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41. Patient Letter (pdf file)
    digital.ahrq.gov/sites/default/files/docs/resource/Schillinger_Q6_Pt_Letter.pdf
    June 16, 2021 - Patient Letter Dear Date:____________ My name is Dr. Albert Yu; I am the Medical Director of Chinatown Public Health Center and am writing to personally inform you of a GREAT program called SMART Steps. This program is being offered for the first time to our San Francisco Health Plan …

42. San Francisco Health Plan Orientation Call (pdf file)
    digital.ahrq.gov/sites/default/files/docs/resource/PCC_Schillinger_Q2_ATSM_orientation_call_for_ATSM__ATSM_Plus.pdf
    June 16, 2021 - San Francisco Health Plan Orientation Call San Francisco Health Plan Orientation Call for ATSM & ATSM-Plus Hello, I am calling from San Francisco Health Plan. May I speak with (First and Last Name)? Thank you for your interest in our new support program for diabetes. As a reminder you will get a $25 gift ca…

43. Compliance Patient Letter (pdf file)
    digital.ahrq.gov/sites/default/files/docs/resource/James_Veline_IQHIT_Q6_Adherence_and_Compliance_Patient_Letter.pdf
    June 16, 2021 - Compliance Patient Letter [Date] [Recipient Name] [Street Address] [City, ST ZIP Code] Dear [Recipient Name]: With recent advancements in technology, our clinic is able to assist you with your blood pressure medication in more ways than ever before. Electronic prescribing gives our…

44. Automated Telephone Self-Management ProgramThe San Francisco Health Plan Enrollment Outreach Call (pdf file)
    digital.ahrq.gov/sites/default/files/docs/resource/PCC_Schillinger_Q2_EnrollmentOutreachCallSFHP.pdf
    June 16, 2021 - Automated Telephone Self-Management ProgramThe San Francisco Health Plan Enrollment Outreach Call 1 Automated Telephone Self-Management Program The San Francisco Health Plan Enrollment Outreach Call Hello, I am calling from San Francisco Health Plan. May I speak with (First and Last Name) please? Confirm…

45. James Veline Iqhit Q6 Compliance And Adherence Patient Handout (pdf file)
    digital.ahrq.gov/sites/default/files/docs/resource/James_Veline_IQHIT_Q6_Compliance_and_Adherence_Patient_Handout.pdf
    June 16, 2021 - We use medicines to treat illness so that we can avoid going to the hospital and have a better life. Medical scientists have shown that medicines help us deal with illness and improve our health Yet many people do not know how important their medicines are This is true for people taking medicine to keep their bl…

46. Welcome Letter Wait List (pdf file)
    digital.ahrq.gov/sites/default/files/docs/resource/PCC_Schillinger_Q3_Welcome_Letter_Wait_List_ENG.pdf
    June 16, 2021 - Welcome Letter Wait List Date: Dear (Mr. / Ms.) _________, WELCOME to the San Francisco Health Plan Diabetes Telephone Support Project! We are very excited that you will be participating. As we mentioned in our orientation call, due to a large number of participants, we are enrolling SFHP memb…

47. PHP Counseling Activation (pdf file)
    digital.ahrq.gov/sites/default/files/docs/resource/PCC_Adams_Q2_PHPCounselingActivation.pdf
    June 16, 2021 - PHP Counseling Activation Topic Trigger Group Answer(s) Counseling message Activation Message Follow-up Questions Depression Positive PHQ2 question PHP+C Yes (1) Pediatricians can support parental depression. (2) Talk to your own (1) Commit to bring up in visit w/ pediatrician. PCP. (1) Was de…

48. The Personal Health Partner (pdf file)
    digital.ahrq.gov/sites/default/files/docs/resource/Adams_Q6_40947_trifold.pdf
    June 16, 2021 - The Personal Health Partner SUMMARY The Personal Health Partner is an automated telephone system designed to: (1) Gather information about your child before a primary care visit; (2) Share this information with your pediatrician (in a very confidential way); (3) Follow up with you after the visit to fi…

49. Uhin Healthinsight Roi Worksheet (xls file)
    digital.ahrq.gov/sites/default/files/docs/survey/UHIN_HealthInsight_ROI_Worksheet.xls
    June 16, 2021 - Settings Hospital Sending: Discharge summaries Receiving: History and physicals History and physicals Lab results Clinic Sending: History and physicals Receiving: Discharge summaries Lab results History and physicals Insurer Sending: Receiving: Discharge summaries History and physicals Lab r…

50. DATAFORM 3 Medication Error and Near Miss Classification Form (pdf file)
    digital.ahrq.gov/sites/default/files/docs/resource/Dataform_3_Medication_Error_and_Near_Miss_Classification_Form.pdf
    June 16, 2021 - DATAFORM 3 Medication Error and Near Miss Classification Form WBD DATAFORM 3 Medication Error and Near Miss Classification Form 1. Study ID Number: ____ ____-____ ____ ____ ____ ____ 2. Reviewer ID Number: ____ ____ See below for codes 3. Case # 4. Script # 5. ME o…

