-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/medicaidreadmitguide/mcaidread_tool9_trans_care.docx
July 28, 2016 - for more information on implementing a reliable, whole-person transitional care process, and Tool 11: Community … Resource Guide for community resource information that can be used to populate the right side of the … Best practice is to share this assessment with “receiving” providers in the community. … behavioral health services
· Link to community health worker or navigator programs
· Link to housing … services agency
· Link to food program
· Link to county health department provided services
· Link to community
-
www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/tools/PCMH/pcpf-module-4-practice-management.pdf
September 01, 2015 - Review/scan information on practice interaction with their medical neighborhood (care
coordination and … Coordinating Care in the Medical Neighborhood:
Critical Components and Available Mechanisms. … Coordinate patients’ care across the medical neighborhood. … The clinician may rely heavily on referrals to the medical
neighborhood if the services he or she provides … Community health
worker
Community health workers are members of the local community who
are engaged
-
www.ahrq.gov/practiceimprovement/systemdesign/leancasestudies/lean-exhibit2.html
November 01, 2014 - persons per square mile
Special organization designation
Critical access hospital
Community … N/A
Hospital beds
Number
Teaching hospital
Yes = academic hospital
No = community … hospital
Physician employment model
Community physicians
Staff physicians
Mixed … (community and staff physicians)
Consultant use
Yes
No
Return to Document
-
www.ahrq.gov/ncepcr/tools/obesity/obpcp-tool12.html
May 01, 2014 - Integrating Primary Care Practices and Community-based Resources to Manage Obesity
Tool 12. … Punch Card
Previous 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.
-
www.ahrq.gov/es/tools/index.html?page=0
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
-
www.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
-
www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2021qdr-datasources.pdf
December 31, 2021 - of birth, income, and occupation
Years Collected
From 1959 to 1962 (National Health Examination … of birth, industry, and
occupation
Years Collected
Continuously, since 1957. … Primary Content
Demographic information about the birth, including year, date, place of birth, age, … Data collected in OASIS include demographic and patient history, living arrangements,
supportive assistance … of birth, industry, and
occupation
Years Collected
2006 to present
Data Collection Schedule
-
www.ahrq.gov/sites/default/files/2024-05/valley-report.pdf
January 01, 2024 - Therefore, maximizing rural ICU care is beneficial to rural
communities, rural hospitals, and the larger … These communities have higher levels of poverty and rates of uninsurance than non-rural populations. … In part
due to these socioeconomic challenges, rural communities experience healthcare disparities at … stressor is the lack of ICU-trained nurses and physicians in these
communities. … significant
investment in patient care; 2) ICU teams seemed to have familiarity with patients from the community
-
www.ahrq.gov/patient-safety/settings/hospital/resource/guide/tools.html
October 01, 2016 - Take no more than 2 weeks (2 meetings) to complete.
2
Tool 4
Community Inventory ( Word File … , 73 KB)
This tool prompts an inventory of postacute and community-based providers, agencies, and … strategic planning; delegated to day-to-day lead or social worker to conduct in collaboration with community … Resource Guide ( Word File , 87 KB)
This is a two-part tool: a community resource guide and a 1-page … Delegate to a social worker to complete with community providers and agencies.
12 hours initially.
-
www.ahrq.gov/ncepcr/tools/obesity/obpcp-tool9.html
May 01, 2014 - Integrating Primary Care Practices and Community-based Resources to Manage Obesity
Tool 9. … 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.
