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www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/cahps-101-webcast-04-fry.pdf
June 02, 2025 - Approaches Yielding
Higher Response Rates
• Mail
• Telephone
• Mixed Mode
► Mail with telephone follow-up … ► Notification of web survey with mail or telephone follow-up
Survey environment rapidly evolving;
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www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/cahps-emergency-dept-webinar-survey-admin.pdf
June 02, 2025 - )
Standard Mixed Mode (Mail-Telephone)
Initial attempt: mailed survey
Phone follow-up starting … initial attempt
Web-Telephone Mode
Initial attempt: emailed survey
Two reminder emails
Phone follow-up … emailed survey
Two reminder emails
Mailed survey sent on day 6 from initial attempt
Phone follow-up
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www.ahrq.gov/sites/default/files/wysiwyg/nursing-home/resources/qapi-leadership-rounding-guide-centers-for-medicare.pdf
June 02, 2025 - When employees raise issues or ask for help, assure them you will follow up.
4. … Follow up on previous issues or requests —share with staff how the issues were addressed or resolved. … Conduct follow-up to show responsiveness to the issues raised (note: this may involve following up with
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www.ahrq.gov/professionals/quality-patient-safety/patientsafetyculture/medical-office/2014/mosurv14chap5.html
June 01, 2014 - Patient Care Tracking/Follow-up —(average 86 percent positive). … Patient Care Tracking/Follow-up(average 86 percent positive) —the office reminds patients about appointments … , documents how well patients follow treatment plans, follows up with patients who need monitoring, and … follows up when reports from an outside provider are not received. … response (91 percent positive) was from the patient safety culture composite Patient Care Tracking/Follow-up
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www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/webinar-012220-fry2.pdf
June 02, 2025 - Approaches Yielding
Higher Response Rates
• Mail
• Telephone
• Mixed Mode
► Mail with telephone follow-up … ► Notification of web survey with mail or telephone follow-up
26
Analysis of Survey Results
•
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www.ahrq.gov/ncepcr/care/coordination/atlas/chapter6y.html
June 01, 2014 - Assess needs and goals
Create a proactive plan of care
Monitor, follow … up, and respond to change
□
Support self-management goals
Link to … referral information), medication reconciliation, accountability (i.e., naming primary care provider), follow-up … up, and respond to change
■
Support self-management goals
■
Link to … using a registry to track patients with chronic disease, providing reminders to patients about needed follow-up
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www.ahrq.gov/cahps/quality-improvement/improvement-guide/6-strategies-for-improving/coordination-of-care/strategy6l-planned-visits.html
March 01, 2020 - However, more general studies of the effects of follow-up visits for chronic illness found that they … For example, one study found that children and adolescents with regular follow-up visits for diabetes … up. 4
Return to Contents
6.L.4. … Collaboratively develop an action plan that the patient can and will follow. … Consequences of irregular versus continuous medical follow-up in children and adolescents with insulin-dependent
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www.ahrq.gov/sites/default/files/wysiwyg/action-alliance/safer-guides-slides.pdf
February 18, 2025 - entering orders, notes, or
referrals
• Data entry or review of the wrong patient’s data
• Lack of follow-up … medications
• Incorrect or delayed treatment (e.g. lost referrals)
• Delays or missed diagnoses (e.g. no follow-up … Patient Identification
► Computerized Provider Order
Entry with CDS
► Test Results Reporting and
Follow-up … Contingency Planning - 3
• Computerized Provider Order Entry with CDS - 3
• Clinical Communication - 1
31
Follow-up … Results
High Priority Practices Guide - Results
Implementation Bar Graph
Areas of Focus Identified
Follow-up
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www.ahrq.gov/patient-safety/settings/hospital/resource/guide/web3.html
December 01, 2017 - Post-discharge follow up calls.
Centralized appointment scheduling. … Arrange for follow up & services. … Provide or link to transitional care services—
Follow up phone calls. … Ensure linkage to follow up and services—
Follow up phone calls to patients and to home health agencies … Schedule follow up <7 days in [hospital-owned] clinics.
