-
www.qualitymeasures.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/medicaidmgmt/tap.html
October 01, 2014 - Iowa worked closely with its provider community to test the system and gather feedback. … Using community resources efficiently.
Improving clinical outcomes.
Saving program money. … Interventions include in-person and/or telephonic care management, connection with community supports … Care of North Carolina
North Carolina Medicaid operates a statewide enhanced PCCM program, Community … Unique in terms of structure, community partners, and project activity, each CCNC network was designed
-
www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/demoeval/what-we-learned/mhi-rsf.pdf
May 29, 2013 - 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
CSHCN
PCP awareness of the
population of children with … special health care needs
CSHCN in their community is
directly related to the number
of children … Medical Home:
The Center for Medical Home Improvement defines the medical home as a community-based
-
www.qualitymeasures.ahrq.gov/patient-safety/settings/hospital/resource/guide/web6.html
December 01, 2017 - Community Inventory.
Portfolio Design.
Operational Dashboard.
Portfolio Presentation. … Community Resource Guide.
Cross Continuum Collaboration.
ED Care Plan Examples. … Slide 15: In Practice: Community Health Workers
Temple University Hospital started a community health … Social worker.
2 Community Health Outreach Workers.
Program Manager.
Data Analyst. … The team is comprised of 3 teams of 1 social worker and 1 community health worker each.
-
www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/takeheart/training/affinity-details-emerging-strategies-cr.pdf
January 01, 2021 - EVENT SUMMARY
LEARNING COMMUNITY AFFINITY GROUP | SUMMARY AT-AT-GLANCE | 1
AFFINITY GROUP DETAILS … EVENT SUMMARY
LEARNING COMMUNITY AFFINITY GROUP | SUMMARY AT-AT-GLANCE | 2
ASSESSING THE CURRENT … Reasonably normal operations
EVENT SUMMARY
LEARNING COMMUNITY AFFINITY GROUP | SUMMARY … EVENT SUMMARY
LEARNING COMMUNITY AFFINITY GROUP | SUMMARY AT-AT-GLANCE | 5
Adjusting the Onsite … Tricia urged CR staff to foster a sense of
community virtually, which might involve
distributing
-
www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/takeheart/training/affinity-details-coping-staff-challenges.pdf
September 16, 2020 - EVENT SUMMARY
LEARNING COMMUNITY AFFINITY GROUP | SUMMARY AT-AT-GLANCE | 1
AFFINITY GROUP DETAILS … EVENT SUMMARY
LEARNING COMMUNITY AFFINITY GROUP | SUMMARY AT-AT-GLANCE | 2
ASSESSING THE CURRENT … DISCUSSION HIGHLIGHTS
EVENT SUMMARY
LEARNING COMMUNITY AFFINITY GROUP | SUMMARY AT-AT-GLANCE … 2015+Refresh&utm_medium
=widget&utm_campaign=SupportN
etwork
EVENT SUMMARY
LEARNING COMMUNITY … —Tina Miller
EVENT SUMMARY
LEARNING COMMUNITY AFFINITY GROUP | SUMMARY AT-AT-GLANCE |
-
www.qualitymeasures.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
-
www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/ncepcr/tools/PCMH/pcpf-module-3-primary-care-landscape.pdf
September 01, 2015 - person
• Coordinated care, which includes coordination across all elements of the entire medical
neighborhood … Implements community-based
teaching health centers.
workforce. … implementing PCMHs; develops significantly to primary care
extension program primary care learning communities … • Federally Qualified Health Centers (FQHCs), which are community-based health
centers that provide … payment reform
Other resources and emerging trends in primary care
Coordinating care across the medical neighborhood
-
www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/takeheart/training/affinity-group-operational-adjustments-in-person-cr.pdf
February 01, 2020 - Ongoing offerings of affinity group sessions on priority topics for
the learning community. … Events are open to anyone but
participants are encouraged to join the TAKEheart Learning
Community … & screening
-Adjustments to classroom sessions
-Adjustments to rehab sessions
-Changes in fostering community … What are you doing to foster community and mutual support
despite social distancing, masks and other
-
www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/ncepcr/tools/PCMH/pcpf-module-5-working-with-safety-net-practices.pdf
September 01, 2015 - as:
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
-
www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/ncepcr/tools/PCMH/using-health-it-to-support-qi.pdf
March 01, 2015 - federally qualified health centers,
which increase access to health care for medically underserved communities … Research & Quality
(AHRQ) invested more than $300 million in contracts and grants to more than 200 communities … Sometimes, an entire region or community will establish a formal HIE to
share data. … Primary care practices in communities lacking a formal HIE can still benefit from
data exchange through … these types of arrangements, while working with other stakeholders
to expand the scale of HIE in their communities
-
www.qualitymeasures.ahrq.gov/policymakers/chipra/demoeval/what-we-learned/implementation-guides/implementation-guide1/impguide1step4.html
March 01, 2019 - What products and outcomes would be the most useful for the child health care community? … usable products, the stakeholder group will be able to demonstrate the value of stakeholder input to community … have an impact, the group’s products and news of its achievements must be disseminated widely to the community … Are there other stakeholder groups, community meetings, or other existing structures you can leverage … Reach out to policymakers and other community leaders that are well-informed about such efforts.
