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  1. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/safetransitions/safetrans_apptaide.pdf
    December 01, 2017 - Use this tool to help you speak up, ask questions, and let your team know what information you need to … ❑ Call 911 ❑ Go to the nearest emergency room or clinic ❑ Call _________________ ❑ Schedule follow-up … ❑ Call 911 ❑ Go to the nearest emergency room or clinic ❑ Call _________________ ❑ Schedule follow-up … Please do not hesitate to speak up and ask questions. 1. … (For example, when to take medicines, or when to follow up) 2. What can I do to help the patient?
  2. www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/cahps-how-are-surveys-administered-fry-webinar.pdf
    June 02, 2025 - That Currently Yield Higher Response Rates • Mail • Telephone • Mixed Mode  Mail with Telephone follow-up …  Email with Mail or Telephone follow-up • Survey environment rapidly evolving; CAHPS Consortium continues
  3. www.ahrq.gov/prevention/resources/chronic-care/ccrm-atlas-suppl/ccrm-apptabA-5.html
    October 01, 2013 - Measure 2: Parental interest in following up on the local agency referral Previous Page Next … Measure 2: Parental interest in following up on the local agency referral A-6. … CCRM Atlas Measure 2: Parental interest  in following up on the local agency referral (Safety Check … This measures the parent's level of interest in following up on the local agency referral. … Numerator: Number of respondents who selected “Interested” or “Very interested” in following up
  4. www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/tools-and-materials/skills-qi-tracking.docx
    June 02, 2025 - Establish patient monitoring for success with or barriers to care plan and status reports (portals, follow-up … patients not on antithrombotic therapy Outreach list for uncontrolled hypertension with no recent followup Outreach list for IVD/CVD patients not on a statin Outreach list for DM not on statin … patient monitoring for success with or barriers to care plan and status reports (portals, f ol low - up … Establish patient monitoring for success with or barriers to care plan and status reports (portals, follow-up
  5. www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/tools-and-materials/skills-qi-report.pdf
    June 02, 2025 - Fill out the third table immediately after the encounter, with the exception of the time spent in follow-up … Prep time Travel time Primary care provider face time Total time Follow-up time H:MM H:MM H:MM … Prep time Travel time Primary care provider face time Total time Follow-up time H:MM H:MM H:MM … Prep time Travel time Primary care provider face time Total time Follow-up time H:MM H:MM H:MM
  6. www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/chipra-88-measure-1-section-2-attachment-4.xlsx
    June 02, 2025 - psychiatric disorders starts before or during Occurrence A N/A 2 Follow-up and Symptom Management … Medical reason ALL specified elements of follow-up care not provided ALL specified elements … of follow-up care not provided, medical reason documented N/A 2 Follow-up and Symptom Management … System reason ALL specified elements of follow-up care not provided ALL specified elements … of follow-up care not provided, system reason documented N/A DET Color Key Denominator Numerator
  7. www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide59.html
    October 01, 2014 - Arrange follow-up. … For the patient willing to make a quit attempt, arrange for follow-up contacts, beginning within the
  8. Teach-Back (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/pfeprimarycare/teach-back-slides-final508.pdf
    June 02, 2025 - – Start fluoxetine (20 mg PO QD). – Follow up with an orthopedist for a possible knee replacement … Follow up with an orthopedist for a possible knee replacement. Continue atorvastatin (20 mg PO QD). … The clinician will follow up with Mr. … Santiago: – Follow up with cardiologist as planned. … Santiago includes: Follow up with her cardiologist as planned.
  9. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/pfeprimarycare/teach-back-slides-final508.pptx
    June 02, 2025 - Follow up with an orthopedist for a possible knee replacement. Continue atorvastatin (20 mg PO QD). … Follow up with an orthopedist for a possible knee replacement. Continue atorvastatin (20 mg PO QD). … The clinician will follow up with Mr. … Santiago: Follow up with cardiologist as planned. … Santiago includes: Follow up with her cardiologist as planned.
