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141. Acknowledgments | Agency for Healthcare Research and Quality
     www.qualitymeasures.ahrq.gov/research/findings/final-reports/ptflow/acknowledgements.html
     July 01, 2018 - that participated in the Urgent Matters Learning Network (UMLN) I and II: Grady Health System Atlanta … , GA Boston Medical Center Boston, MA Henry Ford Hospital Detroit, MI Elmhurst Hospital Center … Elmhurst, NY Inova Fairfax Hospital Falls Church, VA BryanLGH Medical Center Lincoln, NE The … Joseph's Hospital & Medical Center Phoenix, AZ University Hospital San Antonio San Antonio, TX … Francis Hospital Indianapolis, IN Westmoreland Hospital Greensburg, PA The authors also thank the

142. PowerPoint Presentation
     www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/fallsprev/fallpxreports.pptx
     October 01, 2017 - of facility residents at highest risk of falling Enables staff to be more proactive, consistent, and … Report How many residents triggered for highest risk of falling? … information about activities of daily living Included in the Falls High-Risk Report but not used in … and percentage of falls that have occurred for residents with each risk factor included in the Falls … None None None   Other               Free text             Where Resident Was Treated Facility, ER, hospital

143. AHRQ's Safety Program for Nursing Homes: On-Time Falls Prevention Training (pdf file)
     www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/fallsprev/ontimefallpxreports-ig.pdf
     November 09, 2017 - to Falls Prevention Reports SAY: In this session we will introduce you to the On-Time Falls … The Falls High-Risk Report provides a weekly snapshot of residents in a nursing home at highest risk … In addition, it can be run for just injurious falls if desired rather than including all falls. … The system computes the number of residents who had at least two falls in the report period. … Treated Facility, ER, hospital admit Facility Facility ER ER Facility Facility PCP Notified?

144. F | Agency for Healthcare Research and Quality
     www.qualitymeasures.ahrq.gov/topics/f.html
     Featured Clinicians & Providers Data & Measures Digital Healthcare Research Education & Training Hospitals … Available from AHRQ Tools Featured Clinicians & Providers Hospitals … Filter the Results Topics Priority Populations Information in … Spanish Topics Browse A - Z F Fact Sheets Falls Patient

145. Improving Clinical Performance and Safety Culture Through TeamSTEPPS Implementation
     www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/teamstepps/webinars/2016-materials/teamstepps-monthly-webinar-april2016.pptx
     January 01, 2016 - 2009 Hospitals participated on a voluntary basis beginning in 2010 19 hospitals ranging in size from … continued annually with over 100 hospitals currently engaged in the project TEAMSTEPPS 05.2 Mod 1 … 103 hospitals in 16 states Using TeamSTEPPS for greater than one year 30 additional hospitals in 11 … 133 hospitals in the HCA family using TeamSTEPPS tools by end of 2016 Partnering with the HCA Clinical … team with focus on high functioning teams Requiring more prescriptive measures of success Sepsis, Falls

146. Patient Safety and Quality Areas | Agency for Healthcare Research and Quality
     www.qualitymeasures.ahrq.gov/patient-safety/about/areas.html
     February 01, 2018 - Available from AHRQ Tools Featured Clinicians & Providers Hospitals … SHARE: More topics in … also develop practical, research-based tools and resources that help clinicians and others working in … the nation’s hospitals, nursing homes, medical offices, and other settings make care safer for their … Our areas of research and tools cover: Healthcare Infections Team Training Falls Pressure Ulcers

147. Table 17D: Intellectual/Developmental Disabilities Subpopulation | Agency for Healthcare Research and Quality
     www.qualitymeasures.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/tab17d.html
     February 01, 2023 - Featured Clinicians & Providers Data & Measures Digital Healthcare Research Education & Training Hospitals … Available from AHRQ Tools Featured Clinicians & Providers Hospitals … 5,312 6,245 5,000 Pressure Ulcer 1,619 1,071 1,367 1,440 1,749 1,185 Injurious Falls … Overall 5,719 5,011 6,399 5,136 Pressure Ulcer 1,498 1,217 1,890 1,213 Injurious Falls … All outcome indicators expressed as potentially avoidable hospital stays per 100,000 persons in the HCBS

