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www.ahrq.gov/ncepcr/care/coordination/atlas/chapter6n.html
June 01, 2014 - up, and respond to change
Support self-management goals
□
Link to community … Format/Data Source: 43-item questionnaire covering 4 key domains: (1) information exchange (community … and application of a new instrument to assess the quality of discharge planning activities from the community … PREPARED Survey — Community Service Provider Version
Care Coordination Measure Mapping Table … Discharge planning scale: Community physicians' perspective. J Hosp Med 2008;3(6):455-64.
3.
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www.ahrq.gov/ncepcr/tools/obesity-kit/obtoolkit1.html
March 01, 2014 - Community Connections: Linking Primary Care Patients to Local Resources for Better Management of Obesity … Introduction
Previous Page Next Page
Table of Contents
Community Connections: Linking … Background: Case for Community Linkages
Chapter 3. Linking With a Community Partner
Chapter 4. … Help primary care practices establish a productive relationship with community partners so that each … Help primary care practices work with community partners to develop a bidirectional referral process
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www.ahrq.gov/ncepcr/tools/obesity/obpcp-tool10.html
May 01, 2014 - Integrating Primary Care Practices and Community-based Resources to Manage Obesity
Tool 10. … Previous Page Next Page
Table of Contents
Integrating Primary Care Practices and Community-based … Sample Community Inventory Form
Tool 9. Sample Prescription Pad
Tool 10. … For a list of resources available in your community, see the back page of this brochure.
… Food & Drug Administration Website: www.fda.gov
Community-based Resources
(Clinic to choose community
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www.ahrq.gov/sites/default/files/2025-02/mcneil-report.pdf
January 01, 2025 - reform efforts, payment policies, delivery system reform, national
priorities, health disparities, and communities … Panel 7: "Making Change in Happen in Communities." … Emilio Carrillo, MD, MPH, Vice President of Community Health
Development, New York-Presbyterian Community … Making Change Happen in Communities
Moderator: Bruce Siegel, MD, MPH, Director, Center for Health … The moderator guided a dynamic discussion of the
experiences and lessons learned in these communities
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www.ahrq.gov/ncepcr/funding/tips-obtaining.html
May 01, 2025 - A community foundation locator is available to identify smaller, accredited foundations in your area … governments offer opportunities for primary care research funding, and opportunities to partner with tribal communities … State governments may be able to fund primary care research as part of state programming or community … Tribal Communities. … Many tribal organizations operate primary care services, and some tribal communities have generated substantial
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www.ahrq.gov/ncepcr/communities/pbrn/registry/victorian-primary-care-practice-based-research-and-education-network.html
September 15, 2024 - practice-based research network (PBRN) managed by the University of Melbourne that enables collaboration between community-based … health care practices, community members and academic institutions.
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www.ahrq.gov/news/newsroom/press-releases/long-covid-funding-opportunity.html
April 01, 2023 - models, expand access and services offered, strengthen care coordination, and support the primary care community … the new normal, the debilitating effects of Long COVID for both patients and members of the medical community … “These grants will help provide resources and services to communities disproportionately impacted by … Clinics also must partner with community-based organizations to help people with Long COVID, their families
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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-0243-section6-appendix.pdf
June 02, 2025 - Hospital Paw Paw
27 Bronson – Battle Creek Battle Creek
28 Canton Health Center Canton
29 Caro Community … 33 Charlevoix Area Hospital Charlevoix
34 Cheboygan Memorial Hospital Cheboygan
35 Chelsea Community … Johns
41 Community Health Center of Branch County Coldwater
42 Covenant Medical Center Saginaw … 72 Henry Ford Wyandotte Hospital Wyandotte X
73 Herrick Medical Center Tecumseh
74 Hillsdale Community … Hospital Sheridan
150 Sinai – Grace Hospital Detroit
151 South Haven Community Hospital South
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www.ahrq.gov/prevention/resources/chronic-care/clinical-community-relationships-eval-roadmap/ccre-roadmap-ap.html
July 01, 2013 - Clinical-Community Relationships Evaluation Roadmap
Appendices: Preliminary Work and Finding … Previous Page Next Page
Table of Contents
Clinical-Community Relationships Evaluation Roadmap … The current state of the evidence regarding:
The effectiveness of clinical-community resource … The use of measures in evaluating clinical-community resource relationships ( Appendix B-2 ). … Examples of the current state of practice related to clinical-community resource relationships for delivering
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/primary-care/tpc/impact-profile-nm.pdf
April 01, 2015 - New Mexico’s IMPaCT grant drew on existing community-based
efforts to address social determinants of … Health extension coordinators (also called “HEROs”) were
