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www.ahrq.gov/ncepcr/care/coordination/atlas/chapter6g.html
June 01, 2014 - Condition: Combined Chronic Conditions, Children with Special Health Care Needs, General Population … , and detailed clinical, functional, satisfaction, and cost outcomes of child and family. … Country: United States
Past or Validated Applications*:
Patient Age: Children
Patient Condition … Past or Validated Applications*:
Patient Age: Children
Patient Condition: General Population … Past or Validated Applications*:
Patient Age: Children
Patient Condition: General Population
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hemorrhage_8_program-evaluation.pptx
July 01, 2023 - justify the need for our program and its evaluation.
3
As a Reminder…
The Safety Program in Perinatal Care … 4
Hospital AIM Team
Leads
SPPC-II
SCRIPT
First, as a reminder
The Safety Program in Perinatal Care … audits and improve quality of care
to increase awareness/knowledge of SMM recognition and management … audits and improve quality of care
to increase awareness/knowledge of SMM recognition and management … Between the program start-up and inputs
And the expected impact or changes – in our case, impact or
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www.ahrq.gov/teamstepps-program/curriculum/team/tools/index.html
July 01, 2023 - Asking questions and voicing any concerns regarding the care plan. … living, and, potentially, comfort or palliative care. … In most clinical situations, the clinician in charge is the designated team leader. … the care plan and progress toward the goal
Modifying the patient care plan and communicating changes … Defining the Patient Care Plan
Leading teams involves identifying a goal or goals for the team’s performance
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www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/demoeval/what-we-learned/mhi-rsf.docx
June 02, 2025 - 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.ahrq.gov/talkingquality/measures/setting/physician/measurement-sets.html
January 01, 2023 - Implemented in the early 1990s to measure health plan performance, HEDIS incorporated physician-level … the measures of physician quality are adapted from HEDIS indicators commonly reported at the health plan … Their goal was to work together to recommend core sets of quality measures by clinical area for use in … Questionnaires are available for adults or children receiving primary or specialty care. … issues specific to a particular specialty or health condition.
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psnet.ahrq.gov/innovation/advance-alert-monitor-program-automated-early-warning-system-adults-risk-hospital
October 30, 2024 - 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. … care team, such as transfer to an ICU, to prevent further worsening of the patient’s condition or mortality … and implementing an appropriate care plan can prevent adverse events, unplanned ICU admissions, and … goals and wishes of the patient to develop a tailored care and escalation plan. 7
Context of the Innovation
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www.ahrq.gov/ncepcr/care/coordination/atlas/chapter6y.html
June 01, 2014 - electronic clinical information (audit trails). … teams or settings: 2
Information transfer:
Across health care teams or settings: 1, 3, … Country: United States
Past or Validated Applications*:
Patient Age: Adult
Patient Condition … : Not Condition Specific
Setting: Primary Care Facility, Inpatient Care Facility, Emergency Department … Country: United States
Past or Validated Applications*:
Patient Age: Adults
Patient Condition
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www.uspreventiveservicestaskforce.org/uspstf/document/final-research-plan/obesity-in-adults-interventions
March 31, 2016 - cancer
Condition definition
Overweight or obesity, as defined by BMI or other weight-related … recruited from primary care or a health care system or that could feasibly be implemented in or referred … cardiovascular disease, sleep apnea)
Proportion of individuals taking medication for an obesity-related condition … meta-analyses, of randomized or controlled clinical trials or cohort studies
Randomized or controlled … clinical trials, including cluster randomized trials
Large cohort or case-control studies reporting
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www.uspreventiveservicestaskforce.org/uspstf/sites/default/files/2025-06/USPSTF-recommendations-development-process-2025-update.pdf
January 01, 2025 - Force works to improve the health of people nationwide by
making evidence-based recommendations about clinical … The recommendations only apply to people who have no signs or symptoms
of the specific disease or condition … under evaluation, and the recommendations address only services offered in the
primary care setting … or services referred by a primary care clinician. … nominated topics based on several criteria, including the topic’s relevance
to prevention and primary care
-
www.uspreventiveservicestaskforce.org/uspstf/sites/default/files/2025-06/uspstf-recommendations-development-process-2021_updated_2025.pdf
January 01, 2025 - Force works to improve the health of people nationwide by
making evidence-based recommendations about clinical … The recommendations only apply to people who have no signs or symptoms
of the specific disease or condition … under evaluation, and the recommendations address only services offered in the
primary care setting … or services referred by a primary care clinician. … nominated topics based on several criteria, including the topic’s relevance
to prevention and primary care
-
psnet.ahrq.gov/web-mm/framework-assessing-reasoning-about-controversial-end-life-clinical-decisions
November 30, 2023 - The patient was initially treated in the intensive care unit with broad-spectrum antibiotics; his condition … – about the care plan. … Lack of understanding of the care plan on the part of an essential member of a clinical team, for example … If consensus about a care plan exists, and implementation of the care plan is still being blocked, or … plan, clinical management must reconfigure the team.
