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  1. www.ahrq.gov/sites/default/files/publications/files/final-impact-synthesis-report.pdf
    July 22, 2015 - Expand existing programs to allow primary care practices and communities to benefit now 3. … HEROs are chosen by the communities in which they serve and live, ensuring that they are locally responsive … with backgrounds in health fields, and therefore are aware of both the resources available in their communities … transformation efforts by connecting work being done in the Adirondacks, Hudson Valley, and Beacon communitiesCommunity Care of North Carolina. The Community Care of North Carolina Toolkit.
  2. 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
  3. 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
  4. 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
  5. 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].
  6. www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/pbrn/pbrn-impact-profile-nortex.pdf
    June 27, 2025 - meaningful impact on healthcare outcomes, advancing primary care research to improve lives across our communities … Our focus is on primary care and public health research to improve healthcare delivery and community … partnerships with researchers and clinicians, develop research priorities that reflect the needs of Texas communities
  7. 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...
  8. Slide 1 (ppt file)

    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
  9. 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.
  10. 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
  11. www.ahrq.gov/ncepcr/tools/obesity/obpcp-tool4.html
    May 01, 2014 - Integrating Primary Care Practices and Community-based Resources to Manage Obesity Tool 4.  … 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.  … Are there places in your community or nearby to assist adults with weight loss (e.g., diet programs … Are there places in your community or nearby to assist kids with weight loss (e.g., diet programs,
  12. 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
  13. www.ahrq.gov/sites/default/files/2024-11/williams-galimbertti-report.pdf
    January 01, 2024 - Principal Investigators and Team Members: • Josie Williams, M.D., M.M.M., Director, Rural and Community … Health Institute • Kathy Mechler, M.S., R.N., Rural and Community Health Institute • Sherri Payne, … Scope: The small number of patients and clinical events in rural and small community hospitals pose … Rural communities, which account for approximately one-fifth of the US population, differ greatly from … urban and suburban communities in terms of their healthcare needs, availability, affordability, and
  14. 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
  15. www.ahrq.gov/research/publications/search.html?page=14
    February 01, 2014 - Relationships: A Supplement to the Clinical-Community Relationships Measures Atlas This supplement … and the 52 potential measures that have been judged to represent the essential aspects of clinical community … Publication Date: September 2013 Publication Number: 13-0071-EF Clinical-Community … Relationships Evaluation Roadmap The Clinical-Community Relationships Evaluation Roadmap is a resource … for understanding effective clinical-community resource relationships.
  16. www.ahrq.gov/sites/default/files/wysiwyg/mcc/pccp4p/pccp4p-summitsummary.pdf
    September 01, 2025 - be involved to emphasize quality, measurement, demand, and delivery within a system that serves all communities … Efforts must consider both needs of individuals and the broader communities where they reside. … Long-term payment reform, incentives to clinical and community partners, and accountability for a community … Use interprofessional team members like community health workers, care navigators, community providers … • Stigma reduction in communities – Investigate strategies for reducing stigma related to chronic
  17. www.ahrq.gov/ncepcr/tools/obesity/obpcp-tool11.html
    May 01, 2014 - Integrating Primary Care Practices and Community-based Resources to Manage Obesity Tool 11.  … Previous Page Next Page Table of Contents Integrating Primary Care Practices and Community-based … Foundation Chapter 3: Getting Patients Excited About Crossing the Bridge Chapter 4: Building the Community … Sample Community Inventory Form Tool 9. Sample Prescription Pad Tool 10.  … Our clinic can help support your goals by referring you to community-based resources that specialize
  18. www.ahrq.gov/sites/default/files/2024-01/lipsitz-report.pdf
    January 01, 2024 - We then implemented this program at an academic and community hospital. … We implemented the ECHO-CT in one small community hospital and in seven associated SNFs as well as in … Control hospitals were matched to intervention hospitals by teaching status (academic or community based … We performed separate analyses for the large teaching hospitals and the small community hospitals. … Bivariate and multivariate models were conducted separately for each site (teaching and community hospital
  19. www.ahrq.gov/workingforquality/events/webinar-2013-annual-progress-report-update.html
    November 01, 2016 - aims were purposefully created to build off of the Triple Aim and elaborate on the areas of healthy communities … This involves thinking about the health of neighborhoods and areas across the country. … The second was to create organizational infrastructure at the community level so that geopolitical communities … The next priority area is to foster healthy communities. … In particular, the priority areas of patient and family engagement, prevention and healthy communities
  20. www.ahrq.gov/evidencenow/projects/state/how-to-guide/guide1.html
    August 01, 2024 - Quality Improvement Program for rural health); the Centers for Disease Control and Prevention (e.g.,  Community … started in the early 1900sto disseminate innovations and best practices from land-grant universities to communitiesCommunity-based organizations. Consumer or patient advisory groups. … QI, practice engagement, practice facilitation, evidence-based and patient-centered care, clinical-community … extension programs can ensure that QI efforts reach primary care practices serving the widest variety of communities

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