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www.ahrq.gov/ncepcr/care/coordination/atlas/chapter6f.html
June 01, 2014 - 3) comprehensiveness (contextual knowledge of patient, preventive counseling), (4) integration, (5) clinical … Patient Condition: General Population/Condition Not Specific
Setting: Primary Care Facility … Country: United States
Past or Validated Applications*:
Patient Age: Children
Patient Condition … Country: Netherlands
Past or Validated Applications*:
Patient Age: Adults
Patient Condition … Quality of integrated care for patients with head and neck cancer: Development and measurement of clinical
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www.ahrq.gov/ncepcr/care/coordination/atlas/chapter6d.html
June 01, 2014 - Developing a reliable, valid, and feasible plan for quality of care measurement for cancer. … re-hospitalization for their index condition and (2) health care facilities with differing levels of … Past or Validated Applications *:
Patient Age: Children , Adults, Older Adults
Patient Condition … : General Population/Not Condition Specific
Setting: Inpatient Facility, Primary Care Facility … Condition: General Population/Not Condition Specific
Setting: Inpatient Facility, Primary Care Facility
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digital.ahrq.gov/sites/default/files/docs/citation/appendix-e-cdspain-sample-clinical-practice-guidelines.docx
October 16, 2020 - Appendix E: Tapering Opioid Medication: Considerations for Clinical Practice
Rationale
Long-term use … The purpose of this guideline is to summarize the state of clinical guidelines on safe tapering of opioids … by a disease or condition, injury, medical treatment, inflammation, or an unknown reason.1,2
Acute Pain … *A Patient Aligned Care Team (PACT Team) provides care centered around the patient’s goals by a team … A veteran with high risk due to a medical condition may have decompensation during the taper and may
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www.uspreventiveservicestaskforce.org/uspstf/document/final-research-plan/food-insecurity-screening
July 28, 2022 - What risk assessment or screening tools are commonly used in clinical practice to identify food insecurity … cultural identity; socioeconomic and insurance status; presence of other social needs; and type of chronic condition … Category
Include
Exclude
Condition
Food insecurity
Water insecurity
Other social … or food insecurity alone
KQs 1–3:
Nutrition assessment (anthropometric, biochemical, clinical, … in clinical setting or identified through healthcare delivery or payment system (e.g., health plan data
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/prevhosp/preventablehospitalandedvisits-implmatl.pdf
June 03, 2025 - Do you develop a care plan for residents at risk for hospital transfers? … Does your plan include ongoing discussions about advance care planning
with resident and/or family … QAPI or Performance Improvement
Plan meeting
f. Care plan meeting
g. … Care plan meetings
2. Dietary Department internal review
3. Nurse shift change report
4. … The team considers
meetings, huddles, care plan, or other existing meetings where a report would enhance
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www.ahrq.gov/sites/default/files/wysiwyg/topics/contemporary-EMTALA-clinical-issues-pregnantpts.pdf
December 01, 2024 - or declined care. … options, and/or obtaining informed refusal of care without
evidence of coercion.
4. … reception staff, or clinical staff who are
not designated as a QMP by the hospital’s governing body. … plan to be documentation of a facility’s readiness and
request for a revisit. … conditions (e.g., previable PPROM or ectopic
pregnancy) to make more clear for their staff what clinical
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digital.ahrq.gov/ahrq-funded-projects/evaluation-scaled-scaling-acceptable-cds-approach-implementation-interoperable-cds-venous
July 31, 2025 - Medical Center
Hospital
Medical Condition
Thromboembolism
Trauma (Physical) … Acute Care
Health Care Theme
Patient-Reported Outcomes
There is a critical … Patients with traumatic brain injuries (TBI) are at high risk for venous thromboembolism (VTE), a serious condition … where a blood clot can develop in the leg or arm and either dislodge or block leg or arm blood flow, … To reduce VTE events, patients need preventive care, but guidelines for providing preventive VTE care
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/facilities/ltc/gdmod2.html
October 01, 2014 - Return to Contents
Workbook Content Overview
Clinical Content
A change in a resident's condition … This module reviews ways for care teams to communicate about changes in a resident's condition, and it … Plan a change of pace every 8-10 minutes during a lecture. … Role Play
This technique has participants take on roles in a clinical interaction. … Conduct PDSA (Plan, Do, Study, Act) Cycles
The cycle begins with a plan and ends with an action based
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/fallspx/implmatls.html
November 01, 2017 - and care plan teams
|__|
|__|
Creation of an individualized, interdisciplinary care plan aimed … new admission)
|__|
|__|
Recent hospitalization or change in condition
|__|
|__| … Are interventions for primary prevention* included in a falls prevention care plan? … resident risk factors, inadequate care plan)? … The team considers meetings, huddles, care plan meetings, or other existing meetings where a report would
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/pruprev/saworksheet.pdf
June 02, 2025 - Clinical areas to be covered
b. Timing or frequency of assessments
c. … Communication to care team
3. … Do you develop a care plan for residents at risk of developing a pressure ulcer? … Does your plan include interventions for skin care?
