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241. P10: Improving Clinical-Community Linkages in Primary Care for Patients with Multiple Chronic Conditions | Agency for Healthcare Research and Quality
     www.ahrq.gov/ncepcr/reports/2024-annual-report/profile-p10-krist.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

242. Appendix C. Case Study and Program Examples | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/long-term-care/resource/injuries/fallspx/manapc.html
     December 01, 2017 - Her other past medical problems include: diabetes mellitus, hypertension, osteoarthritis, depression … Chronic conditions Visual impairment due to aging and diabetes. … Hypoglycemia/hyperglycemia resulting from diabetes. … Blood glucose level since the resident has a diagnosis of diabetes. B.

243. Reviewing the Landscape of All-Payer Claims Databases | Agency for Healthcare Research and Quality
     www.ahrq.gov/data/apcd/backgroundrpt/review.html
     July 01, 2022 - interest in using such data to spot variation (e.g., in utilization, spending, rates of preventive screenings … Diabetes: Some members ranked this condition as high priority due to the large proportion of health … Diabetes also offers an opportunity for improvement by better understanding differences in patterns of … More TEP members prioritized diabetes than other categories, stating that the topic has the prospect … In addition to diabetes, members suggested expanding the topic to focus on high-cost, manageable, chronic

244. Detailed Methods for Medical Expenditure Panel Survey (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2021qdr-mepsmethods.pdf
     December 01, 2021 - It questions respondents about the care they received in the treatment of their diabetes. … The “diabetes pseudo-weight” was defined as equal to the diabetes weight when the diabetes weight is … positive, equal to 1 when the diabetes weight is zero and the SAQ weight is positive, and undefined … Among the measures that are age-adjusted are the following pertaining to: • Diabetes • Asthma … 22 Round 3, a series of questions was asked for each person about the receipt of preventive care or screening

245. S5: Developing a Mobile Tool to Improve Self-Care and Shared Decision-Making for Patients with Chronic Conditions | Agency for Healthcare Research and Quality
     www.ahrq.gov/ncepcr/reports/2024-annual-report/spotlight-s5-jih.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

246. S2: Using EHR-Based Simulations to Reduce Diagnostic Errors in Ambulatory Care Settings | Agency for Healthcare Research and Quality
     www.ahrq.gov/ncepcr/reports/2024-annual-report/spotlight-s2-gold-ratwani.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

247. P14: Is Telehealth Effective for Providing Nurse-Led Healthcare to Vulnerable Populations in Colorado? | Agency for Healthcare Research and Quality
     www.ahrq.gov/ncepcr/reports/2024-annual-report/profile-p14-barton.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

248. Section 5, Table 1 (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/outcomes/chipra-146-section-5.pdf
     January 01, 2014 - The SCIS may be used as a screening tool for adolescents preparing to transition to adult CF centers … One hundred eighty-five adolescents >18 with recently diagnosed type 1 diabetes participated. … At a follow-up visit, 57% had transitioned to adult diabetes providers. … Transition from pediatric to adult care for youth diagnosed with type 1 diabetes in adolescence. … Diabetes Care. 2014; 37(2):346-354.[59]

249. Statin Therapy Measure Flow Chart (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/results/research/cholesterol-flowchart.pdf
     June 02, 2025 - No Did the patient have an active diagnosis of diabetes any time during or prior to the measurement

250. Patient Self-Management Support Programs: An Evaluation (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/research/findings/final-reports/ptmgmt/ptmgmt.pdf
     November 01, 2007 - for diabetes care state that any diabetes management plan: … should recognize diabetes self-management … , as advocated by many proponents of the chronic care model, then health risk assessments or other screening … devices were provided (such as glucometers, peak flow meters, digital weight scales, or home cholesterol screening … primary care visits per patient per year, and HEDIS scores for HbA1c tests and lipid, eye, and kidney screenings … study of adolescents with diabetes.

251. PowerPoint Presentation
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/pfeprimarycare/warm-handoff-slides-final508.pptx
     June 02, 2025 - assistants, front and back office staff, and members of the extended care team, such as the pharmacist, diabetes … which is keeping him from exercising Temp 98.7 F, BP 152/91, weight 173 lb, up 2 lb PHQ 9 depression screening … Sanchez – 63-year-old female with type II diabetes Here for annual physical Temp 98.6 F, BP 137/81, weight … Sanchez is 63 years old with type II diabetes.

252. Warm Handoff Plus (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/pfeprimarycare/warm-handoff-slides-final508.pdf
     June 02, 2025 - assistants, front and back office staff, and members of the extended care team, such as the pharmacist, diabetes … keeping him from exercising • Temp 98.7 F, BP 152/91, weight 173 lb, up 2 lb • PHQ 9 depression screening … Sanchez – 63-year-old female with type II diabetes • Here for annual physical • Temp 98.6 F, BP … Sanchez is 63 years old with type II diabetes.

