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  1. Layout 1 (pdf file)

    pcmh.ahrq.gov/sites/default/files/attachments/Roles%20of%20PCMHs%20And%20ACOs%20in%20Coordinating%20Patient%20Care.pdf
    December 01, 2010 - This is especially critical when care moves between distinct settings, such as during a hospital discharge … Examples include transitions from the inpatient (hospital) or skilled nursing facility setting to the … This work includes and extends beyond creating hospital discharge care coordination programs to creating … programs for other settings including hospitals. … A Re- engineered hospital discharge program to reduce rehospitalizations.
  2. pcmh.ahrq.gov/research/findings/factsheets/minority/amindbrf/index.html
    July 01, 2018 - way that hospitals and other providers and payers successfully collect consistent and accurate data … Project to improve the quality of race and ethnicity data in hospital discharge and emergency department … of race and ethnicity by hospitals represents a critical step toward assessing and addressing racial … The authors examined the reliability of race and ethnicity classifications by different hospitals who … Race and ethnicity coding agreement between hospitals and between hospital and death data.
  3. pcmh.ahrq.gov/healthsystemsresearch/hspc-research-study/breadth-and-focus.html
    July 01, 2021 - Quality measures development, particularly for hospital and other health care facilities. … It’s not just those who cross the threshold of the hospital. … Utilization Project, 2019 ), which contains the largest collection of longitudinal encounter-level hospital … Although much of this research falls outside the scope of this study, federal and other stakeholders … hospitals and other health care settings used in research on HAI-related patient safety improvement,
  4. pcmh.ahrq.gov/page/coordinating-care-medical-neighborhood-critical-components-and-available-mechanisms
    June 01, 2011 - Hospitals need to let primary care teams know when their patients are in the hospital or have visited … communities have little to no role in care delivered in hospitals. … clinics or larger practices, or in inpatient hospital settings. … Routine communication from hospitals to PCCs or from insurers to PCCs about a hospital admission and … While in the ideal neighborhood the responsibility of care coordination falls primarily on the PCMH and
  5. pcmh.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/lep/traintrainers/lepigtrainer.pptx
    July 01, 2012 - The family sued the hospital, resulting in a $71 million settlement. … Language proficiency and adverse events in U.S. hospitals: a pilot study. … 3 hospitals among frontline staff and leaders in interpreter services, nursing, and patient safety. … A clinical example would be an information call-out such as, “BP is falling, 80/48 down from 90/60.” … members in your hospital, which can help you to sustain change in your hospital.
  6. pcmh.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/medical-office/2018mosopsdatabasereport-part1-rev0921.pdf
    April 01, 2018 - • Most database medical offices (91 percent) are owned by a hospital or health system. … 11% 14-19 117 5% 3,027 9% 20 or more 181 7% 7,599 21% Ownership Number Percent Number Percent HospitalHospitals? … here: If your medical office’s score is 65%, your score falls here: If your medical office’s score … is 55 percent positive, it falls above the 75th percentile (but below the 90th), meaning that your
  7. pcmh.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/podcasts/Tackling_Low_Health_Literacy_Among_PCP_2012_05_01_Transcript.pdf
    January 01, 2012 - issues, and you can conduct from a system perspective what are called environmental assessments of hospitals … , participate in peer learning discussions and simulation training in the morning. … There’s one item in there that specifically asks, ‘In the last 12 months, how often did this doctor … And so we’re really looking forward to release of the future health literacy item sets for say the Hospitals … This podcast was a little bit unique in that you’re really in the process of rolling out this intervention
  8. pcmh.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/pfeprimarycare/medicinelist-roleplay-final508.pdf
    April 03, 2018 - He did have a few falls from his bike and has started using a stationary bike instead. … Thomas for bringing in all of his medicines? … Martin brought in her medicines? … Santiago was discharged from the hospital 4 days ago after a myocardial infarction and the placement … Santiago for bringing in all of her medicines?
  9. pcmh.ahrq.gov/teamstepps/instructor/scenarios/labordel.html
    March 01, 2014 - in a conflict. … Forty-five minutes later, Juanita is escorted to a stretcher in Triage and given a hospital gown. … Return to Contents Scenario 102 Appropriate for: L&D Setting: Hospital S:  Dr. … The only obstetrical physician in house is engaged in a C-section. … last labor at another hospital.
