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www.cahps.ahrq.gov/ncepcr/care/coordination/atlas/chapter6e.html
June 01, 2014 - Care Research
Research Initiatives
Data Resources
Tools and Resources
Research Communities … follow up, and respond to change
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Support self-management goals
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Link to community … across 3 domains: (1) family/provider partnerships, (2) care setting practices and policies, and (3) community … based services, and (15) community systems integration and care coordination. … Services, and (15) Community Systems Integration and Care Coordination.
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www.cahps.ahrq.gov/ncepcr/care/coordination/atlas/chapter6y.html
June 01, 2014 - Care Research
Research Initiatives
Data Resources
Tools and Resources
Research Communities … Safe Transitions Community Physician Office Best Practice Measures
Care Coordination Measure Mapping … follow up, and respond to change
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Support self-management goals
Link to community … Safe Transitions Community Physician Office Best Practice Measures
Purpose: To measure successful … Format/Data Source: A 7-item set of measures designed to reflect best practices for community-based
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www.cahps.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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www.cahps.ahrq.gov/news/newsletters/e-newsletter/873.html
July 01, 2023 - Available: Inaugural Chartbook for Consumer Assessment of Healthcare Providers and Systems Home and Community-Based … developing a person-centered care system and integrating the voices of older adults, caregivers and communities … Available: Inaugural Chartbook for Consumer Assessment of Healthcare Providers and Systems Home and Community-Based … Results from AHRQ’s new 2023 Consumer Assessment of Healthcare Providers and Systems (CAHPS®) Home and Community-Based
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www.cahps.ahrq.gov/cahps/news-and-events/news/index.html
February 01, 2024 - AHRQ Releases New 2024 CAHPS® Home and Community-Based Services Survey (HCBS) Chartbook (January 2024 … )
Results from AHRQ’s 2024 CAHPS Home and Community-Based Services (HCBS) Survey Database are now … Inaugural Chartbook for CAHPS Home and Community-Based Services Survey Database (July 2023)
Results … from the 2023 CAHPS Home and Community-Based Services (HCBS) Survey Database are now available in a … Learn more about the Home and Community-Based Services (HCBS) Survey Database .
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www.cahps.ahrq.gov/ncepcr/care/coordination/atlas/chapter4tab5.html
June 01, 2014 - Care Research
Research Initiatives
Data Resources
Tools and Resources
Research Communities … Atlas Domains: Support self-management goals, Link to community resources
eMeasure specifications
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www.cahps.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-0243-section6-appendix.pdf
August 09, 2019 - Hospital Paw Paw
27 Bronson – Battle Creek Battle Creek
28 Canton Health Center Canton
29 Caro Community … 33 Charlevoix Area Hospital Charlevoix
34 Cheboygan Memorial Hospital Cheboygan
35 Chelsea Community … Johns
41 Community Health Center of Branch County Coldwater
42 Covenant Medical Center Saginaw … 72 Henry Ford Wyandotte Hospital Wyandotte X
73 Herrick Medical Center Tecumseh
74 Hillsdale Community … Hospital Sheridan
150 Sinai – Grace Hospital Detroit
151 South Haven Community Hospital South
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www.cahps.ahrq.gov/ncepcr/care/coordination/atlas/chapter3tab3.html
June 01, 2014 - Care Research
Research Initiatives
Data Resources
Tools and Resources
Research Communities … Link to Community Resources
Antonelli: Care coordination competency – integrates all resource knowledge … NQF: Plan of Care domain includes – community services and resources. … The Plan of Care includes community and nonclinical services as well as traditional health care services … usual care selected by the patient (such as a large or small medical group, a single practitioner, a community
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www.cahps.ahrq.gov/ncepcr/care/coordination/atlas/chapter6l.html
June 01, 2014 - Care Research
Research Initiatives
Data Resources
Tools and Resources
Research Communities … follow up, and respond to change
□
Support self-management goals
□
Link to community … 4 domains: (1) comprehensiveness, (2) coordination function, (3) personalized care, and (4) family/community … 21
Monitor, follow up, and respond to change: 16
Support self-management goals: 7, 9
Link to community … follow up, and respond to change
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Support self-management goals
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Link to community
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www.cahps.ahrq.gov/sites/default/files/wysiwyg/long-covid/faqs-long-covid.pdf
May 16, 2023 - Is the state government one of the community-based organizations with
which applicants should have a … How much should we budget for travel and other costs related to the grantee Learning
Community? … minor
Learning Community activities (that do not involve travel), as needed. … While the overall participation in the Learning Community coordinated by
AHRQ’s contractor does not … Is there an expectation that proposals include a patient or community advisory board?
