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  1. pcmh.ahrq.gov/ncepcr/tools/transform-qi/deliver-facilitation/modules/index.html
    April 01, 2022 - Studies Health Assessments Obesity Management Obesity Toolkit Research Communities
  2. pcmh.ahrq.gov/sites/default/files/wysiwyg/chsp/CHSP-accomplishments-report-2021.pdf
    January 01, 2021 - Stanford University • Harvard University • Integrated Healthcare Association of California • Minnesota Community … • Safety Net: Community health centers (CHCs) provide primary care to vulnerable and low-income residents … measures that focus on clinical factors for patients covered by a particular health plan rather than community-level … Comparison of Healthcare Delivery Systems in Low-and High- Income Communities. … Community Health Centers, 2017 American Journal of Public Health (AJPH) System performance https
  3. pcmh.ahrq.gov/hai/tools/ambulatory-care/cap-toolkit/index.html
    January 01, 2018 - Tools Ambulatory Surgery Centers Toolkit CLABSI and CAUTI Prevention in ICUs Community-Acquired … Pneumonia Clinical Decision Support Implementation Toolkit The Community-Acquired Pneumonia … Community-acquired pneumonia is the eighth leading cause of death in the United States, according to … Toolkit Materials The toolkit consists of: Community-Acquired Pneumonia Clinical Decision Support … last reviewed January 2018 Page originally created January 2018 Internet Citation: Community-Acquired
  4. pcmh.ahrq.gov/news/newsletters/e-newsletter/907.html
    April 01, 2024 - Month, AHRQ is highlighting activities aimed at advancing health equity and support for underserved communities
  5. pcmh.ahrq.gov/talkingquality/distribute/promote/timing.html
    March 01, 2016 - You can even share stories from efforts in other communities about how a similar report was of value. … look for and push stories about how the report is making a difference to individuals, families, the community … also a chance to consolidate your brand, expand your reach, and become a more integral part of your community
  6. pcmh.ahrq.gov/practiceimprovement/delivery-initiative/rodriguez/index.html
    December 01, 2020 - Community Health Worker health coaching, N=3. Control, N=11. … Community Health Workers Arm: 2011: 86.2. 2012: 88.5. … Community Health Workers Arm: 2011: 66. 2012: 65.8. … Community Health Workers Arm: 2011: 57.6. 2012: 63.7*. … intervention study to pool patient-level data across diverse CHC organizations serving different ethnic communities
  7. pcmh.ahrq.gov/ncepcr/research-transform-primary-care/transform/tools-catalog/index.html
    August 01, 2015 - National Center Research Initiatives Data Resources Tools and Resources Research Communities … Web page All model States: NM, NC, OK, PA Office for Community Health at the University of … It also describes the challenges the Learning Community States faced in adapting aspects of the North … Report WV National Academy for State Health Policy Select for PDF file Community … Mold, MPH, MD Select to view site PA Spread This toolkit includes learning community
  8. pcmh.ahrq.gov/research/findings/final-reports/advisorycouncil/index.html
    April 01, 2018 - Healthcare Safer Reports AHRQ Research Studies Guide for Developing a Community-Based … Patient Safety Advisory Council Toolkit and Resource Descriptions The Guide for Developing a Community-Based … Advisory Council provides information and guidance to empower individuals and organizations to develop a community-based … involve patients, consumers, and a variety of practitioners and professionals from health care and community … Meeting     Step 6—Conduct Regular Council Meetings     Step 7—Elicit Public Relations Support and Community
  9. pcmh.ahrq.gov/page/engaging-patients-and-families-medical-home-appendix
    June 01, 2010 - with serious emotional disturbance This initiative was part of a Federal grant program to assist communities … Healthy Communities Collaborative (HCC), Improvement Foundation, UK (Oldham, 2009; Slater, Knowles, and … Be the catalyst for enabling communities and agencies to work together on common goals. … Harness the skills and knowledge in communities and use them to reduce inequalities. … HCC teams are a partnership of professionals and community members, led by community members.
  10. pcmh.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/2019-pharmacy-sops-execsum.pdf
    January 01, 2019 - 2019 Community Pharmacy SOPS Database Report Executive Summary Infograpic EXECUTIVE SUMMARY 2019 … COMMUNITY PHARMACY SURVEY DATABASE REPORT Community pharmacy staff perceptions of their organization's … patient safety culture: Findings from the 2019 Community Pharmacy survey on Patient Safety Culture … (SOPS) Database part1c1patmg community pharmacies 2,157 OVERALL FINDINGS AREAS OF STRENGTH: … highest 1,501 or more 74% lowest Pharmacy Technicians 76% lowest STAFF TENURE AT THEIR COMMUNITY
  11. pcmh.ahrq.gov/news/newsletters/e-newsletter/877.html
    August 01, 2023 - promotion, adopting collaborative financing and policymaking approaches and empowering individuals and communities
  12. pcmh.ahrq.gov/page/papers-briefs-and-resources
    December 01, 2011 - Coordinating Care in the Medical Neighborhood: Critical Components and Available Mechanisms ( PDF … Version — 663.28KB) “Neighbors” in the medical neighborhood include the medical home, specialists, … care's role in the medical neighborhood and in improving population health, as well as the health of … In the context of the Clinical-Community Relationships Measures Database (CCRM Database), a clinical-community … The clinical practice and the community resource may engage by networking, coordinating, cooperating,
  13. pcmh.ahrq.gov/sites/default/files/publications/files/qipcfactsheet.pdf
    June 01, 2014 - In addition to practice transformation, the program also promoted collaborations to improve community … partners as the foundation, the infrastructure now supports continuous QI, connects practices and communities … In addition to practice transformation, the program also promoted collaborations to improve community … local partners as the foundation, the infrastructure now supports continuous QI, connects practices and communities … • Provides motivation and inspiration by creating a community for sharing challenges and successes
  14. pcmh.ahrq.gov/page/practices-and-practice-facilitators
    December 01, 2011 - the release of this manual, AHRQ also created a Primary Care Practice Facilitation (PCPF) learning community … As a part of this learning community, AHRQ hosted a series of webinars on practice facilitation, all … all elements of the broader health system, including specialty care, hospitals, home health care, and community … Topics include provider integration, accountable care organizations, medical neighborhoods, incentivizing
  15. Layout 1 (pdf file)