Yes No
3. … Feeding or swallowing difficulties Yes No
b.
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www.ahrq.gov/coronavirus/long-covid.html
February 01, 2025 - COVID-19 or SARS-CoV-2 infection. … Long COVID is not one condition. … The project aims to develop a standards-based, interoperable, electronic care (eCare) plan designed to … plan. … Plan Development and Multiple Chronic Conditions e-Care Plan Project .
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/apcd/apcdmeasinvrpt.pdf
January 01, 2020 - Accountability—measuring provider or plan quality and efficiency of care; and
• Population health and … We classified measures by clinical condition. … ,
• The condition has high costs,
• The condition has high morbidity or mortality, and
• The measure … clinical processes of care, and cost and utilization measures, which
can be less likely to focus on … We classified measures by clinical condition.
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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/outcomes/chipra-146-fullreport.pdf
January 01, 2020 - Responses from a survey sample derived from a clinical program or health
plan are summarized in three … • 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 … For the two Medicaid plan field tests, we determined the type of condition by
applying the Pediatric … program, chronic condition type, or
presence of mental health conditions.
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digital.ahrq.gov/ahrq-funded-projects/cloud-care-feasibility-study-cloud-based-care-plans-children-medical-complexity
January 01, 2024 - Caregiver
Children
Clinical Staff/Clinician
Individuals with Special Health Care Needs … care plan. … plan for CMC called Cloud Care. … or patient portal, and the lack of data being able to flow between the EHR and Cloud Care. … system, and a match of structured data fields between the care plan and the EHR.
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www.ahrq.gov/es/patient-safety/settings/hospital/resource/pressureulcer/tool/pu3a.html
October 01, 2014 - her condition.
3.4.2 How should care planning address risk of pressure ulcer development? … The care plan should indicate specific actions that should, or should not, be performed. … Value of care plan: There may be a prevailing attitude that taking the time to write the care plan is … Having prompts to update the plan as the patient's condition changes helps ensure that needs will continue … Consortium for Spinal Cord Medicine Clinical Practice Guidelines.
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www.ahrq.gov/patient-safety/settings/hospital/resource/pressureulcer/tool/pu3a.html
October 01, 2014 - her condition.
3.4.2 How should care planning address risk of pressure ulcer development? … The care plan should indicate specific actions that should, or should not, be performed. … Value of care plan: There may be a prevailing attitude that taking the time to write the care plan is … Having prompts to update the plan as the patient's condition changes helps ensure that needs will continue … Consortium for Spinal Cord Medicine Clinical Practice Guidelines.
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www.uspreventiveservicestaskforce.org/uspstf/document/draft-research-plan/autism-spectrum-disorder-young-children-1
February 25, 2021 - Include
Exclude
Condition
Clinical diagnosis of ASD
Populations
KQs 1–3: Children … adolescents, or adults
Children with another known condition that impairs social communication or interaction … settings and primary care–referable settings, childcare and other education settings
KQs 4, 5: Clinical … usual care
KQ 2: Reference standard (clinical assessment with explicit diagnostic criteria)
KQs … 4, 5: No intervention/waitlist, usual care, minimal ASD intervention, or non-ASD–specific intervention
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www.ahrq.gov/talkingquality/translate/labels/describe.html
January 01, 2023 - Describe How a Plan or Provider Can Influence a Quality Measure
For some measures, it may be … necessary to explain what the plan or provider can do to improve its performance. … When a patient is admitted to the hospital, a nurse assesses the condition of the patient's skin and … of care. … They are also supported in their work toward pressure ulcer prevention by their local Clinical Nurse
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digital.ahrq.gov/sites/default/files/docs/citation/pccds-ln-opioid-action-plan-2019.pdf
January 01, 2019 - teams in gathering and documenting key condition-
specific, pain-related data
6 Care plan development … are at risk for OUD
10 Order sets for pain and/or opioids that are
condition-specific when appropriate … The clinician and patient use a care plan
template to build on the ED care plan to
create a shared … Evidence-based The evidence instantiated within
an artifact must apply to the
clinical condition … whose staff participated in the OAPWG
care for—or support care for —many millions
of patients.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/pressure_ulcer_prevention/module3/module3_pu-bestpractices.docx
June 02, 2025 - The care plan is an active document. … 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