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pcmh.ahrq.gov/sites/default/files/attachments/pcpf-module-5-working-with-safety-net-practices.pdf
September 01, 2015 - o family planning clinics
o school-based health programs
o Ryan White AIDS programs
o some communities … Challenges accessing specialty care and community support services. … Building communities from the inside out: a path toward finding and mobilizing a
community’s assets … In 1981 the clinic became a federally funded community
health center. … its inception, Clinica has grown enormously, now caring for one-third of low-income
people in the communities
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pcmh.ahrq.gov/sites/default/files/wysiwyg/sdoh/sdoh-environmental-scan.xlsx
April 29, 2021 - Census Bureau American Community Survey (ACS) https://www.census.gov/programs-surveys/acs/data.html N … Census Bureau Currently displaying 2018 Y American Community Survey, HRSA Area Resource file, Behavioral … Counties During the Great Recession Dataset https://aese.psu.edu/nercrd/community/economicresilience … N N N Y N ParkServe is a comprehensive database of local parks in nearly 14,000 cities, towns, and communities … In 2006 a separate sample of community health centers was added to the survey.
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pcmh.ahrq.gov/funding/grantee-profiles/grtprofile-dykes.html
September 01, 2022 - Falls and related injuries also are a concern for older adults living in the community. … software tools to prevent patient falls, as “fall and injury incidence is a persistent problem among community … software quickly and easily guides clinicians to the most feasible falls prevention strategies for a community-based
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pcmh.ahrq.gov/sites/default/files/wysiwyg/cahps/cahps-database/2024-hcbs-infographic.pdf
January 01, 2024 - 2024 HCBS CAHPS Survey Database Executive Summary Infographic
cahps
2024 Home and
Community-Based … files/wysiwyg/cahps/cahps-database/2024-hcbs-chartbook.pdf
For more information on the CAHPS Home and Community-Based
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pcmh.ahrq.gov/sites/default/files/wysiwyg/evidencenow/building-capacity/EvidenceNOW-BSC-OH-profile.pdf
September 01, 2021 - Alabama, Ohio, Michigan, and Tennessee
– will form cooperatives by aligning clinical, public health, and community … Better Health Partnership
CVS Health, Minute Clinic
Health Action Council
IPRO
Ohio Association of Community … Ohio Department of Health
Professional and health care
associations (e.g., National
Association of Community … and QI
resources; (4) selected fnancial management guidance;
(5) local learning opportunities; (6) community
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pcmh.ahrq.gov/sites/default/files/wysiwyg/evidencenow/cooperatives/evidencenow-executive-summary-midwest.pdf
November 01, 2017 - Partners:
Northwestern University
[(Chicago Regional Extension
Service (REC)]
Alliance of Chicago Community … • Practice facilitators distributed a curated inventory
of relevant community resources (generated … Collective Efforts to Overcome Quality Measurement
Challenges: Lessons from a Primary Care Learning
Community … Small- and
Medium-Sized Practices [AMIA, 2017]
• Leveraging popHealth® and an active open source
community … Dependence [2016]
• Understanding the New Cholesterol Performance
Measure [2016]
• Harnessing Community
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pcmh.ahrq.gov/news/newsroom/case-studies/201708.html
May 01, 2017 - through videoconferencing with psychiatrists, based on the AHRQ-funded Project ECHO (Extension for Community … implement specialized responses to individuals who are in mental health crisis and facilitate access to community-based … This helps prepare them to know how to interact effectively with the community."