51. DATAFORM 5 ADE and Near Miss Incident Classification Form (pdf file)
    digital.ahrq.gov/sites/default/files/docs/resource/Dataform_5_ADE_and_Near_Miss_Incident_Classification_Form.pdf
    June 16, 2021 - DATAFORM 5 ADE and Near Miss Incident Classification Form DATAFORM 5 ADE and Near Miss Incident Classification Form 1. Study ID Number: ____ ____ ____ ____ 1. Rx ID Number: ____ ____ ____ ____ 2. Case Number: ____ ____ ____ ____ ____ 3. Reviewer Initials: ____ ____ ____ 4. C…

52. Dataform 4: Chart Review form (pdf file)
    digital.ahrq.gov/sites/default/files/docs/resource/Dataform_2_Chart_Review.pdf
    June 16, 2021 - Dataform 4: Chart Review form Page 1 of 7 Center for Excellence for Patient Safety Research and Practice 5/27/05 Dataform 2: Chart Review Version 0. 11 DATAFORM 2 Chart Review Form Collect at 4 months from study enrollment date (one month prior to T) 1. Study ID Number: ___…

53. Dataform 1 (pdf file)
    digital.ahrq.gov/sites/default/files/docs/resource/Dataform_1_Prescription_Screening_Form.pdf
    June 16, 2021 - Dataform 1 Page 1 of 4 Center of Excellence for Patient Safety Research and Practice 1/26/08 Dataform 1: Prescription Screening Form Version 0.10 DATAFORM 1 Prescription Screening Form 1. Study ID Number: ____ ____-____ ____ ____ ____ ____ 2. Reviewer ID Number: …

54. AmbulDATAFORM 4 ADE Incident Identification Formatory Pedi Med Study (pdf file)
    digital.ahrq.gov/sites/default/files/docs/resource/Dataform_4_ADE_Incident_Identification_Form.pdf
    June 16, 2021 - AmbulDATAFORM 4 ADE Incident Identification Formatory Pedi Med Study DATAFORM 4 ADE Incident Identification Form 1. Study ID Number: ___ ___-___ ___ ___ ___ ___ 2. Case Number: ___ ___ ___ ____ 3. Reviewer ID Number: ___ ___ 4. Brief description of ADE: ____________________________…

55. Communication-Focused Technologies for Improving the Health of Young African-American Women: Appendix C—Pilot-Testing Quantitative Results: Intake and 2 Month Assessment (pdf file)
    digital.ahrq.gov/sites/default/files/docs/publication/AppendixC_Comm_Tech_For_AA_Women.pdf
    June 16, 2021 - Communication-Focused Technologies for Improving the Health of Young African-American Women: Appendix C—Pilot-Testing Quantitative Results: Intake and 2 Month Assessment Appendix C: Pilot-Testing Quantitative Results: Intake and 2 Month Assessment How easy was it to talk with Gabby? How much do you trus…

56. Electronic Medical Record (EMR) checklist (pdf file)
    digital.ahrq.gov/sites/default/files/docs/workflowtoolkit/Electronic_medical_record_checklist.pdf
    December 18, 2021 - Electronic Medical Record (EMR) checklist © 2003 Medical Group Management Association. All rights reserved. Medical Group Management Association 104 Inverness Terrace East Englewood, CO 80112 Electronic Medical Record (EMR) checklist Thinking about implementing EMR in your practice…

57. Communication-Focused Technologies for Improving the Health of Young African-American Women: Appendix D—Change in Stage of Change by Risk, Pilot-Testing (n=6) (pdf file)
    digital.ahrq.gov/sites/default/files/docs/publication/AppendixD_Comm_Tech_For_AA_Women.pdf
    June 16, 2021 - Communication-Focused Technologies for Improving the Health of Young African-American Women: Appendix D—Change in Stage of Change by Risk, Pilot-Testing (n=6) Appendix D: Change in Stage of Change by Risk, Pilot-Testing (n=6) RISK INITIAL STAGE Initial Value ENDING STAGE Ending Value Direction of Chan…

58. Communication-Focused Technologies for Improving the Health of Young African-American Women: Appendix E—Overview of Stage of Change Results (pdf file)
    digital.ahrq.gov/sites/default/files/docs/publication/AppendixE_Comm_Tech_For_AA_Women.pdf
    June 16, 2021 - Communication-Focused Technologies for Improving the Health of Young African-American Women: Appendix E—Overview of Stage of Change Results Appendix E: Overview of Stage of Change Results Table 1. Initial stage of change and distribution of final stage of change (all risks discussed) Initial stage # Risks % …

59. Patient Check Out (pdf file)
    digital.ahrq.gov/sites/default/files/docs/workflowtoolkit/PatientCheckOut.pdf
    December 18, 2021 - Patient Check Out Patient Check Out Fr on t D es k/ C he ck O ut P at ie nt Patient completes clinic visit and appears at checkout desk Does patient need to pick up Rx at in-clinic pharmacy? Patient obtains meds and returns to checkout counter Select patient from database …

60. Quality Measures Practice Summary Table (pdf file)
    digital.ahrq.gov/sites/default/files/docs/resource/Bove_Q6_performance_grading.pdf
    June 16, 2021 - Quality Measures Practice Summary Table Quality Measures Practice Summary Table Quality Measures Practice Summary Table