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www.cpsi.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 plans … 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.
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www.cpsi.ahrq.gov/ncepcr/communities/pbrn/registry/ambulatory-care-research-network.html
January 01, 2012 - National Center
Research Initiatives
Data Resources
Tools and Resources
Research Communities … New York
Network Founded:
January 1, 2003
Network Mission Statement:
To conduct community-engaged … the Columbia University Medical Center to improve the health and well-being of families living in our community
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www.cpsi.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.
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www.cpsi.ahrq.gov/cpi/centers/od/director-valdez-bio.html
October 01, 2023 - He was previously the Robert Wood Johnson Foundation (RWJF) Professor Emeritus of Family & Community … His public service includes serving as Chairman of the New Mexico Community Foundation, Chairman of the … the Public Health Institute, one of the nation’s largest non-profit public health agencies serving communities … improve access, quality, and healthcare outcomes, especially for children and historically excluded communities
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www.cpsi.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
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www.cpsi.ahrq.gov/ncepcr/communities/pbrn/registry/alabama-practice-based-research-network.html
January 01, 2012 - National Center
Research Initiatives
Data Resources
Tools and Resources
Research Communities … Network Mission Statement:
The Alabama Practice Based Research Network (APBRN) is a consortium of community-based … researchers from a variety of disciplines together as collaborative teams, and provide logistical support for community-based
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www.cpsi.ahrq.gov/ncepcr/care/coordination/atlas/chapter6e.html
June 01, 2014 - National Center
Research Initiatives
Data Resources
Tools and Resources
Research Communities … follow up, and respond to change
■
Support self-management goals
■
Link to community … across 3 domains: (1) family/provider partnerships, (2) care setting practices and policies, and (3) community … based services, and (15) community systems integration and care coordination. … Services, and (15) Community Systems Integration and Care Coordination.
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www.cpsi.ahrq.gov/ncepcr/care/coordination/atlas/chapter6i.html
June 01, 2014 - National Center
Research Initiatives
Data Resources
Tools and Resources
Research Communities … follow up, and respond to change
■
Support self-management goals
□
Link to community … follow up, and respond to change
■
Support self-management goals
■
Link to community … follow up, and respond to change
■
Support self-management goals
□
Link to community … follow up, and respond to change
■
Support self-management goals
□
Link to community
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www.cpsi.ahrq.gov/sites/default/files/wysiwyg/evidencenow/results/research/practice-survey-6mon-post-intervention-sw.pdf
April 03, 2017 - resources (connecting patients and families to community services
such as adult education, English … as a second language, voter registration, legal
assistance)
Community metrics (using community health-related … data and metrics to inform
practice improvement)
Community outreach/community engagement (partnering … in the community (such as farmers markets,
walking trails, working on local policy initiatives
… resources connecting patients and families to community services: Off
Community metrics using community
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www.cpsi.ahrq.gov/ncepcr/research-transform-primary-care/transform/final-impact/spread.html
October 01, 2015 - National Center
Research Initiatives
Data Resources
Tools and Resources
Research Communities … The creation of the learning community emerged as a result of in-person meetings among all four States … The team was able to connect primary care practice managers to community resources, so that each practice … Although the hospital and Community Health Centers are already using electronic health records, they … transformation efforts by connecting work being done in the Adirondacks, Hudson Valley, and Beacon communities
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www.cpsi.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/medicaidreadmitguide/mcaidread_tool7_portfolio_pres.ppt
August 30, 2016 - slide deck that summarizes the findings of the quantitative and qualitative data review, hospital and community … Readmissions, and Tools 1-6, which include the Data Analysis, Readmission Review, Hospital Inventory, Community … findings]
[avoid medicalized interpretations such as “noncompliant”]
What Exists: Hospital and Community … mobile crisis teams]
[behavioral health homes]
[Medicaid health homes]
[community health worker … Case management
ED
Hospital medicine
Social work
Chaplain
Pharmacy
Data analyst
IT
Key 2-4 community
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www.cpsi.ahrq.gov/cahps/news-and-events/news/index.html
February 01, 2024 - AHRQ Releases New 2024 CAHPS® Home and Community-Based Services Survey (HCBS) Chartbook (January 2024 … )
Results from AHRQ’s 2024 CAHPS Home and Community-Based Services (HCBS) Survey Database are now … Inaugural Chartbook for CAHPS Home and Community-Based Services Survey Database (July 2023)
Results … from the 2023 CAHPS Home and Community-Based Services (HCBS) Survey Database are now available in a … Learn more about the Home and Community-Based Services (HCBS) Survey Database .
