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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-245-fullreport.pdf
December 01, 2019 - Administrative data (e.g., claims data); electronic health records (EHRs); health information
exchange … elements needed for calculating the measure are available in electronic clinical data systems
such as EHRs … symptom monitoring using the PHQ-9 tool can be built into provider workflows and the
results captured in EHRs … Electronic caseload tracking tools
(e.g., https://aims.uw.edu/resource-library/aims-caseload-tracker), EHRs … These results may be captured in various systems, such as
EHRs, case management registries, or health
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www.ahrq.gov/ncepcr/tools/obesity-kit/obtoolkit-tool9.html
March 01, 2014 - Community Connections: Linking Primary Care Patients to Local Resources for Better Management of Obesity
Community Connections: Linking Primary Care Patients to Local Resources for Better Management of Obesity
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Table of Contents
Community Connections: Linking Primary Care Pati…
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www.ahrq.gov/ncepcr/research-transform-primary-care/transform/profile/donahue.html
August 01, 2018 - Transforming Primary Care Practice in North Carolina
Principal Investigator: Katrina E. Donahue, MD, MPH
Institution: University of North Carolina at Chapel Hill
AHRQ Grant Number: R18 HS019131
Number and Type of Practices
This project included 76 primary care practices across Nor…
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www.ahrq.gov/diagnostic-safety/resources/issue-briefs/education-dx-outcomes-2.html
March 01, 2022 - Improving Education—A Key to Better Diagnostic Outcomes
Foundations of Diagnosis Education
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Table of Contents
Improving Education—A Key to Better Diagnostic Outcomes
Introduction
Foundations of Diagnosis Education
Current State of Diagnosis Education
Competencies To Im…
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www.ahrq.gov/diagnostic-safety/resources/issue-briefs/state-of-science-3.html
June 01, 2020 - Operational Measurement of Diagnostic Safety: State of the Science
Getting Ready for Measurement: Overcoming Barriers and Taking Next Steps
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Table of Contents
Operational Measurement of Diagnostic Safety: State of the Science
Introduction
Special Considerations for Measure…
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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-246-fullreport.pdf
December 01, 2019 - Administrative claims; electronic health records (EHRs), health information exchange
(HIE)/clinical … elements needed
for calculating the measure are available in electronic clinical data systems such as EHRs … Depression screening and follow-up can be built into provider workflows and the results
captured in EHRs … Electronic caseload tracking tools (e.g., https://aims.uw.edu/resource-library/aims-
caseload-tracker), EHRs … These results may be captured in various systems, such as EHRs, case management registries, or
HIEs.
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www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/settings/ambulatory/6bb-toolkit-design.pdf
February 18, 2021 - • Consider approaches that clinics used before the era of EHRs.
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www.ahrq.gov/ncepcr/about/impact-stories/predictive-model.html
April 01, 2025 - An EHR-based Predictive Model to Identify Higher Likelihood of Social Needs Among Patients with Multiple Chronic Conditions
AHRQ Impact: Researchers examined how to best identify health-related social needs and then provide support to patients with multiple chronic conditions (MCC). The systematic …
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www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/chipra-89-adhd-behavior-section-2-attach-1.pdf
February 01, 2012 - Physician Consortium for Performance
Improvement (the PCPI™), recognizes that Electronic Health Records (EHRs … and is focusing significant resources and expertise toward specifying and testing
measures within EHRs … Physician Consortium for Performance
Improvement® (the PCPI™), recognizes that Electronic Health Records (EHRs … and is focusing significant resources and expertise toward specifying and testing
measures within EHRs
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www.ahrq.gov/ncepcr/reports/2024-annual-report/spotlight-s5-jih.html
May 01, 2024 - Investments in Primary Care Research for 2021 and 2022
S5: Developing a Mobile Tool to Improve Self-Care and Shared Decision-Making for Patients with Chronic Conditions
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Table of Contents
Investments in Primary Care Research for 2021 and 2022
