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www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/patient-safety/settings/mcc-summit/mcc-summit-proceedings.pdf
October 01, 2021 - from
beyond the walls of the Medical Home by better leveraging resources from the broader medical
neighborhood … and leveraging community resources. … • What is the role of community and CBOs in addressing
Social Determinants of Health (SDOH)? … Community Linkages
What is the role of community and community organizations in addressing the social … (i.e., bringing primary care into community and maintaining
functioning)
8.
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www.qualitymeasures.ahrq.gov/challenges/past/care-transitions/index.html
January 01, 2022 - Advancing Care Through Patient Assessments
TeamSTEPPS Video Challenge
Visualization of Community-Level … engage patients with MCCs and family caregivers during care transitions to home, as well as link them to community … context-specific communication between the patient and family caregivers and hospital, primary care, and community … a personal health navigator platform designed to address underserved individual and virtual health community
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www.qualitymeasures.ahrq.gov/takeheart/about/initiative/index.html
December 01, 2022 - In addition to its work with recruited Partner Hospitals, TAKEheart hosted a Learning Community to allow … Over 850 hospitals participated in one or more sessions of the Learning Community that were held between … Visit the Learning Community webinar page to access recordings of all webinars and related materials
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www.qualitymeasures.ahrq.gov/patient-safety/settings/ambulatory/index.html
July 01, 2022 - Community-Acquired Pneumonia Clinical Decision Support Implementation Toolkit is a resource to help … clinicians and clinical informaticians in primary care and other ambulatory settings implement and adopt the community-acquired … pneumonia clinical decision support alert for the management of community-acquired pneumonia.
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www.qualitymeasures.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.qualitymeasures.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.qualitymeasures.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.qualitymeasures.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.
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www.qualitymeasures.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.qualitymeasures.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.qualitymeasures.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.qualitymeasures.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.qualitymeasures.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.qualitymeasures.ahrq.gov/ncepcr/tools/self-mgmt/home.html
February 01, 2016 - Care Research
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.qualitymeasures.ahrq.gov/ncepcr/care/coordination/atlas/chapter2scen1txt.html
June 01, 2014 - Care Research
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.qualitymeasures.ahrq.gov/ncepcr/care/coordination/atlas/chapter2fig1txt.html
June 01, 2014 - Care Research
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.qualitymeasures.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.qualitymeasures.ahrq.gov/cahps/quality-improvement/improvement-guide/6-strategies-for-improving/health-promotion-education/strategy6r-reminder-systems.html
March 01, 2020 - system can cost $10.50 per fully vaccinated child, whereas a comprehensive program of reminders and community … Community Preventive Services Task Force. Guide to Community Preventive Services. … Community Preventive Services Task Force. … The Community Guide . Updated July 2015. Accessed December 18, 2018.
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www.qualitymeasures.ahrq.gov/news/newsroom/case-studies/ktcquips90.html
October 01, 2014 - The hospital also reached out to community pharmacies to clarify medication histories, partnered with … emergency medical services to collect medication information, and educated the community on the importance … "The project brought to light many opportunities for our organization to better serve the community," … Pioneer Community Hospital of Early in Blakely.
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www.qualitymeasures.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