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www.cpsi.ahrq.gov/evidencenow/projects/index.html
September 01, 2022 - Grantees will receive support from AHRQ through a resource center and participation in a learning community … Four state-based teams will form cooperatives by aligning clinical, public health, and community interventions … integration between primary care and specialty care practices and aligning improvement strategies with community-based
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www.cpsi.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/medicaidreadmitguide/mcaidread_tool8_cop_handout.docx
November 01, 2015 - technique;
Arrange for (not just refer to) posthospital services;
Know the capabilities of postacute and community-based … providers, including Medicaid home- and community-based services;
Provide patients data to help inform
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www.cpsi.ahrq.gov/ncepcr/research-transform-primary-care/transform/impactgrants/impact-co-success-story.html
April 01, 2015 - Care Research
Research Initiatives
Data Resources
Tools and Resources
Research Communities … us achieve our broader public health goals, which were really aligned with New Mexico’s work in the community … Dickinson learned more about how Oklahoma and New Mexico developed their partnerships with community … He also learned more about New Mexico’s approach to building community partnerships and working on social
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www.cpsi.ahrq.gov/ncepcr/communities/pbrn/registry/centre-family-medicine-development-practice-based-research-network.html
December 10, 2014 - National Center
Research Initiatives
Data Resources
Tools and Resources
Research Communities … learning relationships, and to conduct practice-based primary care research that improves health in the communities
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www.cpsi.ahrq.gov/cahps/surveys-guidance/cg/using-data/index.html
December 01, 2023 - Development
Dental Plan
Emergency Department
Health Plan
Home and Community-Based … the Clinician & Group Survey include medical practices, health plans, health systems, regional and community-based
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www.cpsi.ahrq.gov/ncepcr/research/health-it/index.html
September 01, 2022 - Literacy
Quality Improvement
Data Resources
Tools and Resources
Research Communities … interoperable electronic care (eCare) plan facilitates sharing of patient-centered data across home, community
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www.cpsi.ahrq.gov/news/blog/ahrqviews/long-covid-care-network.html
March 01, 2024 - care delivery models, foster best practices for Long COVID management, and support the primary care community … They’re also engaging in a peer-to-peer learning community and working urgently to implement the latest … We will provide updates on our efforts and share innovations with the broader healthcare and patient community
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www.cpsi.ahrq.gov/data/visualizations/prevalence-fh-mfd.html
October 01, 2023 - Abbreviations: CARDIAC = Coronary Artery Risk Detection in Appalachian Communities; CI = confidence … Participants ages 10-16 years, whose parents or legal guardians previously participated in the Hispanic Community
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www.cpsi.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/primary-care/workforce-financing/case_example_4.pdf
October 01, 2016 - Community Health Workers
The CHW is an employee of Mindspring, a local mental health clinic, but is … The CHW helps patients with substance abuse and mental illness or dual
diagnosis, mostly in community … CHW sees patients in community settings. … ▌pg. 9
Community Linkages
Foresight has a new relationship with the Mindspring local mental … “We want to be known as the best primary care practice in our community, so we need
data to show we
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www.cpsi.ahrq.gov/sites/default/files/wysiwyg/ncepcr/tools/PCMH/pcpf-module-5-working-with-safety-net-practices.pdf
September 01, 2015 - as:
o family planning clinics
o school-based health programs
o Ryan White AIDS programs
o some communities … Challenges accessing specialty care and community support services. … Building communities from the inside out: a path toward finding and mobilizing a
community’s assets. … In 1981 the clinic became a federally funded community
health center. … its inception, Clinica has grown enormously, now caring for one-third of low-income
people in the communities
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www.cpsi.ahrq.gov/ncepcr/care/coordination.html
August 01, 2018 - National Center
Research Initiatives
Data Resources
Tools and Resources
Research Communities … Linking to community resources.
Working to align resources with patient and population needs. … Coordinating Care in the Medical Neighborhood: Critical Components and Available Mechanisms.
-
www.cpsi.ahrq.gov/sites/default/files/wysiwyg/ncepcr/tools/PCMH/using-health-it-to-support-qi.pdf
March 01, 2015 - federally qualified health centers,
which increase access to health care for medically underserved communities … Research & Quality
(AHRQ) invested more than $300 million in contracts and grants to more than 200 communities … Sometimes, an entire region or community will establish a formal HIE to
share data. … Primary care practices in communities lacking a formal HIE can still benefit from
data exchange through … these types of arrangements, while working with other stakeholders
to expand the scale of HIE in their communities
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www.cpsi.ahrq.gov/research/findings/nhqrdr/chartbooks/careaffordability/careaffordability.html
June 01, 2018 - Working with communities to promote wide use of best practices to enable healthy living. … Support and enable communities to ensure accessible, high-quality care while reducing waste and fraud … Reducing costs must be considered hand in hand with the aims of better care, healthier people and communities
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www.cpsi.ahrq.gov/ncepcr/care/coordination/atlas/chapter2fig1txt.html
June 01, 2014 - National Center
Research Initiatives
Data Resources
Tools and Resources
Research Communities … long-term medical history, test results, home informal givers, education support, medications/pharmacy, community
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www.cpsi.ahrq.gov/ncepcr/care/coordination/atlas/chapter2scen1txt.html
June 01, 2014 - National Center
Research Initiatives
Data Resources
Tools and Resources
Research Communities … The circles labels are: primary care, test results, community resources, medications/pharmacy, and medical
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www.cpsi.ahrq.gov/ncepcr/tools/self-mgmt/home.html
February 01, 2016 - National Center
Research Initiatives
Data Resources
Tools and Resources
Research Communities … , encourage, and track patients' behavior change efforts
Supporting patients by referring them to community-based
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www.cpsi.ahrq.gov/cpi/about/nac/pcortf-snac/dillon.html
November 01, 2022 - Dillon’s community and State-level leadership work includes terms as the founding chair of the State’ … She was also the founding medical director of the Columbia Gorge’s community-engaged research network
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www.cpsi.ahrq.gov/sites/default/files/wysiwyg/ncepcr/tools/PCMH/pcpf-module-3-primary-care-landscape.pdf
September 01, 2015 - person
• Coordinated care, which includes coordination across all elements of the entire medical
neighborhood … Implements community-based
teaching health centers.
workforce. … implementing PCMHs; develops significantly to primary care
extension program primary care learning communities … • Federally Qualified Health Centers (FQHCs), which are community-based health
centers that provide … payment reform
Other resources and emerging trends in primary care
Coordinating care across the medical neighborhood
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www.cpsi.ahrq.gov/ncepcr/research-transform-primary-care/transform/profile/rittenhouse.html
October 01, 2015 - Care Research
Research Initiatives
Data Resources
Tools and Resources
Research Communities … competing priorities, 4) stable and committed clinic leadership, and 5) positive relationships with the communities … priorities, 4) stability and commitment of clinic leadership, and 5) positive relationships with the community
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www.cpsi.ahrq.gov/ncepcr/care/coordination/atlas/chapter6d.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 … Community Ment Health J 2010 Aug 24. [ePub ahead of print]. No doi number listed. 3.