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www.cahps.ahrq.gov/ncepcr/care/coordination/atlas/chapter6g.html
June 01, 2014 - Care Research
Research Initiatives
Data Resources
Tools and Resources
Research Communities … follow up, and respond to change
Support self-management goals
Link to community … follow up, and respond to change
■
Support self-management goals
■
Link to community … Format/Data Source: Community-based telephone survey (approximately 25 minutes in length). … Primary care quality: Community health center and health maintenance organization.
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www.cahps.ahrq.gov/ncepcr/care/coordination/atlas.html
June 01, 2014 - Care Research
Research Initiatives
Data Resources
Tools and Resources
Research Communities
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www.cahps.ahrq.gov/evidencenow/tools/keydrivers/engage-patients-families.html
November 01, 2018 - Some patients will need support in the community to help them follow through on their plans. … Practices can assess patients’ need for community resources and direct them to organizations with which … Practices can also convene groups of patients and families, as well as other members of the community … Link patients and families with community resources to assist them in implementing evidence-based care … To successfully link patients and families with community resources, practices should assign responsibility
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www.cahps.ahrq.gov/ncepcr/care/index.html
March 01, 2023 - National Center
Research Initiatives
Data Resources
Tools and Resources
Research Communities
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www.cahps.ahrq.gov/chsp/about-chsp/centers/index.html
July 01, 2019 - identify characteristics of diverse established health systems; make comparisons across systems and communities
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www.cahps.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
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www.cahps.ahrq.gov/es/tools/index.html
December 01, 2015 - Date Published: April 2017
Setting of Care: Hospital
Community-Acquired Pneumonia … Clinical Decision Support Implementation Toolkit
The Community-Acquired Pneumonia (CAP) Patient … Date Published: January 2018
Setting of Care: Ambulatory Care
Community Connections … primary care practices determine and evaluate what accessible and affordable resources exist in their community … for patients struggling with obesity and/or prediabetes; establish a productive relationship with community
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www.cahps.ahrq.gov/tools/index.html
December 01, 2015 - Date Published: April 2017
Setting of Care: Hospital
Community-Acquired Pneumonia … Clinical Decision Support Implementation Toolkit
The Community-Acquired Pneumonia (CAP) Patient … Date Published: January 2018
Setting of Care: Ambulatory Care
Community Connections … primary care practices determine and evaluate what accessible and affordable resources exist in their community … for patients struggling with obesity and/or prediabetes; establish a productive relationship with community
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www.cahps.ahrq.gov/policymakers/chipra/demoeval/what-we-learned/mhi-rsf.html
May 01, 2013 - practice in six domains: organizational capacity, chronic condition management, care coordination, community … domains: 1) Organizational Capacity, 2) Chronic Condition Management , 3) Care Coordination , 4) Community … Outreach: For CSHCN and Their Families THEME Level 1 Level 2 Level 3 Level 4 11 #4.1 Community Assessment … The practice learns about issues and needs related to CSHCN s from key community informants; providers … In addition to Level 3, at least one clinical practice provider participates in a community-based public
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www.cahps.ahrq.gov/ncepcr/tools/transform-qi/deliver-facilitation/modules/index.html
April 01, 2022 - Studies
Health Assessments
Obesity Management
Obesity Toolkit
Research Communities