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pcmh.ahrq.gov/sites/default/files/wysiwyg/sdoh/SDOH-overview-presentation.pdf
July 01, 2022 - version 1, from 2018 3
County Health Rankings and 2018 CDC SVI. 3
SDOH Database Purpose
• Make community-level … Data Use
• The AHRQ SDOH Database provides a one-stop source for
data to analyze characteristics of communities … Counties in 2020
Source: AHRQ SDOH Database, version 1, from 2020 SAIPE and 2016-
2020 American Community … SDOH Variables Organizedby Domains and Topics
Community-Level SDOH Variables Organizedby Domains and … Survey
Documentation File Excerpts, American Community Survey
Documentation File Excerpt, Census
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pcmh.ahrq.gov/health-literacy/improve/precautions/tool10.html
February 01, 2024 - Health Literacy Patient Feedback Questions
Sample Cover Letter
Attend to Social Needs: Tool 18
Community … for Financial Assistance for Medicines
Connect Patients With Literacy and Math Resources: Tool 20
Community … Community organizations such as religious institutions and cultural organizations often can provide … Build ongoing relationships with leaders in the community who can serve as cultural brokers. … the Deaf and LGBTQI+ (lesbian, gay, bisexual, transgender, queer/questioning, intersex, and others) communities
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pcmh.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/video/cus-sbar-rural-clinic-guide.pdf
August 30, 2023 - TeamSTEPPS Video Debrief Guide: CUS and SBAR in Rural Community Clinic
TeamSTEPPS Video Debrief … Guide: CUS and SBAR in Rural
Community Clinic
Video Objective
To demonstrate how CUS is used to ensure … TeamSTEPPS Video Debrief Guide: CUS and SBAR in Rural Community Clinic
Video Objective
TeamSTEPPS Tool
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pcmh.ahrq.gov/talkingquality/distribute/promote/multiple/outreach.html
September 01, 2019 - Provide key staff, community leaders, or volunteers with a basic orientation to your project to make … A fact sheet about MN Community Measurement. … A "Frequently Asked Questions" sheet about MN Community Measurement quality ratings. … MN Community Measurement also offers to create more customized promotional content on request. … Source: MN Community Measurement. Employer’s Open Enrollment Communications Toolkit.
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pcmh.ahrq.gov/priority-populations/observances/womens-history/index.html
March 01, 2021 - that focuses on actionable research to increase health equity and reduce health disparities in at-risk communities … for the UCSF Clinical and Translational Sciences Institute and leads the newly launched UCSF COVID Community
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pcmh.ahrq.gov/coronavirus/grants.html
March 01, 2022 - shift to telehealth due to COVID-19 within Nurse-led care models located in Colorado rural and urban communities … Information Technology for COVID-19 Response Workflow in a Specialized COVID-19 in a Medically Underserved Community
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pcmh.ahrq.gov/talkingquality/translate/compare/choose/compare-providers.html
January 01, 2023 - Advantages of Comparing to the Community Average
You have all the information you need to make the … all of them are reporting), it is intuitive to focus people’s attention on comparisons within the community … Disadvantages of Comparing to the Community Average
Many members of the public think that "average" … Many members of the public, including local policy makers, may be interested in how the entire community … is doing compared to those outside the community.
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pcmh.ahrq.gov/news/newsletters/e-newsletter/890.html
November 01, 2023 - AHRQ in the Professional Literature
Neighborhood built environment and sleep health: a longitudinal … study in low-income and predominantly African-American neighborhoods. … Improving identification of Medicaid eligible community-dwelling older adults in major household surveys
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pcmh.ahrq.gov/page/necessary-not-sufficient-hitech-act-and-health-information-technologys-potential-build-medic-2
June 01, 2010 - Health IT Professionals - None Coordinated care - State Health Information Exchange Program - Beacon Community … Protection and Affordable Care Act (P.L. 111-148): Federal Coordinated Health Care Office within CMS; Community-based … - None Systems-based approach to quality and safety - Regional Extension Centers Program - Beacon Community … Collaborative Care Network Program - Extension of HIPAA provisions - SHARP Program - HIPAA - Beacon Community … Prevention, Health Promotion, and Public Health Council - Task forces on Clinical Preventive Services and Community
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pcmh.ahrq.gov/research/findings/studies/index.html
January 01, 2024 - Infections
(59)
Community-Based Practice
(150)
Community Partnerships
(18)
Comparative Effectiveness … Exposure was ZIP code-level Child Opportunity Index (COI), a composite measure of neighborhood resources … Decreasing neighborhood opportunity was associated with increasing hospitalization rates among children … Association of neighborhood opportunity and pediatric hospitalization rates in the United States. … ED, and 60,725 from a rural community ED.