148. Table 17A: National HCBS Population | Agency for Healthcare Research and Quality
     www.qualitymeasures.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/tab17.html
     February 01, 2023 - Featured Clinicians & Providers Data & Measures Digital Healthcare Research Education & Training Hospitals … Available from AHRQ Tools Featured Clinicians & Providers Hospitals … 17,751 23,720 16,492 Pressure Ulcer 4,168 2,525 3,903 3,214 4,382 2,935 Injurious Falls … Overall 19,447 18,724 23,221 17,538 Pressure Ulcer 3,603 3,194 4,378 3,086 Injurious Falls … All outcome indicators expressed as potentially avoidable hospital stays per 100,000 persons in the HCBS

149. Table 17B: Dually Eligible HCBS Participants | Agency for Healthcare Research and Quality
     www.qualitymeasures.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/tab17b.html
     February 01, 2023 - Featured Clinicians & Providers Data & Measures Digital Healthcare Research Education & Training Hospitals … Available from AHRQ Tools Featured Clinicians & Providers Hospitals … 19,729 26,330 18,086 Pressure Ulcer 4,583 2,937 4,303 3,638 4,774 3,353 Injurious Falls … Overall 21,408 21,005 25,803 19,316 Pressure Ulcer 4,098 3,440 4,727 3,530 Injurious Falls … All outcome indicators expressed as potentially avoidable hospital stays per 100,000 persons in the HCBS

150. Table 17E: Serious Mental Illness Subpopulation | Agency for Healthcare Research and Quality
     www.qualitymeasures.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/tab17e.html
     February 01, 2023 - Featured Clinicians & Providers Data & Measures Digital Healthcare Research Education & Training Hospitals … Available from AHRQ Tools Featured Clinicians & Providers Hospitals … 17,756 23,009 16,087 Pressure Ulcer 2,980 2,213 2,877 2,492 3,415 2,252 Injurious Falls … Overall 19,175 17,427 20,509 17,826 Pressure Ulcer 2,820 2,361 3,195 2,436 Injurious Falls … All outcome indicators expressed as potentially avoidable hospital stays per 100,000 persons in the HCBS

151. Table 17G: HCBS Population Age 65 | Agency for Healthcare Research and Quality
     www.qualitymeasures.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/tab17g.html
     February 01, 2023 - Featured Clinicians & Providers Data & Measures Digital Healthcare Research Education & Training Hospitals … Available from AHRQ Tools Featured Clinicians & Providers Hospitals … 23,141 34,235 21,902 Pressure Ulcer 5,156 2,917 5,215 3,604 5,195 3,597 Injurious Falls … Overall 25,759 28,549 32,778 23,897 Pressure Ulcer 4,379 3,646 4,962 3,857 Injurious Falls … All outcome indicators expressed as potentially avoidable hospital stays per 100,000 persons in the HCBS

152. Table 17F: HCBS Population Ages 18-64 Without Intellectual/Developmental Disabilities or Serious Mental Illness | Agency for Healthcare Research and Quality
     www.qualitymeasures.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/tab17f.html
     February 01, 2023 - Featured Clinicians & Providers Data & Measures Digital Healthcare Research Education & Training Hospitals … Available from AHRQ Tools Featured Clinicians & Providers Hospitals … 18,529 23,803 18,978 Pressure Ulcer 5,875 3,508 6,077 4,338 6,250 4,022 Injurious Falls … Overall 21,607 19,235 23,468 19,546 Pressure Ulcer 4,785 5,171 6,257 4,181 Injurious Falls … All outcome indicators expressed as potentially avoidable hospital stays per 100,000 persons in the HCBS

153. Table 17C: Medicaid-Only HCBS Participants | Agency for Healthcare Research and Quality
     www.qualitymeasures.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/tab17c.html
     February 01, 2023 - Featured Clinicians & Providers Data & Measures Digital Healthcare Research Education & Training Hospitals … Available from AHRQ Tools Featured Clinicians & Providers Hospitals … 12,306 15,447 12,117 Pressure Ulcer 2,935 1,376 2,649 2,045 3,140 1,790 Injurious Falls … Overall 13,885 11,778 15,231 12,519 Pressure Ulcer 2,200 2,447 3,298 1,833 Injurious Falls … All outcome indicators expressed as potentially avoidable hospital stays per 100,000 persons in the HCBS

154. Table 19G: HCBS Population Age 65 | Agency for Healthcare Research and Quality
     www.qualitymeasures.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/tab19g.html
     March 01, 2023 - Featured Clinicians & Providers Data & Measures Digital Healthcare Research Education & Training Hospitals … Available from AHRQ Tools Featured Clinicians & Providers Hospitals … 28,599 25,757 29,466 Pressure Ulcer 4,845 3,916 4,034 4,473 4,279 3,822 Injurious Falls … Overall 24,470 31,390 25,983 29,126 Pressure Ulcer 4,169 4,242 4,328 3,449 Injurious Falls … All outcome indicators expressed as potentially avoidable hospital stays per 100,000 persons in the HCBS

