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  1. www.ahrq.gov/ncepcr/reports/primary-care-research/appendix-a.html
    January 01, 2024 - community health (47 w/out primary), care transition (16 w/out primary)/coordination (56 w/out primary), screening … Does not include screening): Arthritis/joint disorders: Arthritis, Rheumatoid arthritis, Osteoarthritis … Asthma: child and adult CVD: HTN, CAD, CHF, PAD, stroke Diabetes Obesity: beyond being overweight … , breast cancer screening, pregnancy, prenatal, breast feeding Prevention (Y/N): defined as Immunizations … , Screening, Tobacco use, Substance use, behavioral counseling, preventative medications (aspirin, statins
  2. www.ahrq.gov/sites/default/files/publications2/files/measure-retirement-2013.pdf
    January 01, 2013 - related to prenatal care, well child visits, immunizations, asthma, emergency room use, preventive care screenings … , access to care, diabetes, and mental health. … Measure Name Chlamydia Screening in Women 4.b. … expressed concern that the measure does not address several components of quality, such as the validity of screenings … used or the use of followup based on screening results.
  3. www.ahrq.gov/research/findings/final-reports/stpra/stpraapg.html
    October 01, 2018 - Percentage of elderly diabetic pt = 19% [ https://www.cdc.gov/diabetes/data/ ]. … Percentage of elderly diabetic pt = 19% [ https://www.cdc.gov/diabetes/data/ ]. … Event653 Diabetes and obese pt 0.045 38.6% of the obese suffer diabetes. … From McMillen 2011, nearly one third of persons with diabetes are unaware that they have DM. … So two thirds of the diabetes pt-diabetes and obese pt=0.078*(2/3)-0.045=0.007 Event655 SSI if
  4. www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/results/research/value-proposition-flyer-mw.pdf
    June 02, 2025 - support to help patients better manage multiple chronic diseases Medicare reimbursement for behavioral screening … and intervention Bill for screening and intervention for tobacco use, unhealthy alcohol use, depression … provide more effective treatment and perform well on various quality measures CMS QIO Program on Diabetes
  5. www.ahrq.gov/funding/training-grants/disgrants.html
    October 01, 2014 - Hospital Units 8/31/2014 Ejebe, Ifunanya R36 HS023407-01 University of Wisconsin-Madison Diabetes … Virginia Commonwealth University Development of a Collaborative Goal Setting Measure for Patients with Diabetes … Michelle R36 HS022199-01A1 John Hopkins University When Less is More: Changing Cervical Cancer Screening
  6. www.ahrq.gov/ncepcr/reports/2024-annual-report/recent-grants-digital.html
    May 01, 2024 - P2: Using an Electronic Screening Tool to Identify Adolescents at Risk for STIs P3: Using Veterans … P9: Using a Mobile Health Tool to Improve Patient-Centered Care for Patients with Type 2 Diabetes P10 … program (Decision Precision+) designed to analyze EHR data to prompt doctors to discuss lung cancer screening … with eligible patients with individually tailored information on the benefits and harms of screening … integrate with a patient portal (MyLungHealth) that patients use directly to learn about lung cancer screening
  7. www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2023-nhqdr-es.pdf
    January 01, 2023 - Two exemplars of preventive services provided in primary care settings are chronic diabetes management … and screening for cancer. … • Diabetes management: ■ For preventive diabetes care, the percentage of people with diabetes who … ■ Disparities in delivering preventive diabetes care were observed. … • Cancer screening: ■ Nationally, there were no statistically significant differences in screening
  8. www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2023-nhqdr-es-rev.pdf
    January 01, 2023 - Two exemplars of preventive services provided in primary care settings are chronic diabetes management … and screening for cancer. … • Diabetes management: ■ For preventive diabetes care, the percentage of people with diabetes who … ■ Disparities in delivering preventive diabetes care were observed. … • Cancer screening: ■ Nationally, there were no statistically significant differences in screening
  9. www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/pruprev/prev-handouts.html
    December 01, 2017 - Diabetes diagnosis     e. Peripheral vascular disease diagnosis     f. … Diabetes mellitus: Yes ___ No _X_ Peripheral vascular disease: Yes ___ No _X_ History of pressure … Let's start with Screening for Risk. … Diabetes diagnosis   X e. Peripheral vascular disease diagnosis   X f. … What do you notice about their screening practices?