chosen by the communities in which they serve … university employees with backgrounds
in health fields and are aware of the resources
available in their communities … The IMPaCT project also helped spur a growing community health worker program serving high-
risk … enrollees while helping New Mexico implement Medicaid Managed Care certification for its
community
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www.ahrq.gov/ncepcr/reports/grants-impact/tools/index.html
October 01, 2023 - partner States: NM, NC, OK, PA, KS, KY, OR, ID, MD, MT, WV, AR, MO, CO, NJ, NY, VT
Office for Community … partner States: NM, NC, OK, PA, KS, KY, OR, ID, MD, MT, WV, AR, MO, CO, NJ, NY, VT
Office for Community … Web page
All model States: NM, NC, OK, PA
Office for Community Health at the University of … It also describes the challenges the Learning Community States faced in adapting aspects of the North … Mold, MPH, MD
Select to view site
PA Spread
This toolkit includes learning community
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www.ahrq.gov/sites/default/files/2024-07/leonhardt-report.pdf
January 01, 2024 - tools were created and disseminated through out the community. … Partners in Safety: Implementing a Community-based
Patient Safety Council. … Partnering for Patient Empowerment Through Community Awareness. … Community-Based Participatory Research. Conference Summary. July 2002. … Community-Based Research Parnterships: Challenges and Opportunities.
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www.ahrq.gov/evidencenow/projects/state/how-to-guide/guide5.html
August 01, 2024 - , to inform community health improvement plans. … Community health workers (CHWs) are sometimes included in a healthcare extension program. … For example: According to ORPRN’s Anne King, “ It helped that we had staff embedded in communities because … Oregon is a really huge state, and we had staff in communities where there wasn't anybody else.” … For example: The University of New Mexico’s Office for Community Health and University of New Mexico
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www.ahrq.gov/ncepcr/communities/pbrn/registry/clinical-directors-network-inc.html
January 01, 2012 - Virginia
Network Founded:
1985
PBRN Mission Statement:
We are a network that supports community-based … A community-based health care center is one that is committed to improving the overall health of individuals … , families and communities by focusing on their primary medical, dental and/or behavioral well-being.
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www.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.ahrq.gov/prevention/chronic-care/decision/research-centers/rce_profile_petithomme.html
November 01, 2013 - She chose to examine rates of repeat fecal occult blood testing (FOBT) within an urban community health … the Family Medicine Midwest Conference and helped author a paper that was published in the Journal of Community … She wants to do a residency program that is rooted in community engagement and continue to do community-based … Adherence to repeat fecal occult blood testing in an urban community health center network. … J Community Health 2013 Apr 2. [Epub ahead of print].
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www.ahrq.gov/ncepcr/communities/pbrn/registry/evidence-based-decisions-dentistry-practice-based-research-network.html
January 12, 2012 - The EBD-PBRN partners with several dental practices in the community in Los Angeles and Orange Counties … , including Mission Community Hospital-San...
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/patient-family-centered-care-040913.ppt
June 02, 2025 - Medicine
Joint Appointment, Schools of Public Health and Nursing
And
Gail Panoff
Chair, Patient and Community … 2 hours, once a month
Reporting Mechanism (Structure)
*
The executive director for patient and community … serves on the council
Council is directly accountable to the executive director of the patient and community … or committee meetings, Simulations & Patient Testimonials
Representation of the Patient and Community … important component
Age, gender, varied experiences, race, ethnicity, religion- representation from all communities
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www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2022qdr-final-es.pdf
October 01, 2022 - Social Determinants of Health
• Social determinants of health—social, economic, environmental, and community … Overall, racial and ethnic minority communities have similar outcomes as White
communities for just … For example,
American Indian and Alaska Native communities have worse quality of care than White
communities … An
exception is the experience of Asian communities, which have worse outcomes than
White communities … Health
Findings
How the Nation Can Improve Oral Healthcare Delivery
Opportunity #1: Fluoridating Community
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www.ahrq.gov/sites/default/files/wysiwyg/takeheart/assessing/takeheart-summary-presentation.pptx
April 26, 2023 - improvement steps that hospitals can take to increase CR participation in their health systems and communities … - before launch of cohort 1 (pre-pandemic)
With over-representation of hospitals serving high needs communities … Even more were interested but not ready (instead encouraged to join the TAKEheart Learning Community … at an AG session open to the entire Learning Community
23
HYCR Workgroup and Environmental Scan:
What … assessment and may be worthy of researcher and institutional support
30
30
Key Takeaways:
Learning Communities