155. Table 19D: I/DD Subpopulation | Agency for Healthcare Research and Quality
     www.qualitymeasures.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/tab19d.html
     March 01, 2023 - Featured Clinicians & Providers Data & Measures Digital Healthcare Research Education & Training Hospitals … Available from AHRQ Tools Featured Clinicians & Providers Hospitals … 4,903 6,049 4,408 Pressure Ulcer 1,887 1,225 1,703 1,115 1,573 1,084 Injurious Falls … Overall 5,768 5,111 6,087 4,163 Pressure Ulcer 1,543 1,223 1,589 999 Injurious Falls … All outcome indicators expressed as potentially avoidable hospital stays per 100,000 persons in the HCBS

156. Table 19E: SMI Subpopulation | Agency for Healthcare Research and Quality
     www.qualitymeasures.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/tab19e.html
     March 01, 2023 - Featured Clinicians & Providers Data & Measures Digital Healthcare Research Education & Training Hospitals … Available from AHRQ Tools Featured Clinicians & Providers Hospitals … 17,046 19,215 17,075 Pressure Ulcer 3,124 2,492 3,084 2,232 2,819 2,301 Injurious Falls … Overall 17,757 20,393 19,476 16,171 Pressure Ulcer 2,658 2,731 2,846 2,191 Injurious Falls … All outcome indicators expressed as potentially avoidable hospital stays per 100,000 persons in the HCBS

157. Table 19F: HCBS Population Ages 18-64 Without I/DD or SMI | Agency for Healthcare Research and Quality
     www.qualitymeasures.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/tab19f.html
     March 01, 2023 - Featured Clinicians & Providers Data & Measures Digital Healthcare Research Education & Training Hospitals … Available from AHRQ Tools Featured Clinicians & Providers Hospitals … 21,282 21,204 19,420 Pressure Ulcer 6,082 4,303 4,919 4,872 4,765 5,535 Injurious Falls … Overall 20,343 22,153 21,427 18,076 Pressure Ulcer 4,499 5,846 4,870 5,072 Injurious Falls … All outcome indicators expressed as potentially avoidable hospital stays per 100,000 persons in the HCBS

158. Table 19B: Dually Eligible HCBS Participants | Agency for Healthcare Research and Quality
     www.qualitymeasures.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/tab19b.html
     March 01, 2023 - Featured Clinicians & Providers Data & Measures Digital Healthcare Research Education & Training Hospitals … Available from AHRQ Tools Featured Clinicians & Providers Hospitals … 20,450 21,888 19,402 Pressure Ulcer 4,659 3,573 4,127 3,570 4,133 3,186 Injurious Falls … Overall 20,856 22,154 22,042 18,402 Pressure Ulcer 4,014 3,688 4,171 2,882 Injurious Falls … All outcome indicators expressed as potentially avoidable hospital stays per 100,000 persons in the HCBS

159. Table 19C: Medicaid-Only HCBS Participants | Agency for Healthcare Research and Quality
     www.qualitymeasures.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/tab19c.html
     March 01, 2023 - Featured Clinicians & Providers Data & Measures Digital Healthcare Research Education & Training Hospitals … Available from AHRQ Tools Featured Clinicians & Providers Hospitals … 12,591 14,039 10,413 Pressure Ulcer 3,144 1,922 2,311 2,203 2,306 2,125 Injurious Falls … Overall 13,151 13,631 14,134 9,746 Pressure Ulcer 2,071 2,713 2,345 1,945 Injurious Falls … All outcome indicators expressed as potentially avoidable hospital stays per 100,000 persons in the HCBS

160. Table 19A: National HCBS Population | Agency for Healthcare Research and Quality
     www.qualitymeasures.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/tab19.html
     March 01, 2023 - Featured Clinicians & Providers Data & Measures Digital Healthcare Research Education & Training Hospitals … Available from AHRQ Tools Featured Clinicians & Providers Hospitals … 18,467 19,802 17,363 Pressure Ulcer 4,291 3,139 3,655 3,225 3,647 2,945 Injurious Falls … Overall 18,821 20,092 19,980 16,312 Pressure Ulcer 3,501 3,452 3,695 2,655 Injurious Falls … All outcome indicators expressed as potentially avoidable hospital stays per 100,000 persons in the HCBS