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  1. www.ahrq.gov/sites/default/files/wysiwyg/pcor/external-stakeholder-report.pdf
    June 23, 2023 - community input, creating leadership roles for community members, and disseminating information through … trusted members of communities. … and are known and trusted by members of these communities. 3. … the implementation phase since communities have knowledge of these local factors. … This includes affording a deeper understanding of factors impacting communities, how communities respond
  2. www.ahrq.gov/prevention/resources/chronic-care/clinical-community-relationships-measures-atlas/ccrm-atlas-ex515.html
    March 01, 2013 - Clinical-Community Relationships Measures (CCRM) Atlas Exhibit 5-15. … 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
  3. www.ahrq.gov/ncepcr/reports/2024-annual-report/spotlight-s3-snyder.html
    May 01, 2024 - Behavioral Health and Substance Use Disorders Health Equity Primary Care Workforce Public Health and Community … Health Tool to Improve Patient-Centered Care for Patients with Type 2 Diabetes P10: Improving Clinical-Community … evaluation to understand existing workflows and practices for identifying medication non-adherence in community … observational data, and administrative data to understand the impact of implementing PatientToc™ in community … Primary Care Relevance Community pharmacies may be in a better position than primary care clinicians
  4. www.ahrq.gov/antibiotic-use/ambulatory-care/best-practices/cap.html
    September 01, 2022 - The "Usually Antibiotics" Diagnoses: Community-Acquired Pneumonia After viewing or presenting … The “Usually Antibiotics” Diagnoses: Community-Acquired Pneumonia  – Slides (PPTX, 3.7 MB) The “Usually … Antibiotics” Diagnoses: Community-Acquired Pneumonia – Facilitator Guide (DOCX, 4.7 MB)   Clinician … One-Page Document and Discussion Guide   Community-Acquired Pneumonia – Clinician One-Page Document … (PDF, 256 KB) Community-Acquired Pneumonia – Discussion Guide (DOCX, 65 KB)   Patient Handouts
  5. www.ahrq.gov/ncepcr/tools/obesity-kit/obtoolkitapb.html
    March 01, 2014 - Community Connections: Linking Primary Care Patients to Local Resources for Better Management of Obesity … Shared Appointments Previous Page Next Page Table of Contents Community Connections … Background: Case for Community Linkages Chapter 3. Linking With a Community Partner Chapter 4. … became clear that clinicians not only lacked the time to answer patient questions about the targeted community … asked the patient to return to the practice for a follow-up appointment, at no charge , with the community
  6. www.ahrq.gov/prevention/resources/chronic-care/clinical-community-relationships-measures-atlas/ccrm-atlasapd4.html
    March 01, 2013 - Clinical-Community Relationships Measures (CCRM) Atlas Appendix D. … Clinical-Community Relationships Measures Instruments (continued) Previous Page Next Page … 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.
  7. www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/6-2023hcbs-survey-webcast-closing.pdf
    June 02, 2025 - Participating in the 2023 CAHPS® Home and Community-Based Services Survey Database: What You Need to … CAHPS Survey (English): https://www.medicaid.gov/medicaid/quality-of- care/downloads/cahps-home-and-community-based-services-survey … determining-focus/index.html https://www.medicaid.gov/medicaid/quality-of-care/downloads/cahps-home-and-community-based-services-survey … -10-english.pdf https://www.medicaid.gov/medicaid/quality-of-care/downloads/cahps-home-and-community-based-services-survey … -10-english.pdf https://www.medicaid.gov/medicaid/quality-of-care/downloads/cahps-home-and-community-based-services-survey
  8. www.ahrq.gov/sites/default/files/wysiwyg/pcor/pcortf-strategic-framework.pdf
    June 01, 2023 - Communities can be defined in social, economic, or geographic terms, such as patient communities, racial … neighborhood. … This would be inclusive of accounting for the full medical and public health neighborhood that interfaces … Researchers may need to work in close collaboration with partners embedded in communities (e.g., community … used by individuals in the communities that allowed it to be gathered.
  9. www.ahrq.gov/prevention/resources/chronic-care/clinical-community-relationships-eval-roadmap/ccre-roadmap-apb1.html
    July 01, 2013 - Clinical-Community Relationships Evaluation Roadmap Appendix B.1: Evidence on Effectiveness … Previous Page Next Page Table of Contents Clinical-Community Relationships Evaluation Roadmap … conducted a targeted literature review of existing evidence related to the effectiveness of clinical-community … potentially be provided in non-clinical settings and are candidates for delivery through a clinical-community … AHRQ had funded an earlier targeted literature review of clinical-community resource relationships for
  10. www.ahrq.gov/ncepcr/tools/obesity-kit/obtoolkit-tool11.html
    March 01, 2014 - Community Connections: Linking Primary Care Patients to Local Resources for Better Management of Obesity … Community Connections: Linking Primary Care Patients to Local Resources for Better Management of Obesity … Previous Page Next Page Table of Contents Community Connections: Linking Primary Care … Background: Case for Community Linkages Chapter 3. Linking With a Community Partner Chapter 4. … Tool 11: Process Mapping for Referrals to Community Resources—Example Return to Contents
  11. www.ahrq.gov/evidencenow/projects/state/meeting-summary-cooperatives/building-state2.html
    October 01, 2024 - Otherwise, “storming and norming” efforts could take the group in a different direction than communities … Equity: Incentives are necessary for practices and communities to execute the work and should be developed … Some communities and providers have been under-resourced across generations, and they might need more … It is important to keep in mind that legislators represent their communities, not the healthcare system … When appealing to legislators, focus on how the cooperative will help the communities they serve.
