-
pcmh.ahrq.gov/innovations/hub/index.html
March 01, 2021 - Downloadable Databases
Connecting Those at Risk to Care: Quick Start Guide
Pathways Community … Decisionmaker's Guide
Pathways Community HUB Manual: A Guide to Identify and Address … Risk Factors, Reduce Costs, and Improve Outcomes
The Pathways Community HUB Manual … The Pathways Community HUB (HUB) model is a strategy to identify and address risk factors at the level … The most important functions of the Pathways Community HUB are to:
Centrally track the progress of
-
pcmh.ahrq.gov/talkingquality/distribute/promote/multiple/using-media.html
September 01, 2019 - People who live in a certain neighborhood. … Tell that story so that it reflects the particular concerns of your state or community. … How are the health plans or providers in your community doing overall? … How has the report made a difference to specific, real members of the community? … If the examples come from community members, make sure you get their permission first.
-
pcmh.ahrq.gov/innovations/hub/quickstart-guide.html
March 01, 2021 - Downloadable Databases
Connecting Those at Risk to Care: Quick Start Guide
Pathways Community … Care Coordination Pathways
A Companion to the Pathways Community HUB Manual
This … Quick Start guide complements Pathways Community HUB Manual: A Guide To Identify and Address Risk Factors … The publication provides a detailed overview of the Pathways Community HUB (HUB) Model. … The HUB is a community care coordination approach focused on reducing modifiable risk factors for high-risk
-
pcmh.ahrq.gov/sites/default/files/attachments/pcpf-module-32-self-management-support.pdf
September 01, 2015 - Deborah Peikes, Erin Fries Taylor, and Jesse Crosson
Primary Author
Lyndee Knox, Ph.D., LA Net Community … fast foods and limited access to healthy low-cost foods and safe spaces for
exercise in low-income neighborhoods … Fortunately, self-management support programs are often offered in the community and can be
used to … Practices using this approach will need to identify and vet these
community-based programs. … Connect
patients with
resources in
community and
elsewhere in
health system.
-
pcmh.ahrq.gov/cahps/cahps-database/hcbs-database/index.html
March 01, 2024 - CAHPS Databases
Health Plan Survey Database
Child Hospital Survey Database
Home and Community-Based … Patient Experience
CAHPS Announcements
Contact CAHPS
CAHPS Home and Community-Based … Services (HCBS) Survey Database
The CAHPS Home and Community-Based Services (HCBS) Survey … Learn More About This Database
Participating in the 2022 CAHPS Home and Community-Based Services (HCBS … video: https://www.youtube-nocookie.com/embed/puYIpG0n6Ag
Participating in the 2022 CAHPS Home and Community-Based
-
pcmh.ahrq.gov/page/coordinating-care-medical-neighborhood-critical-components-and-available-mechanisms-table-3
June 01, 2011 - Coordinating Care in the Medical Neighborhood: Critical Components and Available Mechanisms
June 2011 … Payment reforms to enhance incentives for a better functioning medical neighborhood
Payment Reform … How It May Help Medical Neighborhood Functioning Examples
Sources:
www.cms.gov/DemoProjectsEvalRpts … hospitals with high readmission rates
PCMH payment models with new care management fees
Care transition community
-
pcmh.ahrq.gov/ncepcr/care/index.html
March 01, 2023 - National Center
Research Initiatives
Data Resources
Tools and Resources
Research Communities
-
pcmh.ahrq.gov/cahps/cahps-database/hcbs-database/participate.html
January 01, 2024 - CAHPS Databases
Health Plan Survey Database
Child Hospital Survey Database
Home and Community-Based … CAHPS Announcements
Contact CAHPS
Participating in the CAHPS Home and Community-Based … care entities that administer this survey are invited to submit their results to the CAHPS Home and Community-Based … HCBS CAHPS Survey Database Submission System
Learn more: Participating in the 2022 CAHPS Home and Community-Based … CAHPS Home and Community-Based Services Survey 1.0 with the Employment Module Item Set.
-
pcmh.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/community-pharmacy/pharmacy-resources.pdf
May 01, 2023 - Improving Patient Safety in Community Pharmacies: A Resource List for Users of the AHRQ Community Pharmacy … Survey on Patient Safety Culture
Improving Patient Safety in Community Pharmacies: A
Resource List … for Users of the AHRQ Community
Pharmacy Survey on Patient Safety Culture
I. … Improving Patient Safety in Community Pharmacies: A Resource List for Users of the AHRQ Community … Assessing Barcode Verification System Readiness in Community Pharmacies
2.
-
pcmh.ahrq.gov/sites/default/files/wysiwyg/sops/quality-patient-safety/patientsafetyculture/pharmsops-composites.pdf
June 19, 2018 - SOPS Community Pharmacy Survey Items and Composites
SOPSTM Community Pharmacy Survey Items and
Composites … • To view the formatted questionnaire, see the Community Pharmacy Survey.
• To participate in the AHRQ … Community Pharmacy Survey on Patient Safety Culture Database,
the survey must have been administered … Reliability statistics (Cronbach’s alpha) based on the pilot test data from 60 community
pharmacies … Note
Community Pharmacy Survey on Patient Safety: Composites and Items
1.
