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  1. www.ahrq.gov/sites/default/files/wysiwyg/pcor/logic-model-healthcare-extension-service.pdf
    June 02, 2025 - AHRQ’s Healthcare Extension Service, State-based Solutions to Healthcare Improvement AHRQ’s Healthcare Extension Service, State-based Solu ons to Healthcare Improvement National Coordinating Center (NCC)  Expertise in providing a wide range of technical assistance (TA) services Expertise in convening learning…
  2. www.ahrq.gov/ncepcr/tools/workforce-financing/case-example-7.html
    July 01, 2019 - EKG=electrocardiogram; MA=medical assistant; BHC=behavioral health consultant; CHC=community health coordinator
  3. www.ahrq.gov/ncepcr/research/care-coordination/pcmh/define.html
    August 01, 2022 - Defining the PCMH The medical home model holds promise as a way to improve health care in America by transforming how primary care is organized and delivered. Building on the work of a large and growing community, the Agency for Healthcare Research and Quality (AHRQ) defines a medical home not simply as a place…
  4. www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/edenvironmentalscan/edenvironmentalscan.pdf
    December 01, 2014 - A care coordinator, sometimes referred to as a case manager, often determines which of these interventions … coordinator … Interventions Population Setting Outcome Evaluated Guttman, et al., 88 2004a Nurse discharge plan coordinator … RR 3.1 Guttman, et al., 88 2004 Nurse discharge plan coordinator (NDPC): education, coordination … An emergency department-based nurse discharge coordinator for elder patients: does it make a difference
  5. www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/statesummaries/chipra-750-massachusetts-state-snapshot.pdf
    January 01, 2018 - Spotlight on Massachusetts -- The National Evaluation of the CHIPRA Quality Demonstration Grant Program January 2018 This brief highlights the major strategies, lessons learned, and outcomes from Massachusetts’s experience from February 2010 to May 2015 with the quality demonstration funded by the Centers for Med…
  6. www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/report/rep5.html
    June 01, 2010 - Environmental Scan of Measures for Medicaid Title XIX Home and Community-Based Services Program Performance Measures and Gaps Previous Page Next Page Table of Contents Environmental Scan of Measures for Medicaid Title XIX Home and Community-Based Services Executive Summary Introduction and Scan …
  7. www.ahrq.gov/sites/default/files/wysiwyg/takeheart/training/getting-started-implementation-guide.pdf
    March 01, 2023 - directly into your EMR don’t have as many potential sources of error as data that are captured by a care coordinator
  8. www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/primary-care/workforce-financing/case_example_7.pdf
    October 01, 2016 - EKG=electrocardiogram; MA=medical assistant; BHC=behavioral health consultant; CHC=community health coordinator
  9. www.ahrq.gov/healthsystemsresearch/hspc-research-study/conclusions.html
    July 01, 2021 - 7. Conclusions and Recommendations Health Services and Primary Care Research Study: Comprehensive Report Since its emergence as an independent field of study in the 1960s, HSR has helped establish an evidence base to support decisionmaking and improvements in the quality, safety, effectiveness, and efficiency…
  10. www.ahrq.gov/healthsystemsresearch/hspc-research-study/summary.html
    July 01, 2021 - Summary Health Services and Primary Care Research Study: Comprehensive Report Background On March 23, 2018, when H.R. 1625, the Consolidated Appropriations Act 2018, became law, Congress directed and authorized the Agency for Healthcare Research and Quality (AHRQ) to contract with an independent entity for …
  11. www.ahrq.gov/sites/default/files/publications/files/caremgmt-brief.pdf
    April 01, 2015 - Care Management: Implications for Medical Practice, Health Policy, and Health Services Research 1 Care Management Issue Brief Care Management: Implications for Medical Practice, Health Policy, and Health Services Research Executive Summary Health care delivery systems throughout the United States are employing…
  12. www.ahrq.gov/ncepcr/reports/2024-annual-report/recent-grants-systems.html
    May 01, 2024 - Investments in Primary Care Research for 2021 and 2022 Healthcare Systems and Infrastructure Previous Page Next Page Table of Contents Investments in Primary Care Research for 2021 and 2022 Acknowledgments and Authors Message from the Acting Director of AHRQ's National Center for Excellence in P…
  13. www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/primary-care/tpc/tpc-profile-cooley.pdf
    April 01, 2015 - Medical Home Transformation in Pediatric Primary Care--What Drives Change? Medical Home Transformation in Pediatric Primary Care–What Drives Change? Principal Investigator: W. Carl Cooley, MD, and Jeanne W. McAllister, BSN, MS, MHA Institution: Center for Medical Home Improvement, Crotched Mountain Foundatio…
  14. www.ahrq.gov/sites/default/files/wysiwyg/takeheart/training/module-2-slides.pdf
    December 31, 2021 - Module 2 Slides: Systems Change: Laying the Foundation, Leadership and Action Plans Systems Change: Laying the Foundation, Leadership and Action Plans K i m N e w l i n , R N , C N S , A N P - C K a t h l e e n T r a y n o r , RN, MS, FAACVPR F e b r u a r y 2 7 , 2 0 2 0 Module 2 American Hospital A…
  15. www.ahrq.gov/policymakers/chipra/demoeval/what-we-learned/highlight06.html
    January 01, 2014 - How are CHIPRA quality demonstration States working together to improve the quality of health care for children? Evaluation Highlight No. 6 Authors: Dana Petersen, Henry Ireys, Grace Ferry, and Leslie Foster Contents Key Messages Background Findings Conclusion Implications Learn More Endno…
  16. www.ahrq.gov/teamstepps-program/curriculum/team/tools/index.html
    July 01, 2023 - Section 2: Explanation of Key Team Leadership Concepts and Tools This section contains explanations and illustrations to help you better understand and appreciate the importance of team structure, leadership, and leadership tools. If you teach this content or want additional insights into how the material can b…
  17. www.ahrq.gov/research/findings/nhqrdr/chartbooks/carecoordination/measure4.html
    June 01, 2018 - Chartbook on Care Coordination Integration of Medication Information Previous Page Next Page Table of Contents Chartbook on Care Coordination Acknowledgments Care Coordination Trends in Care Coordination Measures Transitions of Care Preventable Emergency Department Visits Potentially Avo…
  18. www.ahrq.gov/takeheart/training/module-4/index.html
    December 01, 2022 - Module 4: Systems Change: Preparing and Understanding Your Data To Foster Systems Change   YouTube embedded video: https://www.youtube-nocookie.com/embed/enjA1kfOsw0 Video: Systems Change: Understanding Your Workflow Processes to Prepare for System Change (1:01:14) Slides: Preparing and Understanding …
  19. www.ahrq.gov/takeheart/training/module-5/index.html
    December 01, 2022 - Module 5: Building and Implementing a Successful Automatic Referral System   YouTube embedded video: https://www.youtube-nocookie.com/embed/0kX51lMX0N0 Video: Building and Implementing a Successful Automatic Referral System (1:00:05) Slides:  Building and Implementing a Successful Automatic Cardiac Reh…
  20. www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/demoeval/what-we-learned/highlight06.pdf
    September 08, 2015 - Evaluation Highlight No. 6: How are CHIPRA Quality Demonstration States Working Together to Improve the Quality of Health Care for Children? The CHIPRA Quality Demonstration Grant Program In February 2010, the Centers for Medicare & Medicaid Services (CMS) awarded 10 grants, funding 18 States, to improve the qual…

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