-
www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/cooperatives/evidencenow-executive-summary-nyc.pdf
November 01, 2017 - mortality rates from
almost all diseases, including CVD, compared with residents of higher income
neighborhoods … Investigator
“Working in these very small practices, we are seeing how
much they are part of their communities … The doctors live in
the same neighborhoods as their patients. They speak the
same language. … When you support a practice like this, you
are supporting the wellbeing of a community.” … New York City Community Health Survey.
-
www.ahrq.gov/ncepcr/tools/workforce-financing/case-example-6.html
July 01, 2019 - The K-15, CHASS, and PACE clinics all are in urban, underserved neighborhoods. … equitable care; address diverse population needs; and connect patients to health care options in their own communities … General, State of Michigan
Key CHW pilot projects and programs at HFHS include:
Women-Inspired Neighborhood … Using CHWs, called community neighborhood navigators in this program, 364 pregnant women and 900 nonpregnant … women and their children were connected to a variety of health services, local neighborhood resources
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/primary-care/workforce-financing/case_example_6.pdf
October 01, 2016 - The K-15, CHASS,
and PACE clinics all are in urban, underserved neighborhoods. … equitable care; address diverse population needs; and connect patients to health
care options in their own communities … General, State of Michigan
Key CHW pilot projects and programs at HFHS include:
Women-Inspired Neighborhood … Using CHWs, called community neighborhood
navigators in this program, 364 pregnant women and 900 nonpregnant … women and their children
were connected to a variety of health services, local neighborhood resources
-
www.ahrq.gov/prevention/resources/chronic-care/clinical-community-relationships-measures-atlas/ccrm-atlas2.html
March 01, 2013 - What Is a Clinical-Community Relationship? … What Is a Clinical-Community Relationship?
3. … These examples, while varying by the community resources used, the communities served, and the preventive … Another component of this clinical-community relationship was a community resource's ability to update … The clinical-community relationships formed in this project fostered referrals to community resources
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/medicaidreadmitguide/mcaidread_tool4_comm_inv.docx
September 02, 2016 - Tool 4: Community Inventory
Tool 4: Community Inventory TOol
Purpose
Identify clinical, behavioral … , and social service resources in the community that can improve posthospital care to reduce readmissions … The community inventory is complementary to the hospital inventory when developing a whole-person and … Tool 4: Community Inventory Tool
Many resources in postacute and community-based settings can be mobilized … resources, including Medicaid home and community-based services.
-
www.ahrq.gov/pcor/strategic-framework/stakeholder-engagement.html
July 01, 2023 - Stakeholders include family members and caregivers, patient advocates, community members and organizations … Communities can be defined in social, economic, or geographic terms, such as patient communities, racial … /ethnic communities, percent of the population living below the Federal poverty level, or residents of … an urban or rural neighborhood. … Stakeholder engagement can help define appropriate community representatives to include in the work.
-
www.ahrq.gov/prevention/resources/chronic-care/ccrm-atlas-suppl/ccrm-apptabA-19.html
October 01, 2013 - Potential Measures for Clinical-Community Relationships
A-19. … Measure 16: CHERL referrals to community resources
A-20. … Measure 17: Referral rate for intensive counseling from a community program
A-21. … Measure 22: The quality of the service provided by community resource to a practice (GP-LI)
Clinical-Community … validated application:
Adult patients at 15 practices selected for convenience in three Michigan communities
-
www.ahrq.gov/prevention/resources/chronic-care/clinical-community-relationships-measures-atlas/ccrm-atlas-ex516.html
March 01, 2013 - Clinical-Community Relationships Measures (CCRM) Atlas
Exhibit 5-16. … Why Was the Clinical-Community Relationships Measures Atlas Developed?
2. … What Is a Clinical-Community Relationship?
3. … What Is the Clinical-Community Relationships Measurement Framework?
4. … validated application:
Adult patients at 15 practices selected for convenience in three Michigan communities
-
www.ahrq.gov/ncepcr/communities/pbrn-registry/community-care.html
January 01, 2013 - Community Care
Network Acronym:
CC PBRN
Network Type: … Statement:
To promote innovative and efficient health care delivery to improve individual client and community
-
www.ahrq.gov/ncepcr/communities/pbrn/registry/community-care.html
January 01, 2013 - Community Care
Status:
Inactive
Registered Date:
January 1, 2013
PBRN Acronym … Statement:
To promote innovative and efficient health care delivery to improve individual client and community
-
www.ahrq.gov/ncepcr/funding/grants/impact/success-story/ks.html
March 01, 2017 - New Mexico IMPaCT: Catalyzing Community Health Transformation in Kansas
AHRQ Infrastructure … New Mexico’s emphasis on a community-based approach to health improvement was well suited to Kansas’s … rural communities and informed Kansas’s strategic vision about primary care and community health improvement … hospitals’ community service efforts as part of the Affordable Care Act. … Build healthy communities—for example, through parks and healthy eating.