  10. pcmh.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/communication-facilitator-guide.docx
    June 01, 2021 - A resident was admitted to the hospital for a fall. … Reviewing further, she discovers that the resident was placed on the ciprofloxacin in the hospital 3 … T was mistakenly continued on ciprofloxacin after his hospital discharge. … I’m sure the hospital put him on it for a reason.” … It was started in the hospital for a UTI, but he has been on it for 3 weeks in our facility, and that
  11. pcmh.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2019qdr-intro-methods-cx061721.pdf
    December 01, 2020 - continue to be collected and these measures will be added back to the report if their performance falls … Settings of care covered include ambulatory care, health centers, emergency departments, hospitals … Survey (HCAHPS) • CAHPS® Home Health Survey (HHCAHPS) • CAHPS® Hospice Survey • Hospital … Limitations With the Medicare Patient Safety Monitoring System Data For these measures, “hospital … More information on the 2014-2017 sample can be found in the AHRQ National Scorecard on Hospital Conditions
  12. pcmh.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/lep/traintrainers/lepigtrainer.pdf
    July 01, 2012 - The family sued the hospital, resulting in a $71 million settlement. … Language proficiency and adverse events in U.S. hospitals: a pilot study. … 3 hospitals among frontline staff and leaders in interpreter services, nursing, and patient safety. … A clinical example would be an information call-out such as, “BP is falling, 80/48 down from 90/60.” … members in your hospital, which can help you to sustain change in your hospital.
  13. pcmh.ahrq.gov/patient-safety/settings/hospital/resource/pressureulcer/tool/pu3.html
    October 01, 2014 - Fall Prevention in Hospitals Training Program Hospital Resources CANDOR Family-Centered … Hospitals 3. … Previous Page Next Page Table of Contents Preventing Pressure Ulcers in Hospitals Overview … This color-coded tool can be used by the hospital unit team in designing the new system, as a training … In most hospital settings, comprehensive skin assessment should be performed by a unit nurse on admission
  14. pcmh.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/instructor/scenarios/labordel.pdf
    March 18, 2014 - Scenarios - 104 TeamSTEPPS 2.0 Specialty Scenarios L&D Scenario 85 Appropriate for: L&D Setting: Hospital … results in a conflict. … Forty-five minutes later, Juanita is escorted to a stretcher in Triage and given a hospital gown. … The only obstetrical physician in house is engaged in a C-section. … the patient about her last labor at another hospital.
  15. pcmh.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/implementation-guide-making-informed-consent-informed-choice.pdf
    January 01, 2017 - Acknowledgements The authors acknowledge the staff of the four hospitals that participated in the pilot … The guidance is based on the implementation experiences of four hospitals that participated in a pilot … Unfortunately, there are many problems with the informed consent process in hospitals today. … are falling behind. … What is your staff position in this hospital?
  16. pcmh.ahrq.gov/page/medical-home-what-do-we-know-what-do-we-need-know-review-earliest-evidence-effectiveness-of-the-patient-centered-medical-home-model-appendix
    March 01, 2013 - PCMH coordinates care across all elements of the broader health care system, including specialty care, hospitals … critical during transitions between sites of care, such as when patients are being discharged from the hospital … case managers who provide comprehensive case management Case manager coordinates with providers, hospitals … coordinate care of children with special health care needs and make expedited referrals to specialists and hospitalshospital discharge planning 24-hour contact for patients Mandatory annual performance improvement
  17. pcmh.ahrq.gov/health-literacy/professional-training/informed-choice/audio-script-leaders.html
    September 01, 2020 - Unfortunately, there are many problems with the informed consent process in hospitals today. … While Toni's experience was not recent, failures in the informed consent process happen in hospitals … If these exceptions apply in your hospital, they should be noted in your policy. … In many hospitals, coordinating interpreter services is a full-time job for at least one person. … If your hospital is a teaching hospital, be sure that you train your residents in the hospital's informed
  18. pcmh.ahrq.gov/patient-safety/settings/hospital/candor/modules/guide4.html
    August 01, 2022 - Fall Prevention in Hospitals Training Program Hospital Resources CANDOR Family-Centered … Hospitals Re-Engineered Discharge Toolkit QI Toolkit Venous Thromboembolism Guide … most hospitals across the country, many of the recommendations that come from root cause analyses of … Be sure to follow hospital confidentiality guidelines. … Be sure to follow all hospital confidentiality guidelines.
  19. pcmh.ahrq.gov/healthsystemsresearch/hspc-research-study/overlap-and-coordination.html
    June 01, 2020 - a universal bilirubin test, that the Joint Commission would issue a sentinel event alert, alerting hospitals … a large health care system and where AHRQ did studies at other hospitals who did that, as well. . . … hospitals and other health care facilities. … It’s almost the forcing event in a way, in a positive way . . . such that we’re coordinating in ways … For example, NIA and PCORI co-manage the big initiative on falls and NIA has done a number of planned
  20. pcmh.ahrq.gov/page/statistical-process-controlpossible-uses-monitor-and-evaluate-patient-centered-medical-home
    March 01, 2013 - (John Hopkins University School of Medicine, Baltimore, MD and LifePoint Hospitals, Inc., Brentwood TN … Statistical Process Control One issue in evaluating PCMH models is that reporting of changes in process … Eight or more values falling above or below the mean. … Uses of the Method In addition to monitoring changes in outcome measures such as the proportion of … The use of run and control charts in the improvement of clinical practice. In: Carey R.

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