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www.innovations.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/primary-care/tpc/impact-profile-ok.pdf
April 01, 2015 - The story of this program’s success lies in the power of
working at the community level and developing … relationships to sustain local community health
organizations. … The team was able
to connect practice managers to community resources, so that each practice now has … Although the hospital and Community Health
Centers are using electronic health records, they are not … To achieve
this, the model used county-based health centers with community care networks modeled after
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www.innovations.ahrq.gov/ncepcr/research-transform-primary-care/transform/profile/driscoll.html
April 01, 2015 - Care Research
Research Initiatives
Data Resources
Tools and Resources
Research Communities
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www.innovations.ahrq.gov/ncepcr/research-transform-primary-care/transform/profile/meenan.html
October 01, 2015 - Care Research
Research Initiatives
Data Resources
Tools and Resources
Research Communities
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www.innovations.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.innovations.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.innovations.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.innovations.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.innovations.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.innovations.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.innovations.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.innovations.ahrq.gov/ncepcr/tools/transform-qi/deliver-facilitation/curriculum/index.html
February 01, 2022 - Studies
Health Assessments
Obesity Management
Obesity Toolkit
Research Communities
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www.innovations.ahrq.gov/ncepcr/tools/transform-qi/deliver-facilitation/modules/index.html
April 01, 2022 - Studies
Health Assessments
Obesity Management
Obesity Toolkit
Research Communities
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www.innovations.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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www.innovations.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
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www.innovations.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/20160315/debra-rosen-slides.pdf
March 15, 2016 - Strategies for Improving CAHPS Clinician & Group (CG-CAHPS) Survey Scores
Improving CG-CAHPS
Scores in a Federally
Qualified Health Center
Presented By
Debra Rosen, RN, MPH
Director, Quality & Health Education
“Strategies for Improving CAHPS Clinician & Group (CG-CAHPS) Survey Scores”
A Webcast Pres…
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www.innovations.ahrq.gov/news/newsletters/e-newsletter/821.html
June 01, 2022 - Researchers reviewed data from the electronic health records nearly 92,000 families receiving care from 363 community … Exploring the relationship between community program location and community needs. … Post-acute care transitions and outcomes among Medicare beneficiaries in assisted living communities.
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www.innovations.ahrq.gov/sites/default/files/wysiwyg/action-alliance/CMS-Aug-23-board-session.pdf
August 22, 2023 - , families, digital
health sector, payors, and health service researchers
• A voluntary learning community … Board conducts rounds at the point of care or visits the health system and community to hear directly … and Population H ealth and Wellness
Board reviews community health needs assessment and senior leadership … ’s plans for community and population health
improvement. … Closing Thoughts
• About 90% of board members are unpaid, doing service because they care about their communities
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www.innovations.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
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www.innovations.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2022qdr-datasources.pdf
December 01, 2022 - Demographic Data
Gender, age, race and Hispanic origin, educational level, place of birth, income, and … of birth, industry, and
occupation
Years Collected
Continuously, since 1957. … of birth, educational
attainment, underlying and multiple causes of death, injury at work, place death … 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
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www.innovations.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/demoeval/what-we-learned/mhi-rsf.docx
March 25, 2009 - practice in six domains: organizational capacity, chronic condition management, care coordination, community … Domain 4: Community Outreach: For CSHCN and Their Families
THEME:
Level 1
Level 2
Level 3
Level … 4
#4.1 Community Assessment of Needs for CSHCN11
PCP awareness of the population of children with … special health care needs CSHCN in their community is directly related to the number of children for … The practice learns about issues and needs related to CSHCNs from key community informants; providers