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/medicaidreadmitguide/aspire_webinar3/aspire_webinar3.pptx
December 01, 2014 - Understand the utility of leveraging and coordinating all existing resources – in the hospital and the community … Services for High-Risk Patients
List of Tools
Data Analysis
Readmission Review
Hospital Inventory
Community … “You don’t understand, there are just no resources in the community”
Inventory Community Efforts … & Resources
Post-acute and community providers may offer services and supports hospital staff are unaware … and behavioral health care clinical information
Continue to innovate to meet need of patients
Community
-
www.ahrq.gov/workingforquality/events/webinar-introducing-nine-levers-to-support-the-aims-and-priorities.html
November 01, 2016 - It is to concurrently pursue three aims: better care, healthy people/healthy communities, and affordable … on all the levers, we theoretically arrive at the three aims of better care, healthy people/healthy communities … we will get transformation but you're also recognizing that transformation is occurring locally in communities … strong supporters of the National Quality Strategy, but to really emphasize now its achievement in communities … don't traditionally talk so much to each other to identify ways to improve the health of people in communities
-
www.ahrq.gov/ncepcr/communities/pbrn/registry/ochin-practice-based-research-network.html
January 01, 2012 - OCHIN is the nation’s leading network for health services, outcomes, and policy research with community … Through close collaboration with member organizations, academic, and community partners, we conduct practical
-
www.ahrq.gov/ncepcr/communities/pbrn/registry/oregon-rural-practice-based-research-network.html
May 06, 2013 - Founded:
2002
PBRN Mission Statement:
To improve health and equity for all Oregonians through community-engaged … decision-making, health information technology and workflow, chronic kidney disease, academic detailing, community
-
www.ahrq.gov/talkingquality/distribute/placement/settings.html
January 01, 2023 - People who recently moved to a community and need to find a primary care provider. … Where can you reach the people who are influential in the community? … Every audience is different, so don't assume that what works in one community will work in another. … Example: Finding Medicaid Beneficiaries Where They Already Are
The Community Service Society of New … York reached out to Medicaid beneficiaries by engaging community-based organizations (e.g., adult learning
-
www.ahrq.gov/ncepcr/care/coordination/atlas/chapter6r.html
June 01, 2014 - up, and respond to change
Support self-management goals
Link to community … up, and respond to change
Support self-management goals
Link to community … childhood, (7) middle childhood and adolescence, (8) family functioning, (9) parental health, (10) neighborhood … and community characteristics, and (11) additional demographics. … All questionnaire items were also reviewed by outside experts and the user community prior to final inclusion
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patientsafetyculture/pharmacy/pharmwebinar/cousins_introslides.pdf
October 29, 2013 - professionals/quality-patient-safety/patientsafetyculture/index.html
7
7
Patient Safety in Community … Pharmacies
More than 61,000 Community Pharmacies (2011)
One estimate found 4 errors per day in a … rationale was to support the development of a
measurement tool for improving patient safety
culture in community … Medication Dispensing Errors in Community Pharmacies: A Nationwide Study
8
8
Technical Expert … Questions
Accessing Presentation and Resources
Background on the Pharmacy Survey
Patient Safety in Community
-
www.ahrq.gov/ncepcr/tools/obesity/obpcp-tool5.html
May 01, 2014 - Integrating Primary Care Practices and Community-based Resources to Manage Obesity
Tool 5. … 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. … Example: Medical assistants will flag clinicians for patients with a BMI > 25 or BMI >30 by starting a community-based
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/public-reporting/report-3-public-reporting.pdf
June 01, 2010 - can be disturbing to those who believe it is essential to reach the less literate
groups in their communities … Union
o Kiwanis Club
5
o League of Women Voters
o Lion’s Club
o Literacy Council
o Neighborhood … In many communities—especially those of
color—faith-based organizations can be of great assistance. … Community partners, such as employers, payers, and community organizations, may
help by recruiting their … Communities play key role in extending public health insurance to children.
-
www.ahrq.gov/patient-safety/settings/hospital/resource/guide/web3.html
December 01, 2017 - Community Resource Guide.
Cross Continuum Collaboration.
ED Care Plan Examples. … “You don’t understand, there are just no resources in the community”
Slide 11: Inventory Community … Image: Checklist from the Community Inventory Tool. … Community Inventory:
Health Enterprise Zone.
The Coordinating Center. … Link to community support.