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  1. www.qualitymeasures.ahrq.gov/ncepcr/care/coordination/atlas/chapter6d.html
    June 01, 2014 - Care Research 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 communityCommunity Ment Health J 2010 Aug 24. [ePub ahead of print]. No doi number listed. 3.
  2. www.qualitymeasures.ahrq.gov/ncepcr/care/coordination/atlas/chapter6.html
    June 01, 2014 - Care Research Research Initiatives Data Resources Tools and Resources Research Communities … , 74, 75, 77 Support self-management goals 5, 8, 11b, 17d, 20, 22b, 38d, 38e, 38f, 74 Link to community … 79, 80 Support self-management goals 1, 16a, 17c, 19, 22a, 34, 49, 71, 73, 76, 79, 80 Link to communityCommunity Service Provider Version       e. Medical Practitioner Version       f. … Safe Transitions Community Physician Office Best Practice Measures 79.
  3. www.qualitymeasures.ahrq.gov/ncepcr/care/coordination/atlas/chapter6j.html
    June 01, 2014 - Care Research 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
  4. www.qualitymeasures.ahrq.gov/ncepcr/care/coordination/atlas/chapter6v.html
    June 01, 2014 - Care Research 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
  5. www.qualitymeasures.ahrq.gov/sdoh/resources.html
    April 01, 2023 - AHRQ participates in two communities that use data and research to address SDOH. … The Gravity Project , a new community-led effort to develop an HL7® Fast Healthcare Interoperability
  6. www.qualitymeasures.ahrq.gov/policymakers/chipra/demoeval/what-we-learned/supplhighlight02.html
    May 01, 2013 - domains of medical homeness: organizational capacity, chronic condition management, care coordination, communityCommunity outreach 4.1 Community assessment of needs of CSHCN X   4.2 Community outreach to agencies … mean scores Organizational capacity 0.81* Chronic condition management 0.94* Care coordination 0.89* Community … reliability Organizational capacity 3 0.61 Chronic condition management 4 0.70 Care coordination 3 0.83 Community … Two of the MHI-RSF domains (Community Outreach and Quality Improvement) have only one item, so internal
  7. www.qualitymeasures.ahrq.gov/funding/grantee-profiles/grtprofile-dykes.html
    September 01, 2022 - Falls and related injuries also are a concern for older adults living in the community. … software tools to prevent patient falls, as “fall and injury incidence is a persistent problem among community … software quickly and easily guides clinicians to the most feasible falls prevention strategies for a community-based
  8. www.qualitymeasures.ahrq.gov/talkingquality/resources/related-reports.html
    July 01, 2022 - The Community Quality Collaborative Leader's Guide to Engaging Consumer Advocates —This guide is a resource … for organizations interested in partnering with consumer advocates in their communities to produce and
  9. www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/takeheart/training/care-coordination-implementation-guide.pdf
    March 01, 2023 - • Connect patients to community resources Examples of CC activities include: • Working with the … Listening, effective communication; knowledge of outpatient CR Connect patient with needed community … planner, Care manager, Between discharge and first visit Awareness and relationships with community … resources and community health workers Transportation  Costs  Access  Hospital-sponsored … 15 • Anti-bias and cultural sensitivity o Advancing Health Equity - Tips for Developing a Community
  10. www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/ncepcr/tools/PCMH/pcpf-module-12-intro-to-assessing-practices.pdf
    September 01, 2015 - The book Building Communities from the Inside Out: A Path Toward Identifying and Mobilizing a Community … linkages • Patients are linked to outside resources • Practice partners with community organizations … Building communities from the inside out: a path toward finding and mobilizing a community’s assets. … Evanston, IL: Asset-Based Community Development Institute, Northwestern University; 1993. … Enthusiasm’s practice is located in a semi-rural community and is one of the only sources of primary
  11. www.qualitymeasures.ahrq.gov/ncepcr/tools/case-studies/ncahec.html
    August 01, 2014 - Studies Health Assessments Obesity Management Obesity Toolkit Research Communities … recruit the start-up practices, the director reached out to practices and stakeholder groups, like Community … Training also includes access to a learning community of facilitators and a very active internal listserv … The program also relies on its partnerships with the State health information exchange, Community Care … of outside faculty members is seen as building credibility for the program in the guest faculties’ communities
