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www.ahrq.gov/evidencenow/projects/state/how-to-guide/guide4.html
August 01, 2024 - described in Table 4 below, extension programs can offer shared learning opportunities and virtual communities … Formats include: Learning collaboratives Virtual communities of practice Alabama Cardiovascular Cooperative … Community Connections and Resources Assistance connecting practices to community resources to help … It also shared information about community resources from local public health departments. … Link practices to community resources that patients and clinicians can use to support care plans.
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www.ahrq.gov/ncepcr/tools/obesity/obpcp-tool1.html
May 01, 2014 - Integrating Primary Care Practices and Community-based Resources to Manage Obesity
Tool 1. … 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. … What community resources are available outside the practice to help patients?
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www.ahrq.gov/ncepcr/research-transform-primary-care/transform/tools-catalog/index.html
August 01, 2015 - 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/prevention/resources/chronic-care/clinical-community-relationships-measures-atlas/ccrm-atlasapd3.html
March 01, 2013 - What Is a Clinical-Community Relationship?
3. … are far from home community) . … These agencies must be accessible from the client's community. … than out-of-community placements, whenever possible. … Out-of-community placements are not recommended or planned for unless no home community alternative
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www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/primary-care-research-funding-tips.pdf
May 09, 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
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www.ahrq.gov/ncepcr/reports/2024-annual-report/future-directions.html
May 01, 2024 - Behavioral Health and Substance Use Disorders
Health Equity
Primary Care Workforce
Public Health and Community … Encourage research focused on workforce issues, health equity, patient and community participation, and … addition, they suggested building grant mechanisms to encourage grantees to meaningfully engage with the communities … This means collaborating with communities most impacted by health inequities not just as an audience … of primary care tools and resources and hosting an online space for building primary care research communities
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www.ahrq.gov/nursing-home/resources/coordinating-access-options.html
October 01, 2021 - Long-term care (LTC) providers in settings such as nursing homes, assisted living, residential care communities … information and resources to help you when coordinating access to COVID-19 vaccines on-site or in the local community
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Leonhardt_35.pdf
March 15, 2008 - tools were created and disseminated throughout 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. … Community-based research partnerships:
Challenges and opportunities.
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www.ahrq.gov/prevention/chronic-care/decision/research-centers/rce_profile_liss.html
August 01, 2014 - primarily worked on studies to improve rates of appropriate colorectal cancer screening at a local community … The community health center patient population is primarily racial and ethnic minorities, the poor, and … Liss has been very impressed with the community health center's commitment to providing new forms of … Adherence to repeat fecal occult blood testing in an urban community health center network . … J Community Health 38(5):829-833.
Liss DT, Baker DW. (2013).
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/clinicians-providers/iadapt/hugheshalbert.pdf
December 19, 2014 - Disseminating Breast Cancer Prevention to African American Women
Purpose/Description
This study evaluated a community-based … Project Aims
The 2 main aims of this study are to:
1) Evaluate uptake of a community-based
strategy … Findings
The uptake rate for the community-based dissemination
strategy was 79%. … Ninety-five
percent of community-based dissemination adopters
reported that they were extremely satisfied … Population
African American Women
Health Condition Addressed
Cancer
Dissemination Tool and/or
Method
Community
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www.ahrq.gov/pcor/strategic-framework/investments.html
July 01, 2023 - influence (policies, systems, and environmental factors; institutional and organizational factors; community-level … patient-centered and participatory methods that center equity and ensure the voices of stakeholder and community … include reduced health disparities for AHRQ’s priority populations ; engagement of underrepresented communities
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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
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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
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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.
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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/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/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