  12. www.ahrq.gov/ncepcr/tools/obesity-kit/obtoolkit-tool20.html
    March 01, 2014 - Community Connections: Linking Primary Care Patients to Local Resources for Better Management of Obesity … Community Connections: Linking Primary Care Patients to Local Resources for Better Management of Obesity … Previous Page   Table of Contents Community Connections: Linking Primary Care Patients … Background: Case for Community Linkages Chapter 3. Linking With a Community Partner Chapter 4.
  13. www.ahrq.gov/ncepcr/tools/obesity-kit/obtoolkit-tool16.html
    March 01, 2014 - Community Connections: Linking Primary Care Patients to Local Resources for Better Management of Obesity … Community Connections: Linking Primary Care Patients to Local Resources for Better Management of Obesity … Previous Page Next Page Table of Contents Community Connections: Linking Primary Care … Background: Case for Community Linkages Chapter 3. Linking With a Community Partner Chapter 4.
  14. www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/report/apvi.html
    June 01, 2010 - Environmental Scan of Measures for Medicaid Title XIX Home and Community-Based Services Appendix VI … Next Page Table of Contents Environmental Scan of Measures for Medicaid Title XIX Home and Community-Based … indicators, client function indicators, and measures of client satisfaction with respect to home and community-based … shall— (A) use the indicators and measures developed under paragraph (1) to assess such home and community-based … health and welfare of the recipient of the services), and the overall system for providing home and community-based
  15. www.ahrq.gov/ncepcr/tools/obesity-kit/obtoolkit-tool19.html
    March 01, 2014 - Community Connections: Linking Primary Care Patients to Local Resources for Better Management of Obesity … Community Connections: Linking Primary Care Patients to Local Resources for Better Management of Obesity … Previous Page Next Page Table of Contents Community Connections: Linking Primary Care … Background: Case for Community Linkages Chapter 3. Linking With a Community Partner Chapter 4.
  16. www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/1-2023hcbs-survey-webcast-shaller.pdf
    June 06, 2024 - Participating in the 2023 CAHPS® Home and Community-Based Services Survey Database: What You Need to … Know - Opening Participating in the 2023 CAHPS® Home and Community-Based Services (HCBS CAHPS) Survey … Moderator) Principal, Shaller Consulting Group, Stillwater, MN 3 Agenda • Discussion: ► Home and Community-Based … Survey ► HCBS CAHPS Database • Questions and Answers 4 Participating in the 2023 CAHPS® Home and Community-Based
  17. www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/rev-finalreport.pdf
    March 01, 2020 - transition strategies are part of a broader movement in primary care toward the development of “medical neighborhoods … While the transition from the hospital to primary care is important, the medical neighborhood perspective … Readmissions: A Conceptual Framework To Rethink the Role of Primary Care 3 perspectives of the primary care communitycommunityCommunity Agency Staff The perspective of community agencies, affiliated with the primary care sites … Primary care can claim greater ownership of care transitions as the hub of the medical neighborhood
  18. www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/rev-finalreport-update-2021.pdf
    January 01, 2021 - transition strategies are part of a broader movement in primary care toward the development of “medical neighborhoods … While the transition from the hospital to primary care is important, the medical neighborhood perspective … Readmissions: A Conceptual Framework To Rethink the Role of Primary Care 3 perspectives of the primary care communitycommunityCommunity Agency Staff The perspective of community agencies, affiliated with the primary care sites … Primary care can claim greater ownership of care transitions as the hub of the medical neighborhood
  19. www.ahrq.gov/prevention/resources/chronic-care/ccrm-atlas-suppl/ccrm-atlas3.html
    October 01, 2013 - Resource Clinic/Clinician – Patient Clinic/Clinician – Community Resource Patient – Community … of community resource marketing plans X Effectiveness of community resource marketing … Y Financial sustainability (community resource) Z Community resource readiness to change … MM Costs to the clinic/clinician and a community resource to establish a clinical-community … by a community resource.
  20. www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/continuing-ed/moc_smsresources.pdf
    July 01, 2014 - • The Community Health Association of Mountain/Plains States (CHAMPS) offers a number of tools, forms … • Improving Primary Care: Self‐Management Action Plan (provided by the Neighborhood Family Practice … Heart Disease • Community Health Association of Mountain/Plains States (CHAMPS): CVD Self‐Management … ) • Community Health Association of Mountain/Plains States (CHAMPS): Hypertension Goal Contract. … For the next two weeks, I will walk in my neighborhood for 30 minutes on Monday, Wednesday, and Friday

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