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  1. www.cpsi.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/medicaidreadmitguide/aspire_webinar2/aspire_webinar2.pptx
    January 01, 2015 - Services for High-Risk Patients List of Tools Data Analysis Readmission Review Hospital Inventory Community … Conditions of Participation Handout Whole-Person Transitional Care Planning Discharge Process Checklist Community
  2. www.cpsi.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/medicaidreadmitguide/aspire_webinar6/aspire_webinar6.pptx
    September 09, 2016 - Services for High-Risk Patients List of Tools Data Analysis Readmission Review Hospital Inventory Community … Conditions of Participation Handout Whole-Person Transitional Care Planning Discharge Process Checklist Community
  3. www.cpsi.ahrq.gov/evidencenow/projects/heart-health/about/cooperatives/oklahoma.html
    March 01, 2021 - Cooperative Partners: University of Oklahoma Health Sciences Center Public Health Institute of Oklahoma CommunityCommunity-level interventions, such as smoking quit line referral and blood pressure medication assistance … Collective Efforts to Overcome Quality Measurement Challenges: Lessons from a Primary Care Learning Community
  4. www.cpsi.ahrq.gov/news/blog/ahrqviews/2022-national-healthcare-disparities-report.html
    November 01, 2022 - achievements and challenges we face, especially among racial and ethnic minorities and underserved communities … Data increasingly showed that social, economic, environmental, and community conditions—together known
  5. www.cpsi.ahrq.gov/ncepcr/research-transform-primary-care/transform/profile/tai-seale.html
    April 01, 2015 - Care Research Research Initiatives Data Resources Tools and Resources Research Communities … decisionmaking and family involvement in care; 6) coordination of care throughout the system and with community
  6. www.cpsi.ahrq.gov/sites/default/files/wysiwyg/cahps/surveys-guidance/home/about/about-cahps-home-health-care-survey-rev.pdf
    September 01, 2017 - Providers, State agencies, and other organizations that serve patient communities can use the survey … team met with a Technical Expert Panel (TEP) to get their input on issues that are important to this community
  7. www.cpsi.ahrq.gov/sites/default/files/wysiwyg/evidencenow/cooperatives/evidencenow-executive-summary-ok.pdf
    November 01, 2017 - Partners: University of Oklahoma Health Sciences Center Public Health Institute of Oklahoma Community … • Community-level interventions, such as smoking quit line referral and blood pressure medication … Collective Efforts to Overcome Quality Measurement Challenges: Lessons from a Primary Care Learning Community
  8. www.cpsi.ahrq.gov/sites/default/files/wysiwyg/ncepcr/tools/PCMH/pcpf-module-6-pf-process.pdf
    September 01, 2015 - Prepared by: Mathematica Policy Research Princeton, NJ Primary Author Lyndee Knox, Ph.D., LA Net Community … They create opportunities for practices to learn from each other and help create communities of practice … methods and have expertise as adult educators and facilitators of change (Department of Health and Community … John’s, Newfoundland: Department of Health and Community Services; 2006. Knox L, ed. … • Organize internal and community resources to provide ongoing self-management support to patients
  9. www.cpsi.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/medicaidmgmt/mm8.html
    October 01, 2014 - Pharmaceutical care model for patients with type 2 diabetes: integration of the community pharmacist … Community-based chronic disease management program for African Americans. … Translating the chronic care model into the community: results from a randomized controlled trial of … The impact of planned care and a diabetes electronic management system on community-based diabetes care … Improving diabetes care in midwest community health centers with the health disparities collaborative
  10. www.cpsi.ahrq.gov/prevention/chronic-care/decision/research-centers/index.html
    October 01, 2018 - cardiovascular screening and management, and a family-focused childhood obesity prevention intervention using community … CRISP's educational framework covers 4 domains: 1) Theory and Strategies; 2) Community and Stakeholder
  11. www.cpsi.ahrq.gov/patient-safety/settings/ambulatory/tools.html
    February 01, 2018 - The Community-Acquired  Pneumonia Clinical Decision Support Implementation Toolkit helps clinicians … and clinical informaticians in primary care and other ambulatory settings implement and adopt the community-acquired
  12. www.cpsi.ahrq.gov/ncepcr/communities/pbrn/registry/care-coordination-institute.html
    January 01, 2012 - National Center Research Initiatives Data Resources Tools and Resources Research Communities
  13. www.cpsi.ahrq.gov/ncepcr/communities/pbrn/registry/continuity-research-network.html
    August 10, 2015 - National Center Research Initiatives Data Resources Tools and Resources Research Communities
  14. www.cpsi.ahrq.gov/sites/default/files/wysiwyg/evidencenow/cooperatives/evidencenow-executive-summary-northwest.pdf
    November 01, 2017 - 2015-2018 Region and Population The Pacific Northwest consists of urban centers, rural agricultural communities … Collective Efforts to Overcome Quality Measurement Challenges: Lessons from a Primary Care Learning Community
  15. www.cpsi.ahrq.gov/ncepcr/tools/transform-qi/deliver-facilitation/curriculum/introduction.html
    September 01, 2021 - Studies Health Assessments Obesity Management Obesity Toolkit Research Communities … Jesse Crosson , Ph.D., Mathematica Policy Research Contributing Authors: Lyndee Knox , Ph.D., LA Net Community
  16. www.cpsi.ahrq.gov/ncepcr/communities/pbrn/registry/cedars-sinai-medical-delivery-network-pbrn.html
    January 01, 2012 - National Center Research Initiatives Data Resources Tools and Resources Research Communities
  17. www.cpsi.ahrq.gov/ncepcr/communities/pbrn/registry/capital-area-primary-care-research-network.html
    January 01, 2012 - National Center Research Initiatives Data Resources Tools and Resources Research Communities
  18. www.cpsi.ahrq.gov/ncepcr/communities/pbrn/registry/asthma-training-accelerate-communication-and-knowledge.html
    April 07, 2014 - National Center Research Initiatives Data Resources Tools and Resources Research Communities
  19. www.cpsi.ahrq.gov/ncepcr/communities/pbrn/registry/central-texas-primary-care-research-network.html
    January 01, 2012 - National Center Research Initiatives Data Resources Tools and Resources Research Communities
  20. www.cpsi.ahrq.gov/sites/default/files/wysiwyg/health-literacy/dhhs-2008-issue-brief.pdf
    January 01, 2008 - information and services to make appropriate health decisions—is essential to promote healthy people and communities … success of health system reform will depend in large part on the capacity of individuals, families and communities … Health literacy is lowest among the more vulnerable members of our communities—those with lower education

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