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www.cpsi.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/primary-care/workforce-financing/white_paper.pdf
January 01, 2020 - For example, in Learning to Integrate Neighborhoods and Clinical Care (LINCC),
Group Health patients … co-designed a community resource specialist role for primary care.28
Patients designed the community … health liaison job description and activities, served on a
community oversight board to link neighborhood … So it follows that different types of staff and
providers make up the care team in different communities … Creating a Clinic-Community Liaison Role in Primary Care: Engaging Patients and
Community in Health
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www.cpsi.ahrq.gov/ncepcr/research-transform-primary-care/transform/profile/cooley.html
August 01, 2018 - Care Research
Research Initiatives
Data Resources
Tools and Resources
Research Communities … In addition, the practices strengthened their linkages with community resources and partners and implemented … Gains in "Community Outreach" and "Data Management" were less pronounced. … pediatric care quality as planned, proactive, and integrated care across the health care system and community … coordinators as integral to a practice's ability to be proactive, support families, and reach out to communities
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www.cpsi.ahrq.gov/ncepcr/research-transform-primary-care/transform/final-impact/model.html
October 01, 2015 - National Center
Research Initiatives
Data Resources
Tools and Resources
Research Communities … Regional Leadership Collaborative participants included Community Care of North Carolina (CCNC) medical … concept was familiar because of other certification programs already in place (e.g., Certified Healthy Communities … 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
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www.cpsi.ahrq.gov/ncepcr/tools/obesity/obpcp3.html
May 01, 2014 - Studies
Health Assessments
Obesity Management
Obesity Toolkit
Research Communities … Sample Community Inventory Form
Tool 9. Sample Prescription Pad
Tool 10. … "I will make a referral to (Community-Resource), they have an excellent program to help you attain … After your summary statement, you might want to say:
"Our clinic has created a community resource … They may not want to go to a community resource but will say they want to "try on their own."
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www.cpsi.ahrq.gov/ncepcr/reports/grants-impact/spreading-model.html
February 01, 2017 - National Center
Research Initiatives
Data Resources
Tools and Resources
Research Communities … The creation of the learning community emerged as a result of in-person meetings among all four States … The team was able to connect primary care practice managers to community resources, so that each practice … Although the hospital and Community Health Centers are already using electronic health records, they … transformation efforts by connecting work being done in the Adirondacks, Hudson Valley, and Beacon communities
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www.cpsi.ahrq.gov/news/blog/ahrqviews/lhs-scientist-training.html
January 01, 2024 - efforts to recruit scientists who are representative of the diverse backgrounds and cultures of the communities … will provide training and professional development for scientists in various care settings, engage communities … They will work alongside clinical, health system, and community leaders to produce evidence that can … evidence-based information from research guided by patients, caregivers, and the broader health and healthcare community
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www.cpsi.ahrq.gov/health-literacy/improve/precautions/guide/support.html
September 01, 2020 - tool is to suggest approaches to assess patients' need for additional services and how to identify community … opportunities (e.g., all-staff training) to discuss a practice-wide strategy to connect patients to community … Do your research about the resources that exist in your community. … Shortages of behavioral health providers exist in some communities. … becoming an increasingly popular method for obtain consultations, especially in rural and underserved communities
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www.cpsi.ahrq.gov/ncepcr/reports/grants-impact/model-state.html
February 01, 2017 - National Center
Research Initiatives
Data Resources
Tools and Resources
Research Communities … Regional Leadership Collaborative participants included Community Care of North Carolina (CCNC) medical … concept was familiar because of other certification programs already in place (e.g., Certified Healthy Communities … 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