-
www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-0138-section-6a.pdf
December 01, 2013 - least 300 days,
calculated using 5 consecutive years of claims data from the Michigan Department of Community … Health, Community
Health Automated Medicaid Processing System (CHAMPS) compared with a corresponding … least 350
days, calculated using 5 consecutive years of claims data from the Michigan Department of Community … Health,
Community Health Automated Medicaid Processing System (CHAMPS) compared with a corresponding
-
www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/patient-safety/settings/mcc-summit/mcc-summit-vick-wolff.pdf
November 01, 2020 - engagement among
those with MCC vary widely.
6
Patient navigators
Individual coaches
Case managers
Community … unsplash&utm_medium=referral&utm_content=creditCopyText
#2: Infrastructure
9
• How do system-level and community-level … • How do system- and community-level factors interfere with or
support engagement, and how do we design
-
www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/takeheart/training/event-summary-leveraging-data-enhance-cr-program.pdf
November 12, 2020 - EVENT SUMMARY
LEARNING COMMUNITY AFFINITY GROUP | SUMMARY AT-AT-GLANCE | 1
AFFINITY GROUP DETAILS … EVENT SUMMARY
LEARNING COMMUNITY AFFINITY GROUP | SUMMARY AT-AT-GLANCE | 2
ASSESSING THE CURRENT … EVENT SUMMARY
LEARNING COMMUNITY AFFINITY GROUP | SUMMARY AT-AT-GLANCE | 3
DISCUSSION HIGHLIGHTS … Respondents Accurately Collecting Types of Patient-Level Data
EVENT SUMMARY
LEARNING COMMUNITY … Leveraging Insights about Patient
Diagnoses
EVENT SUMMARY
LEARNING COMMUNITY AFFINITY
-
www.qualitymeasures.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/medicaidmgmt/mm2.html
October 01, 2014 - Stakeholders include senior Medicaid and agency leadership, the Governor's office, the provider community … , the patient and advocacy community, the State legislature, and the Centers for Medicare & Medicaid … , the patient and advocacy community, the State legislature and staff, and CMS is critical for a care … Provider Community
Providers are critical to any care management program; interested providers will … Patient and Advocacy Community
A significant component of a care management program focuses directly
-
www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/ncepcr/tools/PCMH/pcpf-module-12-intro-to-assessing-practices.pdf
September 01, 2015 - The book Building Communities from the Inside Out:
A Path Toward Identifying and Mobilizing a Community … linkages • Patients are linked to outside resources
• Practice partners with community organizations … 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
-
www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/takeheart/training/module-8-slides.pdf
November 18, 2021 - Patient education
Patient engagement
Assessing patient needs & concerns
Connecting patients to community … plans
Leverage the influence of family & caregivers to reinforce the value of CR
Connect with community … resources & services: community health
workers
Possible Solutions: Transportation
25
Hospital … carpooling
Hybrid versions of CR
Flexible hours: before/after work, weekends
Connect with community … Verifying insurance
Supporting patient: patient navigator/CR ambassador
Connecting patient to community
-
www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/evidencenow/results/research/interview-protocol-qi-ny.pdf
August 23, 2018 - ask you some questions about your experience working with your practice facilitators [PF NAME] from
Community … PROBE: what about with stakeholders like state and national policy makers or
community organizations … How do you help patient’s access community programs to help them deal with cardiovascular risk factors … For example, there are a number of community resources for patients like the New York State Smokers’ … Challenges in identifying
community resources?
12.
-
www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/pharmlitqi/slidedeck3/slidedeck3.pptx
March 01, 2011 - Improvement is intended to promote quality health care in which the needs of patients, families, and communities … Healthy People/Healthy Communities: Improve the health of the U.S. population by supporting proven … groups with patients, some pharmacies interviewed individuals patients.
22
Case: Bella Pharmacy
340B community … The pharmacy was located in a community health center that served largely low-income, racial/ethnic minorities
-
www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/sops/quality-patient-safety/patientsafetyculture/hospital/healthitwebinar/sops-hit-webcast2-brady.pdf
August 06, 2018 - organizational culture supports patient safety
Hospital
(2004)
Nursing
Home
(2008)
Medical
Office
(2009)
Community … Nursing homes
12,395
respondents
Medical
Office
2,437
Medical offices
35,523
respondents
Community