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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide207.html
October 01, 2014 - barriers, and tips for quitting; midwife counseling in one 10-minute session; self-help manual; and follow-up … Counselor provided one 90-minute counseling session plus bimonthly telephone follow-up calls during pregnancy
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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-0217-scd-pain-specifications.pdf
June 02, 2025 - through discussion with the patient including the
use of a standardized tool; no documentation of a follow-up … Pain doc pos
and plan
Pain assessment documented as positive utilizing a
standardized tool and a follow-up … is documented
Pain
Assessment
G8731 Pain neg no plan Pain assessment documented as negative, no follow-up … through discussion with the patient
including the use of a standardized tool; no
documentation of a follow-up
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www.ahrq.gov/ncepcr/care/coordination/atlas/chapter6u.html
June 01, 2014 - up, and respond to change
Support self-management goals
Link to … up, and respond to change
□
Support self-management goals
Link to … up, and respond to change
Medication Management
Development and Testing: None described in the … up, and respond to change
□
Support self-management goals
■
Link to … up, and respond to change: 8.1
Support self-management goals: 6.1 (3-9 month old bracket); 6.1 (
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www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/chipra-89-adhd-behavior-section-6-attach-2.pdf
June 02, 2025 - Support/Non-Support
Summary of Key Issues, Recommendations and Questions for Work Group
Measure #3: Follow-Up … management (American Occupational Therapy Association)
- Recommendation to include other settings for follow … up care, eg school where nurse can
monitor height and weight (American Academy of Family Physicians … numerator and denominator statements for
clarity (PMAG)
- Recommendation to revised language to “4 follow … up visits” (AMA-PCPI Specifications
Staff)
Page 3 of 3
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www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/chipra-88-measure-1-section-6-attachment-2.pdf
June 02, 2025 - Support/Non-Support
Summary of Key Issues, Recommendations and Questions for Work Group
Measure #3: Follow-Up … management (American Occupational Therapy Association)
- Recommendation to include other settings for follow … up care, eg school where nurse can
monitor height and weight (American Academy of Family Physicians … numerator and denominator statements for
clarity (PMAG)
- Recommendation to revised language to “4 follow … up visits” (AMA-PCPI Specifications
Staff)
Page 3 of 3
-
www.ahrq.gov/ncepcr/care/coordination/atlas/chapter6k.html
June 01, 2014 - up, and respond to change
Support self-management goals
Link to … up, and respond to change
Support self-management goals
Link to … Follow-Up Care Delivery
Care Coordination Measure Mapping Table
Measurement Perspective …
Legend:
■ = ≥ 3 corresponding measure items
□ = 1-2 corresponding measure items
Follow-Up … Follow-up care delivery among colorectal cancer survivors most often seen by primary and subspecialty
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www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/cahps-creative-strategies-nembhard.pdf
January 01, 2014 - during the prior 6 months
► Baseline: 3,209 patients (58%) replied; 3,007 met inclusion criteria
► Follow-up … employees about teamwork using existing scales
► Baseline: 96 employees (51%) returned usable surveys
► Follow-up … ► Proxy for accessibility of care, engagement with patients,
monitoring, and follow-up to achieve care … Improvement In
Clinician-reported Teamwork
1
2
3
4
Intervention Group Comparison Group
Baseline
Follow-Up … For
Enrolled Patients
1
2
3
4
5
6
7
8
9
10
Intervention Group Comparison Group
Baseline
Follow-Up
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www.ahrq.gov/funding/grantee-profiles/grtprofile-mazur.html
March 01, 2023 - his project was motivated by existing research that had found that providers still were challenged to follow-up … make usability improvements within the EHR that could enhance providers’ ability to acknowledge and follow … up on critically abnormal test result alerts.” … automatically sorting critical test results into a dedicated folder for patients who failed to show up … for a follow-up visit, and providing decision support instructions for next steps—were linked to better
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www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/chipra-89-adhd-behavior-section-5-attach-2.pdf
November 12, 2010 - Notably, follow-up care diminished from more than 90% of visits to 75%. … or psychiatrists to prescribe
stimulants and less likely to utilize diagnostic services, engage in follow-up … A study by Gardner, et al suggests that children treated for ADHD require additional
follow-up … Follow-up Care of Children Identified with ADHD by
Primary Care Clinicians: A Prospective Cohort Study … The Journal of Pediatrics
December 2004.
9) Jensen PS, Arnold E, Swanson JM, et al. 3-Year Follow-up
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www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/chipra-88-measure-1-section-5-attachment-2.pdf
November 12, 2010 - Notably, follow-up care diminished from more than 90% of visits to 75%. … or psychiatrists to prescribe
stimulants and less likely to utilize diagnostic services, engage in follow-up … A study by Gardner, et al suggests that children treated for ADHD require additional
follow-up … Follow-up Care of Children Identified with ADHD by
Primary Care Clinicians: A Prospective Cohort Study … The Journal of Pediatrics
December 2004.
9) Jensen PS, Arnold E, Swanson JM, et al. 3-Year Follow-up
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/literacy-toolkit/healthlittoolkit2-tool2a.docx
June 02, 2025 - Staff members contact patients between office visits to ensure understanding or to follow up on plans … ☐
☐
☐
☐
6-Follow up
19. … ☐
☐
☐
☐
6-Follow up
15-Make Action Plans
40. … Staff members confirm patient follow through after a referral is made. … ☐
☐
☐
☐
6-Follow up
18-Non-Medical
Support
20-Literacy and Math Resources
21- Referrals
AHRQ