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pcmh.ahrq.gov/sites/default/files/attachments/pcpf-module-4-practice-management.pdf
September 01, 2015 - Review/scan information on practice interaction with their medical neighborhood (care
coordination … Coordinating Care in the Medical Neighborhood:
Critical Components and Available Mechanisms. … Coordinate patients’ care across the medical neighborhood. … The clinician may rely heavily on referrals to the medical
neighborhood if the services he or she provides … Community health
worker
Community health workers are members of the local community who
are engaged
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pcmh.ahrq.gov/news/events/nac/2016-11-nac/nacmtg1116-minutes.html
August 01, 2017 - The summit brought together an international group of expert members of the diagnostic community to discuss … There is a continuing need for the broader health care community to educate Congress on AHRQ’s role. … Bierman gave examples of learning communities, including the Medicaid Medical Directors Learning Network … We should begin with individual practices and a focus on communities, seeking to reduce readmissions … Its "Save AHRQ Campaign" has achieved traction in the health care community, bringing attention to the
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pcmh.ahrq.gov/page/citations-database-definitions
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
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pcmh.ahrq.gov/sdoh/data-analytics.html
July 01, 2022 - Community (e.g., urban-rural location of residence, point of care). … The available SDOH categories are community-level income, urbanicity/rurality, expected payer, and community-level … In addition, you can get quick statistics on HCUP Fast Stats to examine topics by community-level income … data clusters to enhance the research and analysis of community-level health services. … Health-Level Social Determinants of Health Challenge for its “Community Connector” data visualization
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pcmh.ahrq.gov/news/newsletters/e-newsletter/884.html
October 01, 2023 - improve access, quality, and healthcare outcomes, especially for children and historically excluded communities … Valdez was previously the Robert Wood Johnson Foundation (RWJF) Professor Emeritus of Family & Community
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pcmh.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/primary-care/tpc/small-conf_impact_final_report.docx
January 01, 2011 - , specific QI elements, additional support needs of primary care practices, the primary care-public/community … Medicine, UNM HSC, and Director of Adult Programs, UNM Center for Rural & Community Behavioral Health … Juliana Anastasoff
Northern Region Health Extension Officer, Office for Community Health, UNM HSC … Molly Bleecker
IMPaCT Program Manager, Office for Community Health, UNM HSC
Sonja Koukel
Family … practices; 3) academic detailing; 4) practice facilitation; 5) learning collaboratives; and 6) learning communities
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pcmh.ahrq.gov/news/newsletters/e-newsletter/857.html
March 01, 2023 - CHAI is a community of academic health systems, organizations and expert practitioners who seek to harmonize … of COVID-19-driven telehealth use from nurse-led care models in rural, frontier, and urban Colorado communities
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pcmh.ahrq.gov/news/newsletters/e-newsletter/872.html
July 01, 2023 - access to primary care for minorities and individuals of lower socioeconomic status in assisted-living communities
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pcmh.ahrq.gov/talkingquality/distribute/placement/settings.html
January 01, 2023 - People who recently moved to a community and need to find a primary care provider. … Where can you reach the people who are influential in the community? … Every audience is different, so don't assume that what works in one community will work in another. … Example: Finding Medicaid Beneficiaries Where They Already Are
The Community Service Society of New … York reached out to Medicaid beneficiaries by engaging community-based organizations (e.g., adult learning
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pcmh.ahrq.gov/takeheart/training/expanding-cardiac-rehab-capacity/index.html
April 01, 2023 - Implementing Hybrid CR To Expand Access and Capacity
Original Training Modules
Learning Community … Implementing hybrid CR requires assessing the needs of the program and community and considering factors … TAKEheart Learning Community webinars, held between 2020–2022, featured discussions among CR experts … Learning Community webinars relating to the topics covered in the "Implementing Hybrid CR to Expand Access … Laura N Vaughn , BS, McLaren Greater Lansing Cardiac Rehabilitation, Lansing, MI
This Learning Community