Acknowledgments and Authors
Me…
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www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/chipra-89-adhd-behavior-section-14-attach-1.pdf
January 01, 2011 - Physician Consortium for Performance
Improvement (the PCPI™), recognizes that Electronic Health Records (EHRs … and is focusing significant resources and expertise toward specifying and testing
measures within EHRs … Physician Consortium for Performance
Improvement® (the PCPI™), recognizes that Electronic Health Records (EHRs … and is focusing significant resources and expertise toward specifying and testing
measures within EHRs
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www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/chipra-88-measure-1-section-14-attachment-1.pdf
January 01, 2011 - Physician Consortium for Performance
Improvement (the PCPI™), recognizes that Electronic Health Records (EHRs … and is focusing significant resources and expertise toward specifying and testing
measures within EHRs … Physician Consortium for Performance
Improvement® (the PCPI™), recognizes that Electronic Health Records (EHRs … and is focusing significant resources and expertise toward specifying and testing
measures within EHRs
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www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/results/research/recruitment-memo-ny.pdf
August 18, 2015 - Healthy Hearts NYC Recruitment Memo
Dear (Name of CMO/CEO at FQHC),
Community Health Care Association of New York State (CHCANYS) is excited to invite your health center
and its eligible sites to participate in HealthyHearts NYC, a three-year grant funded by the Agency for
Healthcare Research and Quali…
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www.ahrq.gov/sites/default/files/publications2/files/takeheart-executive-summary.pdf
August 01, 2023 - Executive Summary: Implementing PCOR To Increase Referral, Enrollment, and Retention in Cardiac Rehabilitation through Automatic Referral with Care Coordination
e
Implementing PCOR To Increase Referral,
Enrollment, and Retention in Cardiac
Rehabilitation through Automatic Referral
with Care Coordination
Final E…
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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-0138-fullreport.pdf
April 01, 2018 - systems for children with SCD, the completeness of prescription/medication fills
within their respective EHRs … may be limited by interoperability with other providers' EHRs that
may likewise capture antibiotic … Children with
SCD could be identified by patient lists maintained in EHRs for patients with chronic … ONC’s Health IT Standards explicitly address the receipt of electronic prescribing
information into EHRs
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www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/chipra-88-measure-1-section-2-attachment-1.pdf
February 01, 2012 - Physician Consortium for Performance
Improvement (the PCPI™), recognizes that Electronic Health Records (EHRs … and is focusing significant resources and expertise toward specifying and testing
measures within EHRs … Physician Consortium for Performance
Improvement® (the PCPI™), recognizes that Electronic Health Records (EHRs … and is focusing significant resources and expertise toward specifying and testing
measures within EHRs
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www.ahrq.gov/patient-safety/resources/learning-lab/connected-emergency-care-long-desc.html
January 01, 2025 - Connected Emergency Care Patient Safety Learning Lab (CEC PSLL)
Principal Investigator: Jeremiah Hinson, M.D., Ph.D., Johns Hopkins University, Baltimore, MD; formerly Scott Levin, M.S., Ph.D., Johns Hopkins University, Baltimore, MD AHRQ Grant No.: HS26640 Project Period: 09/30/18-12/31/23 Description: Th…
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www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/demoeval/demostates/utstateataglance.pdf
March 01, 2012 - Utah State at a Glance
…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/primary-care/tpc/tpc-profile-donahue.pdf
April 01, 2015 - Transforming Primary Care Practice in North Carolina
Transforming Primary Care Practice in North Carolina
Principal Investigator: Katrina E. Donahue, MD, MPH
Institution: University of North Carolina at Chapel Hill
AHRQ Grant Number: R18 HS019131
Overview of Transformation Efforts
The North Carolina Area…
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www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/results/research/recruitment-letter-nc.pdf
June 01, 2015 - Heart Health NOW! Advancing Heart Health in NC Primary Care
Heart Health NOW!
Advancing Heart Health in NC Primary Care
This is our time! Are you ready?
America now recognizes the promise of primary care to combat chronic disease before our patients suffer
the consequences of advanced illness. We selected your…