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www.cpsi.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/medicaidmgmt/mm2.html
October 01, 2014 - Stakeholders include senior Medicaid and agency leadership, the Governor's office, the provider community … , the patient and advocacy community, the State legislature, and the Centers for Medicare & Medicaid … , the patient and advocacy community, the State legislature and staff, and CMS is critical for a care … Provider Community
Providers are critical to any care management program; interested providers will … Patient and Advocacy Community
A significant component of a care management program focuses directly
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www.cpsi.ahrq.gov/health-literacy/publications/ten-attributes.html
January 01, 2024 - AHRQ resources that can help health systems with Attribute #4 include:
A Community Engagement Method … Guide for Developing a Community-Based Patient Safety Advisory Council
Patient and Families as Advisors … understand health information, find the way to and around facilities, and move among healthcare and community … with Attribute #7 include:
Closing the Loop: A Guide to Safer Ambulatory Referrals in the EHR Era
Community … Patients to Local Resources for Better Management of Obesity
Coordinated Care
Form Primary Care-Community
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www.cpsi.ahrq.gov/sops/surveys/index.html
January 01, 2023 - SOPS®
About SOPS
SOPS Surveys
Hospital
Medical Office
Nursing Home
Community … Culture™ (SOPS ® ) ask healthcare providers and other staff in hospitals, medical offices, nursing homes, community … Community Pharmacy Survey .
Ambulatory Surgery Center .
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www.cpsi.ahrq.gov/news/newsletters/e-newsletter/821.html
June 01, 2022 - Researchers reviewed data from the electronic health records nearly 92,000 families receiving care from 363 community … Exploring the relationship between community program location and community needs. … Post-acute care transitions and outcomes among Medicare beneficiaries in assisted living communities.
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www.cpsi.ahrq.gov/sites/default/files/wysiwyg/evidencenow/results/research/interview-protocol-qi-ny.pdf
August 23, 2018 - ask you some questions about your experience working with your practice facilitators [PF NAME] from
Community … PROBE: what about with stakeholders like state and national policy makers or
community organizations … How do you help patient’s access community programs to help them deal with cardiovascular risk factors … For example, there are a number of community resources for patients like the New York State Smokers’ … Challenges in identifying
community resources?
12.
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www.cpsi.ahrq.gov/ncepcr/care/coordination/atlas/chapter6p.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 … 2, 10B
Assess needs and goals: 6
Monitor, follow up, and respond to change: 9
Link to community
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www.cpsi.ahrq.gov/ncepcr/care/coordination/atlas/chapter6h.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
-
www.cpsi.ahrq.gov/ncepcr/care/coordination/atlas/chapter6c.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 … Outcomes: 2j; Care Coordination Needs: 2, 4
Support self-management goals: Outcomes: 2a
Link to community … Providing a medical home: The cost of care coordination services in a community-based, general pediatric … follow up, and respond to change
□
Support self-management goals
■
Link to community
-
www.cpsi.ahrq.gov/ncepcr/care/coordination/atlas/chapter6f.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/action-alliance/high-reliability-journey-slides.pptx
September 26, 2023 - complex health care system in the nation
Unique Veteran Health Care Needs
Legislative Requirements
Community … High Reliability – Overview
HRO 201: Continued VHA Journey to High Reliability – HRO Principles
HRO Community … non-belted Lean training:
Pre-Decisional Deliberative Document
Internal VA Use Only
‹#›
15
HRO Community … Building a community for connection and sharing enhances Veteran care and focuses our mission around
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www.cpsi.ahrq.gov/sites/default/files/wysiwyg/evidencenow/results/research/cooperative-context-external.pdf
January 01, 2016 - academic detailing/expert consultation, HIT support,
learning collaboratives, peer-to-peer learning, and community … practices, IHS practices, FQHCs,
independent practices)
Local Economic and Socio-Cultural Factors [community … context]
How did key community factors shape or alter the external support your team provided (and … (e.g., community resources, culture, values)
2
mailto:gordole@ohsu.edu
Historical Factors or
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www.cpsi.ahrq.gov/sites/default/files/wysiwyg/evidencenow/results/research/intervention-tracking-worksheet-mw.pdf
May 19, 2016 - POPULATION
MANAGEMENT:
COMMUNITY
RESOURCES
Referral to community pharmacist for hypertension medication
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www.cpsi.ahrq.gov/ncepcr/research-transform-primary-care/transform/impactgrants/impact-ny-success-story.html
April 01, 2015 - Care Research
Research Initiatives
Data Resources
Tools and Resources
Research Communities … helped develop a statewide patient-centered medical home (PCMH) model augmented by behavioral health and community … based on the belief that Advanced Primary Care (APC)—the PCMH model augmented by behavioral health and community … Promoting population health by strengthening capacity as well as promoting linkages between primary care, community
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www.cpsi.ahrq.gov/sites/default/files/wysiwyg/topics/public-notes-meeting-summary-031121.pdf
July 22, 2021 - o ECHO (Extension for Community Healthcare Outcomes) Project:
A Model for Diagnostic Excellence 2020 … COVID Response: Work has focused on preventing the spread of
the disease, testing and treating the IHS communities
-
www.cpsi.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2019qdr-datasources.pdf
December 01, 2020 - Demographic Data
Sex, age, race and Hispanic origin, educational level, place of birth, income, and … Demographic Data
Sex, age, race/ethnicity, education, income, marital status, place of birth, industry … 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 … Demographic Data
Sex, age, race/ethnicity, education, income, marital status, place of birth, industry
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www.cpsi.ahrq.gov/talkingquality/explain/share-info/offer-info.html
June 01, 2019 - EXAMPLE: Minnesota Community Measurement Reports Total Cost of Care
Title: Minnesota HealthScores: … Cost of Services & Procedures Ratings Sponsor: Minnesota Community Measurement URL: http://www.mnhealthscores.org … Source: Minnesota Community Measurement. Minnesota HealthScores.
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www.cpsi.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2023qdr-data-sources.pdf
December 01, 2023 - Demographic Data
Age, gender, race/ethnicity, education, income, health insurance, and place of birth … of
birth, disability status, veteran status, and Social Vulnerability Index
Years Collected
Since … Primary Content
Demographic information about the birth such as: year, date, place of birth, age, race … Data collected in OASIS include demographic and patient history, living arrangements,
supportive assistance … of birth, industry, and
occupation
Years Collected
Since 2006
Data Collection Schedule
Annual
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www.cpsi.ahrq.gov/ncepcr/research-transform-primary-care/transform/cost/app-c.html
October 01, 2015 - National Center
Research Initiatives
Data Resources
Tools and Resources
Research Communities … Collecting costs of community prevention programs: communities putting prevention to work initiative.
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www.cpsi.ahrq.gov/ncepcr/reports/cost-guide/methodology-references.html
February 01, 2017 - National Center
Research Initiatives
Data Resources
Tools and Resources
Research Communities … Collecting costs of community prevention programs: communities putting prevention to work initiative.
-
www.cpsi.ahrq.gov/talkingquality/distribute/placement/channels.html
January 01, 2023 - To learn more about working with these types of organizations, go to The Community Quality Collaborative … with people you already know and trust (including any current partners or funders) to learn who in the community … Once you have identified some possibilities, invite the leaders of those community organizations to a … You can educate distribution brokers about your report through community organization newsletters, health-related