    pcmh.ahrq.gov/sites/default/files/attachments/roles-of-pcmhs-and-acos-in-coordinating-patient-care-white-paper.pdf
    December 01, 2010 - available in the community that help support patients’ health and wellness or meet their care goals … be identifying clusters of patients who smoke and offering smoking cessation programs in those neighborhoods … and extends beyond creating hospital discharge care coordination programs to creating a ―medical neighborhood … True integration also requires the type of cohesive medical neighborhood that is envisioned as a product … interventions, both in PCMHs and ACOs, should be designed to reflect the strengths and needs of local communities
  16. pcmh.ahrq.gov/page/roles-patient-centered-medical-homes-and-accountable-care-organizations-coordinating-patient
    December 01, 2010 - available in the community that help support patients’ health and wellness or meet their care goals. … might be identifying clusters of patients who smoke and offering smoking cessation programs in those neighborhoods … includes and extends beyond creating hospital discharge care coordination programs to creating a ―medical neighborhood … True integration also requires the type of cohesive medical neighborhood that is envisioned as a product … interventions, both in PCMHs and ACOs, should be designed to reflect the strengths and needs of local communities
  17. Layout 1 (pdf file)

    pcmh.ahrq.gov/sites/default/files/attachments/Roles%20of%20PCMHs%20And%20ACOs%20in%20Coordinating%20Patient%20Care.pdf
    December 01, 2010 - available in the community that help support patients’ health and wellness or meet their care goals … be identifying clusters of patients who smoke and offering smoking cessation programs in those neighborhoods … and extends beyond creating hospital discharge care coordination programs to creating a ―medical neighborhood … True integration also requires the type of cohesive medical neighborhood that is envisioned as a product … interventions, both in PCMHs and ACOs, should be designed to reflect the strengths and needs of local communities
  18. pcmh.ahrq.gov/prevention/resources/chronic-care/index.html
    February 01, 2020 - and Providers Curriculum Tools iADAPT Resources Chronic Care Clinical-Community … Relationships Evaluation Roadmap Clinical-Community Relationships Measures (CCRM) Atlas … fostering relationships between clinical practices and community organizations is an effective way to … Clinical-Community Relationships Evaluation Roadmap The Clinical-Community Relationships Evaluation … Potential Measures for Clinical-Community Relationships This supplement to the Clinical Community
  19. pcmh.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/primary-care/tpc/final-impact-synthesis-report.pdf
    July 22, 2015 - Expand existing programs to allow primary care practices and communities to benefit now 3. … HEROs are chosen by the communities in which they serve and live, ensuring that they are locally responsive … with backgrounds in health fields, and therefore are aware of both the resources available in their communities … transformation efforts by connecting work being done in the Adirondacks, Hudson Valley, and Beacon communitiesCommunity Care of North Carolina. The Community Care of North Carolina Toolkit.
  20. pcmh.ahrq.gov/sites/default/files/attachments/coordinating-care-for-adults-with-complex-care-needs-white-paper.pdf
    January 01, 2012 - from falling through the cracks in a highly fragmented system, small practices need a “health care neighborhood … medical care, social support, and home service providers that potentially comprise the health care neighborhood … effectively help PCPs by organizing a “health care neighborhood” for complex-needs populations must … and neighborhoods not currently served, and would require patients to switch to a different source … Coordinating care in the medical neighborhood: critical components and available mechanisms [white paper

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