  12. www.qualitymeasures.ahrq.gov/policymakers/chipra/demoeval/what-we-learned/supplhighlight01.html
    March 01, 2019 - The State is building on an already extensive data monitoring and reporting infrastructure within Community … Care of North Carolina (CCNC, the State's regional network of Medicaid providers and community agencies … , North Carolina has hired 14 part-time quality improvement specialists, one in each of the 14 CCNC community … demoeval/stateinfo/nc.htm or contact: Stacy Warren, CHIPRA Project Director Office of Rural Health and Community
  13. www.qualitymeasures.ahrq.gov/ncepcr/care/coordination/atlas/chapter4fig3txt.html
    June 01, 2014 - Care Research Research Initiatives Data Resources Tools and Resources Research Communities … Plan of Care—1 Monitor, Follow Up & Respond to Change—6 Support Self-Management Goals—2 Link to Community
  14. www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/evidencenow/building-capacity/EvidenceNOW-BSC-MI-profile.pdf
    September 01, 2021 - Alabama, Ohio, Michigan, and Tennessee – will form cooperatives by aligning clinical, public health, and community … 75 percent of Michigan’s 9.9 million residents reside in urban areas and 25 percent live in rural communities
  15. www.qualitymeasures.ahrq.gov/ncepcr/research-transform-primary-care/transform/profile/hudsonscholle.html
    December 01, 2017 - Care Research Research Initiatives Data Resources Tools and Resources Research Communities … The practices included Federally Qualified Health Centers/community health centers; independent, physician-owned … medications, address barriers to self-care, and review progress between visits; referring patients to community
  16. www.qualitymeasures.ahrq.gov/ncepcr/research-transform-primary-care/transform/impactgrants/impact-profile-pa.html
    April 01, 2015 - Care Research Research Initiatives Data Resources Tools and Resources Research Communities … government, 152 (mostly small) primary care practices, 17 payers, and the primary care and business communities … transformation efforts by connecting work being done in the Adirondacks, Hudson Valley, and Beacon communities … Additionally, providing technical assistance (e.g., practice facilitation, data analysis, and learning communities
  17. www.qualitymeasures.ahrq.gov/practiceimprovement/delivery-initiative/ihs/appendixa.html
    December 01, 2017 - With high-quality, community-based primary care, hospitalization for these illnesses may be avoided. … further investigation and to provide a quick check on primary care access or outpatient services in a community … They may be used to identify unmet community health care needs, monitor how well complications from a … being avoided in the outpatient setting, and compare performance of local health care systems across communities … to estimate the percent of vaccines administered in different settings (e.g., primary care clinic, community
  18. www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/nursing-home/infection-control-and-prevention.pdf
    March 01, 2022 - and Prevention in Nursing Homes As long as the virus that causes COVID-19 continues to spread in communities … recommended COVID-19 vaccine doses should adhere to expanded screening testing based on level of community
  19. www.qualitymeasures.ahrq.gov/talkingquality/explain/support/help-consumers.html
    March 01, 2016 - Tools They Can Use With Providers Title: Minnesota HealthScores Health Trackers Sponsor: Minnesota Community … Measurement URL: http://www.mnhealthscores.org/health-trackers Minnesota Community Measurement’s … Source: Minnesota Community Measurement. Minnesota HealthScores.
  20. www.qualitymeasures.ahrq.gov/cahps/quality-improvement/improvement-guide/6-strategies-for-improving/health-promotion-education/strategy6j-support-self-care.html
    March 01, 2020 - Many communities offer multiple resources that serve patients looking for support, advice, better self-care … with a chronic condition may learn about a variety of topics, including symptom management, nutrition, community … meetings at the health care facility (if sufficient room is available) or at low-cost sites in the community

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