-
www.ahrq.gov/prevention/resources/chronic-care/ccrm-atlas-suppl/ccrm-apptabA-17.html
October 01, 2013 - Potential Measures for Clinical-Community Relationships
A-17. … Measure 16: CHERL referrals to community resources
A-20. … Measure 17: Referral rate for intensive counseling from a community program
A-21. … Measure 22: The quality of the service provided by community resource to a practice (GP-LI)
Clinical-Community … validated application:
Adult patients at fifteen practices selected for convenience in three Michigan communities
-
www.ahrq.gov/evidencenow/model/profiles/walkers-point.html
March 01, 2021 - An Urban Hub for Preventive Care
Steve helped launch Walker's Point Community Clinic in a small … Since then, the practice has grown into one of the largest community clinics in Wisconsin. … Located in a diverse, residential and industrial neighborhood in Milwaukee’s South Side, the clinic is … Steve Ohly, registered nurse practitioner and manager at Walker's Point Community Clinic. … new ways to encourage behavior change so that preventive care yields long-term results and healthier communities
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/primary-care/pcp-costs/shih2-costs.pdf
May 01, 2015 - What Are the Costs to Small Practices and Community Health Centers to Maintain Comprehensive Primary … What Are the Costs to Small Practices and Community Health Centers
to Maintain Comprehensive Primary … Patient engagement involves identifying special
patient needs, linking patients to appropriate community … serving lower-income
neighborhoods. … What Are the Costs to Small Practices and Community Health Centers to
Maintain Comprehensive Primary
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/medicaidreadmitguide/mcaidread_tool11_comm_resource.docx
September 12, 2016 - Tool 11: Community Resource Guide
Tool 11: community resource guide
Purpose
Many hospital readmission … reduction teams perceive that no community resources are available, even though community behavioral … The purpose of this community resource guide is twofold: first, to demonstrate that there are community … The community resource guide template is modeled on a community resource guide developed by a Medicaid … volunteers with volunteer drivers who are willing to transport residents living in rural unincorporated communities
-
www.ahrq.gov/evidencenow/projects/state/meeting-summary-cooperatives/appendix-b.html
October 01, 2024 - almost 25 years advocating for better healthcare access and improved quality of care for underserved communities … exceed healthcare equity and social needs performance requirements and achieve long-term impact for communities … Directors of 211info, a nonprofit that helps people identify and navigate social service programs in their communities … He also serves as PI for the Neighborhood Health Hub Program funded by grants and contracts from United … processes and innovative care delivery models within hospitals, primary care organizations, and local communities
-
www.ahrq.gov/nursing-home/resources/ltc-community-champions.html
July 01, 2021 - Long-Term Care Community Champions: Voices from the Front Line
Resource: Long-Term Care Community
-
www.ahrq.gov/news/blog/ahrqviews/learning-while-caring.html
May 01, 2019 - The primary aim of the health system is to care for people, their families, and communities using the … been focused on improving care for those with MCC, or on preventing MCC in at-risk individuals and communities … evidence is needed on effective strategies and capacity to provide integrated primary care within “medical neighborhoods … New primary care models need strong linkages with public health, community services, and other sectors … taking a transdisciplinary approach, AHRQ research can determine what works for which individuals and communities
-
www.ahrq.gov/prevention/resources/chronic-care/clinical-community-relationships-measures-atlas/ccrm-atlas3.html
March 01, 2013 - three elements of the framework may differ from community to community. … Communities differ in population size, wealth, educational attainment, cultural diversity, the challenges … The specific health and community resources available and accessible in each community are unique and … from community to community. … overlap with the hours that the community resource is open may be less likely to use that community
-
www.ahrq.gov/research/findings/studies/index.html?page=230
January 01, 2024 - Poverty also made a difference in the rate of CA-MRSA with neighborhoods with larger households having … The objective of this study was to assess the relationship of neighborhood immigrant proportion (IP) … Researchers conclude that patients living in high IP neighborhoods do not have worse pre-op or 2-year … post-op pain and function outcomes after TKA compared to those living in lower IP neighborhoods. … Living in immigrant communities does not impact total knee arthroplasty outcomes: experience from a high-volume