  10. www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2019qdr-core-measures-quality.pdf
    January 01, 2019 - Diabetes Measures Seven measures relate to diabetes care and none were changing over time. … 2017 -0.6 0 Diabetes – Management Adults age 40 and over with diagnosed diabetes who received … Improving measures included one measure examining adult cholesterol, 2 cancer screening measures, and … Six measures were not changing over time and one measure examining cervical cancer screening worsened … a mammogram in the last 2 years (BRFSS) 77.2% in 2000 72.8% in 2018 0.9 0.034 Cervical Cancer Screening
  11. www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/projects/urinary/evidencenow-empower.pdf
    January 01, 2025 - female population has a larger proportion of elderly aged 65+ (41% vs. 24%), obesity (54% vs 31%), and diabetes … participating practices: 76 Number of women enrolled in the study: 400 Number of women completed screening … • The project team is conducting large-scale screening, using a multilevel (patient, provider, and … to diagnosing and managing urinary incontinence in the primary care setting utilizing large-scale screening
  12. www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/projects/urinary/evidencenow_empower.pdf
    January 01, 2024 - female population has a larger proportion of elderly aged 65+ (41% vs. 24%), obesity (54% vs 31%), and diabetes … participating practices: 76 Number of women enrolled in the study: 303 Number of women completed screening … • The project team is conducting large-scale screening, using a multilevel (patient, provider, and … to diagnosing and managing urinary incontinence in the primary care setting utilizing large-scale screening
  13. www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/pbrn/pbrn-final-synthesis-report.pdf
    September 01, 2025 - Clinical Practice Domains Domain Definitions Diabetes Includes studies related to diabetes treatment … Cancer Screening Includes studies related to cancer screenings. … in cancer screening outcomes and interventions to improve cancer screening rates. … : Adverse childhood experiences screenings,” 2021). … files/ahrq-30- years-primary-care-research.pdf Health care coverage: Adverse childhood experiences screenings
  14. www.ahrq.gov/ncepcr/research-transform-primary-care/transform/profile/tai-seale.html
    April 01, 2015 - included: 1) enhancements to patient access and outreach (including same-day appointments, e-visits, a diabetes … Health Outcomes Cholesterol control improved in patients with diabetes who sent and received more … clinic visits was associated with improved blood pressure and cholesterol control among patients with diabetes … process-oriented clinical quality metrics (including measures of chronic disease management and preventive screening
  15. www.ahrq.gov/research/findings/nhqrdr/2014chartbooks/hispanichealth/part4-summ.html
    October 01, 2015 - in border counties had higher hospitalization rates than Hispanics in non-border counties for: Diabetes … When hospitalized for diabetes in border hospitals, Hispanics were more likely than non-Hispanics to … Diabetes: Any Dx in CCS 49-50. Lower-extremity amputation based on AHRQ PQI 16.
  16. www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/medicaidmgmt/mm4a.html
    October 01, 2014 - Diseases covered (e.g., asthma, diabetes). Stakeholder input. … provider interventions had the greatest impact on measures that target provider processes such as HbA1c screening … and diabetics with less severe diabetes receive disease education materials. … positive response to either of the two questions, call center staff continued with the remaining PHQ screening … Iowa care managers administer the PHQ-2, a depression screening tool, to every member enrolled in the
  17. www.ahrq.gov/research/findings/final-reports/iomracereport/reldata2b.html
    May 01, 2018 - Type II Diabetes Type II diabetes affects a disproportionate number of AIANs; the highest rates in … Cancer screening among Latino subgroups in the United States. … Breast and cervical cancer screening rates of subgroups of Asian American women in California. … Mammography screening among Arab American women in metropolitan Detroit. … Use of cancer screening practices by Hispanic women: Analyses by subgroup.
  18. www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/system/delivery-system-initiative/rodriguez/rodriguez.pptx
    June 02, 2025 - Slide 1 Implementing Team Approaches for Improving Diabetes Care in Health Centers Hector P. … The Effectiveness of QI Strategies: Findings from a Recent Review of Diabetes Care The Shojania article … care improvement in the safety net was conducted as part of the Diabetes Health Disparities Collaborative … values 3/5 2/8 Physical findings (BP, BMI) 3/5 2/8 On site registry for patients overdue for: Screening … values 3/5 2/8 Physical findings (BP, BMI) 3/5 2/8 On site registry for patients overdue for: Screening
  19. www.ahrq.gov/ncepcr/reports/2024-annual-report/profile-p11-devoe.html
    May 01, 2024 - P2: Using an Electronic Screening Tool to Identify Adolescents at Risk for STIs P3: Using Veterans … P9: Using a Mobile Health Tool to Improve Patient-Centered Care for Patients with Type 2 Diabetes P10 … This includes missing yearly well-child visits, and not being up-to-date on recommended vaccinations, screenings
  20. www.ahrq.gov/policymakers/chipra/overview/background/next-steps2.html
    December 01, 2009 - Results (continued) Screening Screening to identify health conditions for early intervention with … Screening using standardized screening tools for potential delays in social and emotional development … Chlamydia screening for women. … Long considered a disease of middle age and older people, diabetes is also emerging as an important chronic … Given the racial and ethnic disparities in overweight and obesity, diabetes is also likely to be more

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