253. New Models of Primary Care Workforce - Case Example #6: Henry Ford Health System (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/primary-care/workforce-financing/case_example_6.pdf
     October 01, 2016 - HFHS has a diabetes self-management program called the Diabetes Care Center. … The diabetes education program currently has 177 patients and is almost completely telephonic. … Panel manager can order routine screenings per protocol (e.g., mammograms for women aged 50 and over … of patients with diabetes. … which serves an Arabic-speaking population with high rates of cervical but low rates of breast cancer screening

254. Case Example #6: Henry Ford Health System | Agency for Healthcare Research and Quality
     www.ahrq.gov/ncepcr/tools/workforce-financing/case-example-6.html
     July 01, 2019 - HFHS has a diabetes self-management program called the Diabetes Care Center. … The diabetes education program currently has 177 patients and is almost completely telephonic. … Panel manager can order routine screenings per protocol (e.g., mammograms for women aged 50 and over) … with diabetes. … which serves an Arabic-speaking population with high rates of cervical but low rates of breast cancer screening

255. EvidenceNOW Building State Capacity Profile: Michigan Cooperative (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/building-capacity/EvidenceNOW-BSC-MI-profile.pdf
     September 01, 2021 - counterparts and are also more likely to be physically inactive, use tobacco, and be diagnosed with diabetes … implementation and test whether the model improves: (a) blood pressure control; and (b) tobacco use screening

256. Module 15: Preparing and Presenting Performance Data (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/tools/PCMH/pcpf-module-15-presenting-data.pdf
     September 01, 2015 - Billy Gato (diabetes, hypertension) 2. Cherie Amore (diabetes) 3. … Tom Gelato (diabetes, DNR, allergy) 7. Steve Apple (diabetes) 8. Bill Windows (diabetes, DNR) 9. … Result Practice Goal National or Local Benchmark HbA1c screening rate = [Total(A)/30 (total … of charts audited)] × 100 = Blood pressure less than 130/80 = [Total(D)/Total(C)] × 100 = LDL-C screening … Performance Metric Calculator for Diabetes Diabetes HEDIS Measure Outcomes

257. Redesigning Primary Health Care Teams for Population Health and Quality Improvement | Agency for Healthcare Research and Quality
     www.ahrq.gov/practiceimprovement/delivery-initiative/redesigningprimaryhealthcareteams.html
     November 01, 2017 - challenge, many organizations are implementing condition-specific quality improvement initiatives (e.g., diabetes … management, colorectal cancer screening). … The medical assistants were also responsible for administering preventive screenings, including those … Calls patients who are overdue on preventive screenings and uses motivational interviewing techniques … Training included disease-specific modules on hypertension, chronic heart failure, asthma, and diabetes

258. Appendix F. | Agency for Healthcare Research and Quality
     www.ahrq.gov/policymakers/chipra/measure_retirement/measure_retirementapf.html
     February 01, 2014 - Developmental Screening in the First Three Years of Life SNAC members noted that many children in this … 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. … Chlamydia Screening in Women SNAC members expressed mixed sentiments about this measure. … validity, at least one SNAC member noted that the measure does not distinguish between Type I and Type II diabetes

259. Integrating Primary Care Practices and Community-based Resources to Manage Obesity (pdf file)
     www.ahrq.gov/sites/default/files/publications/files/obesity-pcpresources.pdf
     May 01, 2014 - You note that only hypertension is present in the problem list so you add pre- diabetes. … Diet and exercise are contributing behaviors to preventing heart disease, cancer, stroke, diabetes, … Obesity Screening As mentioned above, the first step in screening for obesity, according to the U.S. … “Because of your diabetes and hypertension, it is really important that you exercise.” … • Draft BMI screening protocols.

260. Pressure Ulcer Prevention Toolkit (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/pressure_ulcer_prevention/module2/putoolkit_module2_tools.docx
     February 16, 2011 - Improvement Process 2C: Current Process Analysis 2D: Assessing Pressure Ulcer Policies 2E: Assessing Screening … 2E: Assessing Screening for Pressure Ulcer Risk Background: The purpose of this tool is to determine … Assessment of Screening for Pressure Ulcer Risk Does your facility have a process for screening that … If you are not currently using the Norton or Braden risk assessment, does your screening address the … Incontinence: · Urine · Stool · Nutritional deficits: · Malnutrition · Feeding difficulties · Diagnosis of: · Diabetes