-
pcmh.ahrq.gov/cahps/news-and-events/events/webinar-051823.html
December 01, 2023 - CAHPS Announcements
Contact CAHPS
Participating in the 2022 CAHPS Home and Community-Based … Summary
This free webcast provided information about participating in the 2022 CAHPS ® Home and Community … Technical Director
Division of Community Systems Transformation, Disabled and Elderly Health Program … Michael Corrothers
Research Analyst, HCBS CAHPS Database Lead
Westat
Rockville, MD CAHPS Home and Community-Based … originally created May 2023
Internet Citation: Participating in the 2022 CAHPS Home and Community-Based
-
pcmh.ahrq.gov/sites/default/files/wysiwyg/patient-safety/rev-finalreport-update-2021.pdf
January 01, 2021 - transition strategies are part of a broader movement in primary care
toward the development of “medical neighborhoods … While the transition from the hospital to primary care is important, the medical neighborhood
perspective … Readmissions: A Conceptual Framework To Rethink the Role of Primary Care 3
perspectives of the primary care community—community … Community Agency Staff
The perspective of community agencies, affiliated with the primary care sites … Primary care can claim
greater ownership of care transitions as the hub of the medical neighborhood
-
pcmh.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/2019-pharmacy-sops-database-report-appendix.pdf
January 01, 2019 - Community Pharmacy Survey on Patient Safety Culture: 2019 User Database Report
Community Pharmacy Survey … 36 percent of community pharmacies are independent.1
1 National Community Pharmacists Association. … To compare your community pharmacy’s results with the data in Appendix B, your community
pharmacy will … Tenure in Community Pharmacy (Tables B-5, B-8)
• Respondents who had worked in the community pharmacy … by Staff Position – 2019 Database Community Pharmacies
(2) Tenure in Community Pharmacy
Table B
-
pcmh.ahrq.gov/cahps/quality-improvement/improvement-guide/6-strategies-for-improving/health-promotion-education/strategy6j-support-self-care.html
March 01, 2020 - Many communities offer multiple resources that serve patients looking for support, advice, better self-care … with a chronic condition may learn about a variety of topics, including symptom management, nutrition, community … meetings at the health care facility (if sufficient room is available) or at low-cost sites in the community
-
pcmh.ahrq.gov/news/blog/ahrqviews/2022-national-healthcare-disparities-report.html
November 01, 2022 - achievements and challenges we face, especially among racial and ethnic minorities and underserved communities … Data increasingly showed that social, economic, environmental, and community conditions—together known
-
pcmh.ahrq.gov/teamstepps-program/resources/additional/cus-sbar-rural-clinic.html
August 01, 2023 - Inpatient Medical Teams
Situation Monitoring in Office-Based Care
Using CUS and SBAR in Rural Community … Training
Research/Evidence Base
TeamSTEPPS Video: Using CUS and SBAR in Rural Community … video: https://www.youtube-nocookie.com/embed/Gg05ho-Xrf8
TeamSTEPPS: Using CUS and SBAR in Rural Community … video: https://www.youtube-nocookie.com/embed/RGECauNaBS4
TeamSTEPPS: Using CUS and SBAR in Rural Community … originally created August 2023
Internet Citation: TeamSTEPPS Video: Using CUS and SBAR in Rural Community
-
pcmh.ahrq.gov/chsp/about-chsp/centers/index.html
July 01, 2019 - identify characteristics of diverse established health systems; make comparisons across systems and communities
-
pcmh.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/index.html
March 01, 2017 - Long Term Care
Resources
Comparative Effectiveness Reviews
Facilities
Home and Community … Services
Home and community resources
Assessing the Health and Welfare of the HCBS Population … Environmental Scan of Measures for Medicaid Title XIX Home and Community-Based Services
AHRQ is releasing … of existing and potential measures as a first step in fulfilling the directive to develop home and community-based … Related Content
Development of Quality Indicators for the Home and Community-Based Services Population
-
pcmh.ahrq.gov/research/findings/factsheets/minority/amindbrf/index.html
July 01, 2018 - traditionally a disease of older people, but diabetes is being diagnosed at young ages in American Indian communities … hypertension, type 2 diabetes, and cardiovascular disease, which are becoming more prevalent in many AI/AN communities … Preventive health initiatives for AI/AN populations have been undertaken to create healthier communities … It also assists providers in meeting community needs. … of quality improvement efforts focuses on chronically ill adults among American Indian/Alaska Native communities
-
pcmh.ahrq.gov/sites/default/files/wysiwyg/patient-safety/settings/mcc-summit/mcc-summit-arlene.pdf
November 17, 2020 - on
preventing decline, maximizing functioning, and
improving quality of life
7
8
Medical Neighborhood … 9
Health Community
10
Research:
The Science of Care
• What works AND how do we make it work … • Patient Advocates
• Clinicians
• Researchers
• Health System Leaders
• Community Organizations
• Professional … with MCC
�Addressing MCC Across �the Continuum of Risk
Shared Principles of Primary Care
Medical Neighborhood … Health Community
Research: �The Science of Care�
Research Challenges
Who is here today?