receiving palliative care or one with advanced dementia
should probably … For referrals from the outpatient or community care environment, the recommendation is to embed
the … Patients meeting one of the criteria for AR but
that are identified as being in palliative care or
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/module7/module7-resolution-facilitator.pptx
August 24, 2015 - Patients want to hear from their care providers and/or the organization an explanation of what happened … Empathy—the ability to understand another person’s condition from their perspective. … system level)
Clinical
Claims/finance
Legal (internal or outside counsel)
External (ad hoc)
Life expectancy … This apology is a regretful acknowledgement of the event by the care provider and/or the organization … Determine the cost of defending this claim compared to a well-thought-out compensation plan.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/teamwork/implement/implement-facilitator-guide.pdf
May 01, 2017 - Working condition barriers include—
• Lack of coordination or followup,
• Distractions,
• Misinterpretation … A briefing immediately does the following:
• Maps out the care plan for one or more
patients,
• Identifies … • Background—What is the clinical
background?
• Assessment—What do I think the
problem is? … ) about diagnoses, response to
treatment, recent changes in condition and
circumstances, and the care … plan (including
contingencies).
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/fallsprev/ontimefallpxsamplereports.docx
June 02, 2025 - New Contributing Risk Factors
ADL Decline and Other Clinical Information
Mental: Unsafe Behaviors … report date; referred to in this document as high-risk change of condition or HRCC elements. … within the last 7 days
Certain changes or suspected changes in the resident’s condition, which represent … Care plan meetings
Charge nurse/nurse manager and CNAs. … Care Plan Meetings
Rehab department staff.
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digital.ahrq.gov/ahrq-funded-projects/care-transitions-and-teamwork-pediatric-trauma-implications-health-information
January 01, 2023 - on the severity of the patient’s condition. … Each needs to know what has happened: the initial incident, the current clinical condition including … It is imperative that each role coordinates and communicates their patient assessment and plan across … what happened to the child, what the current clinical condition is, and what the plan is. … “The trauma surgeon may want to see some clinical data point or representation that is different from
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/registries-guide_executive.pdf
April 01, 2007 - , or
exposure, and that serves a predetermined scientific,
clinical, or policy purpose(s). … or cost effectiveness of health care
products and services, to measure or monitor safety
and harm, and … /or to measure quality of care. … Disease or condition registries are
defined by patients having the same diagnosis, such
as cystic fibrosis … clinical effectiveness, cost effectiveness, or comparative effectiveness of a test or treatment, including
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digital.ahrq.gov/ahrq-funded-projects/patient-centered-virtual-multimedia-interactive-informed-consent-vic
January 01, 2023 - Setting
Ambulatory Setting
Medical Condition
Asthma
Population
Adults … Physician
Type of Care
Specialty Care
Health Care Theme
Patient Education … for medical treatment is the process by which providers educate patients about the proposed treatment plan … clinical research. … plan.
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www.ahrq.gov/patient-safety/settings/hospital/resource/pressureulcer/tool/pu3.html
October 01, 2014 - A useful way to do this is by creating or following a clinical pathway. … A clinical pathway is a structured multidisciplinary plan of care designed to support the implementation … When used correctly, they provide valuable data to help plan care. … Overall scale scores provide data on general pressure ulcer risk and help clinicians plan care according … Similarly, when there is a major change in clinical condition, has the risk score changed?
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www.ahrq.gov/es/patient-safety/settings/hospital/resource/pressureulcer/tool/pu3.html
October 01, 2014 - A useful way to do this is by creating or following a clinical pathway. … A clinical pathway is a structured multidisciplinary plan of care designed to support the implementation … When used correctly, they provide valuable data to help plan care. … Overall scale scores provide data on general pressure ulcer risk and help clinicians plan care according … Similarly, when there is a major change in clinical condition, has the risk score changed?
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www.uspreventiveservicestaskforce.org/home/getfilebytoken/d8DVjQhw6JgjWaBtED97s6
)
Exercise-induced injury
U.S. primary care
settings or
referrable from
primary care
3 … Foundational
or Contextual
N/A General RCTs, controlled clinical
trials, and
observational studies … settings or
referrable from
primary care
4
Research Gap
Key
Questions*
or Contextual … primary care
settings or
referrable from
primary care
6
* Key questions are an integral … (e.g., grade assignment and health equity), or general gap (e.g., uptake of a clinical preventive service