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pcmh.ahrq.gov/health-literacy/publications/ten-attributes.html
January 01, 2024 - AHRQ resources that can help health systems with Attribute #4 include:
A Community Engagement Method … Guide for Developing a Community-Based Patient Safety Advisory Council
Patient and Families as Advisors … understand health information, find the way to and around facilities, and move among healthcare and community … with Attribute #7 include:
Closing the Loop: A Guide to Safer Ambulatory Referrals in the EHR Era
Community … Patients to Local Resources for Better Management of Obesity
Coordinated Care
Form Primary Care-Community
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pcmh.ahrq.gov/cahps/news-and-events/events/index.html
April 01, 2024 - Feedback Reporting Methods (Webcast) (May 31, 2023)
Participating in the 2022 CAHPS ® Home and Community-Based … CAHPS Patient Narrative Item Sets (November 16, 2021)
Participating in the 2021 CAHPS Home and Community-Based
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pcmh.ahrq.gov/health-literacy/improve/precautions/tool7a.html
March 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
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pcmh.ahrq.gov/sites/default/files/attachments/pcpf-module-12-intro-to-assessing-practices.pdf
September 01, 2015 - Deborah Peikes, Erin Fries Taylor, and Jesse Crosson
Primary Author
Lyndee Knox, Ph.D., LA Net Community … The book Building Communities from the Inside Out:
A Path Toward Identifying and Mobilizing a Community … Building communities from the inside out: a path toward finding and
mobilizing a community’s assets … Evanston, IL: Asset-Based Community Development Institute,
Northwestern University; 1993. … Enthusiasm’s practice is located
in a semi-rural community and is one of the only sources of primary
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pcmh.ahrq.gov/patient-safety/settings/multiple/project-echo/index.html
December 01, 2023 - Education & Training
Resources
Project ECHO
Project ECHO (Extension for Community … Adapting the Project ECHO model and using available telehealth methods can optimize community treatment
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pcmh.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2019qdr-datasources.pdf
December 01, 2020 - Demographic Data
Sex, age, race and Hispanic origin, educational level, place of birth, income, and … Demographic Data
Sex, age, race/ethnicity, education, income, marital status, place of birth, industry … Primary Content
Demographic information about the birth, including year, date, place of birth, age, … Data collected in OASIS include demographic and patient history, living arrangements,
supportive assistance … Demographic Data
Sex, age, race/ethnicity, education, income, marital status, place of birth, industry
-
pcmh.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2023qdr-data-sources.pdf
December 01, 2023 - Demographic Data
Age, gender, race/ethnicity, education, income, health insurance, and place of birth … of
birth, disability status, veteran status, and Social Vulnerability Index
Years Collected
Since … Primary Content
Demographic information about the birth such as: year, date, place of birth, age, race … Data collected in OASIS include demographic and patient history, living arrangements,
supportive assistance … of birth, industry, and
occupation
Years Collected
Since 2006
Data Collection Schedule
Annual
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pcmh.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cap-toolkit/ed-workflowdiagrams.pdf
January 01, 2018 - Figure-4
Key
RN=registered nurse
EMS=emergency medical services
CAP=community-acquired pneumonia
ICU … Complaint1,
Age, RR,BP
+/-
Confusion2 BUN
Key
RN=registered nurse
EMS=emergency medical services
CAP=community-acquired … +/-
Confusion2 BUN
CURB-65
Tool3
Key
RN=registered nurse
EMS=emergency medical services
CAP=community-acquired
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pcmh.ahrq.gov/cahps/surveys-guidance/index.html
August 01, 2023 - Clinician & Group
Dental Plan
Emergency Department
Health Plan
Home and Community-Based … Plans and Related Programs
Health Plan (Commercial and Medicaid; 5.0, 5.1)
Dental Plan
Home and Community-Based
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pcmh.ahrq.gov/talkingquality/measures/index.html
January 01, 2020 - Related Resources:
Selecting Quality and Resource Use Measures: A Decision Guide for Community Quality … , the Guide offers answers to 26 questions that are frequently asked by leaders and stakeholders in community
-
pcmh.ahrq.gov/sops/surveys/nursing-home/index.html
March 01, 2023 - SOPS®
About SOPS
SOPS Surveys
Hospital
Medical Office
Nursing Home
Community … It is not designed for use in assisted living facilities, community care facilities, or independent living
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pcmh.ahrq.gov/sites/default/files/wysiwyg/topics/dx-safety-workgroup-meeting-notes-mar2023.pdf
July 14, 2023 - Journal of General Internal Medicine,
Advancing Diagnostic Equity through Clinician Engagement,
Community … evidence-based guideline-recommended
cholesterol-lowering therapy within medically underserved
communities … Stroke Prevention in establishing a collaboration with Million
Hearts® and the National Association of Community
-
pcmh.ahrq.gov/sites/default/files/wysiwyg/evidencenow/cooperatives/evidencenow-executive-summary-southwest.pdf
November 01, 2017 - Materials developed through the “Boot Camp
Translation” process in which practices, patients, and
the community … collaborate to translate best practices
into culturally and community-relevant materials
• Additional … The practices represent a mix of small solo or group
practices, community health centers, and nearly … Publications:
• Health Extension and Clinical and Translational
Science: An Innovative Strategy for Community … Collective Efforts to Overcome Quality Measurement
Challenges: Lessons from a Primary Care Learning
Community