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www.ahrq.gov/cahps/quality-improvement/improvement-guide/6-strategies-for-improving/access/strategy6f-ondemand.html
April 01, 2023 - , or condition that needed care right away in a clinic, emergency room, or doctor's office?" … related to a health condition or problem. … manage the condition at home, a referral for an in-person physician visit, or immediate referral to … of care), better clinical outcomes, and high levels of member/patient satisfaction. … If members or nurses consistently have difficulty with specific questions, the clinical team should take
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integrationacademy.ahrq.gov/sites/default/files/2020-07/HbA1c.pdf
January 01, 2020 - Comprehensive Diabetes Care: Hemoglobin A1c (HbA1c) Control (<8.0%)
Comprehensive Diabetes Care: Hemoglobin … or the year prior to the measurement year. … Setting:
Ambulatory Care: Clinician Office/Clinic
Condition:
Endocrine, Endocrine: Diabetes
Cross-Cutting … Area:
Data Source:
Administrative claims, Electronic Clinical Data, Electronic Clinical Data: Laboratory … , Clinician: Individual, Health Plan, Integrated Delivery System
Measure Type:
Outcome
Target Population
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www.ahrq.gov/patient-safety/settings/hospital/match/intro.html
July 01, 2022 - High-Risk Situations for Medication Reconciliation
Conclusion
References
Appendix: The MATCH Work Plan … she is admitted to the hospital or is seen in an outpatient setting. … condition or formulary status). … The Appendix also functions as a Work Plan to implement medication reconciliation in your facility according … The Work Plan is available as a standalone file so you can print multiple copies for use with leadership
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www.ahrq.gov/es/patient-safety/settings/hospital/match/intro.html
July 01, 2022 - High-Risk Situations for Medication Reconciliation
Conclusion
References
Appendix: The MATCH Work Plan … she is admitted to the hospital or is seen in an outpatient setting. … condition or formulary status). … The Appendix also functions as a Work Plan to implement medication reconciliation in your facility according … The Work Plan is available as a standalone file so you can print multiple copies for use with leadership
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www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/webinars/perinatal-care-experience-slides.pdf
March 06, 2025 - To learn about a clinical trial on how primary care coordination
as a standard practice in postpartum … Prevents disrespect, mistreatment, or abuse toward individuals who are utilizing
maternal care services … • Birth = dangerous
• Care provider
Examples of clinician influences:
Training, clinical experiences … Visit for Routine or
Chronic Condition Care Within 4 Months of EDD
Control Group Intervention Group … for diabetes
screening
Plan for mental
health care
Plan for
contraception
Results: Secondary
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www.ahrq.gov/patient-safety/reports/candor-demo-program/plan-grants/findings.html
August 01, 2022 - her clinical decisions. … condition and less effective in engaging patients as partners in decisionmaking.” 1 The elements of … components of the management plan. … patient–provider communication, and lack of continuity of care; and the top three clinical factors were … An implementation plan was recommended that outlines the process for identifying and disclosing events
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/pressureulcertoolkit/putoolssect7.docx
February 16, 2011 - Assessment of Pressure Ulcer Care Plan
Does the care plan for pressure ulcers address all the areas below … Start a skin care plan.
C. … Start a skin care plan.
C. … pressure ulcers and plan the care accordingly. … Mobility
· Nutrition
· Friction/Shear
· Performs or supervises performance of care plan procedures or
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www.uspreventiveservicestaskforce.org/uspstf/document/final-research-plan109/preeclampsia-screening-april-2017
August 14, 2014 - ; other selected nongeneralizable populations
Disease/Condition
Preeclampsia
… tests not routinely used in clinical practice
Secondary evaluations and tests used to assess … women at high risk for preeclampsia
KQs 2, 3: Maternal characteristics and routinely collected clinical … unit admission, or neonatal intensive care unit admission
Setting
Primary care settings … not applicable to U.S. clinical settings or populations
Study designs
Screening health
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www.uspreventiveservicestaskforce.org/uspstf/document/final-research-plan/lipid-disorders-in-children-screening
August 19, 2021 - Included
Excluded
Condition
FH or multifactorial dyslipidemia, * as defined by the study … usual care
KQ 2: No comparator or any confirmatory test
KQs 4, 5 (Treatment benefits and harms) … : No treatment or usual care
Outcomes
KQs 1, 4 (Screening and treatment benefits): … or referable from primary care
KQ 2 (Yield): Primary care or referable from primary care, population-based … Abbreviations: CCT = controlled clinical trial; CVD = cardiovascular disease; FH = familial hypercholesterolemia