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www.qualitymeasures.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.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/news/events/conference/2011/jack/jack.pptx
January 01, 2011 - 100 Hospital Engagement Contractors funded to implement 10 evidence based solutions to decrease AEs
Community … Program (CCTP or 3026)
New payment policies to encourage improved transitions
Hospitals, Providers, Community-based … organizations
Office of the National Coordinator for Health IT
Beacon Communities
Focus on HIT in
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www.qualitymeasures.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.qualitymeasures.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.qualitymeasures.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.qualitymeasures.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.qualitymeasures.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.qualitymeasures.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.qualitymeasures.ahrq.gov/patient-safety/settings/long-term-care/resource/multichronic/summit-bios.html
November 01, 2021 - Meyers Primary Care Institute has a mission to improve the health and healthcare of populations and communities … O’Boyle knows firsthand about the challenges that patients and patient communities face collecting and … believes that having data collection developed and maintained at NO COST to the patients and patient communities … dozen projects to assess resource allocation and spatial variations in service delivery as well as neighborhood-level … Stange is a family and public health physician, practicing at Neighborhood Family Practice, a federally
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www.qualitymeasures.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.qualitymeasures.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.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/talkingquality/resources/podcasts_webinars/TalkingQuality_Audience_Webcast_2011_05_11_Transcript.pdf
January 01, 2011 - and publicly reporting that to
communities. … Now RWJF and these communities have been at this for a few years, but when they
began this, it really … know all sorts of information about their condition or who just know
information about aspects of the community … Now we go to Humboldt County, the Community Health Alliance. … And then Sylvia, who was really our primary user persona on the Community Health Alliance's
project,
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www.qualitymeasures.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.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/one-pager-influenza.pdf
June 01, 2021 - https://www.cdc.gov/coronavirus/2019-
ncov/community/correction-
detention/guidance-correctional-
detention.html … season/flu-season.htm
https://www.cdc.gov/flu/weekly/index.htm
https://www.cdc.gov/coronavirus/2019-ncov/community … correction-detention/guidance-correctional-detention.html.
https://www.cdc.gov/coronavirus/2019-ncov/community … correction-detention/guidance-correctional-detention.html.
https://www.cdc.gov/coronavirus/2019-ncov/community … correction-detention/guidance-correctional-detention.html.
https://www.cdc.gov/coronavirus/2019-ncov/community
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www.qualitymeasures.ahrq.gov/ncepcr/care/coordination/atlas/chapter6a.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 … Format/Data Source: Version 3.5 is a 34-item survey that covers 6 areas: (1) community linkages, (2) … up, and respond to change: 20-22, 25, 33
Support self-management goals: 10-13, 30, 34
Link to community … of chronic care outcomes made by faculty from each collaborative program, with the exception of the community
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www.qualitymeasures.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.qualitymeasures.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.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/primary-care/workforce-financing/case_example_1.pdf
October 01, 2016 - Therefore, in Phase 1, the practice assesses gaps in four
domains of care:
• Medical neighborhood … Project Coordinator Community linkages, peer programs
0.1 Dietitian As needed
Business Operations … The team offers independent visits with the APRN, LCSW, PT, and community project
coordinator. … Other patients are referred to either Stanford specialists or other community
physicians. … The social worker or community project
coordinator refers the patient to community resources such as
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www.qualitymeasures.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.qualitymeasures.ahrq.gov/ncepcr/tools/self-mgmt/how-script.html
February 01, 2016 - Care Research
Research Initiatives
Data Resources
Tools and Resources
Research Communities