  10. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/safetransitions/safetrans_checklist.pdf
    December 01, 2017 - – Using follow-up phone calls to discover if the patient has any additional questions. … – Asking the patient if they need help making follow-up appointments, and providing support as needed … Let the patient know if your practice will conduct a follow-up call after the new appointment and verify
  11. 0129Table8 (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/0129table8.pdf
    January 01, 2013 - The intervention consisted of a 3-month APN-directed discharge planning and home follow-up protocol … Fifty-nine patients in the control group (42.1%) had at least one readmission during follow-up, as … The impact of postdischarge telephonic follow-up on hospital readmissions. … Patients who had post- discharge follow-up within 30 days of hospital discharge were readmitted less … Outpatient follow-up and rehospitalizations for sickle cell disease patients.
  12. www.ahrq.gov/ncepcr/care/coordination/atlas/chapter6i.html
    June 01, 2014 - Assess needs and goals   □   Create a proactive plan of care       Monitor, followup, and respond to change   ■   Support self-management goals   □   Link to … up, and respond to change: 9, 11, 12 Support self-management goals: 9, 19 Align resources with … up, and respond to change ■     Support self-management goals ■     Link to … up, and respond to change     ■ Support self-management goals     □ Link to
  13. www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/165-cusp-monthly-meeting-agenda.docx
    June 02, 2025 - Desired goals could include following up on action items, celebrating success stories, and sharing any … Assign system sleuths to learn more and remember to follow-up! 3. … Action items: CUSP Champion summarizes action items, owners of these action items, and expected follow-up
  14. www.ahrq.gov/sites/default/files/2024-12/moyer-report.pdf
    January 01, 2024 - Previous studies have measured attendance at follow-up appointments using a conceptual approach that … on the part of caregivers rather than systematic difficulties that lead to delayed or inadequate follow-up … of children discharged from pediatric (not neonatal) intensive care did not receive timely medical follow-up … recommendations C) Consulting services document recommendations for follow-up in medical record D) … Follow-up appointment occurs A) Patient is seen by primary care pediatrician B) Primary care pediatrician
  15. www.ahrq.gov/ncepcr/care/coordination/atlas/chapter6w.html
    June 01, 2014 - Assess needs and goals ■     Create a proactive plan of care       Monitor, followup, and respond to change ■     Support self-management goals ■     Link to … up, and respond to change: 9, 18, 20, 35, 49 Support self-management goals: 29, 30, 39, 50 Link … up, and respond to change     ■ Support self-management goals     □ Link to … up, and respond to change □     Support self-management goals □     Link to
  16. www.ahrq.gov/ncepcr/care/coordination/atlas/chapter6o.html
    June 01, 2014 - Assess needs and goals   □   Create a proactive plan of care   □   Monitor, followup, 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: 1,2 Teamwork focused on coordination: 3 Development and Testing: … up, and respond to change □     Support self-management goals □     Link to
  17. www.ahrq.gov/ncepcr/care/coordination/atlas/chapter6j.html
    June 01, 2014 - Assess needs and goals   ■   Create a proactive plan of care   ■   Monitor, followup, 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 □     Support self-management goals □     Link to … up, and respond to change □     Support self-management goals □     Link to
  18. www.ahrq.gov/sites/default/files/wysiwyg/cahps/surveys-guidance/surgical/about/F2CGLizHoyRogerLevine.pdf
    June 02, 2025 - domains of surgical episode – Informed consent – Shared decision making – Post-operative follow-up … Clinical skills 121 41.2% 881 32.6% < .001 Provides good follow-up care 26 8.8% 114 4.2% < .001 Gives …  The following domains were particularly important to assess - Follow-up care - Involvement … Reporting composites – Pre-surgical Communication – Peri-operative Care – Post-surgical Follow-up … surgery before leaving the facility Reporting CompositesReporting Composites  Post-surgical follow-up
  19. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patientsafetyculture/asc/ascwebinar/tinsleyslides.pdf
    September 01, 2015 - Staffing, Work Pressure, and Pace 76% 77% Communication Openness 85% 77% 58 58 Reactions & FollowUp • Shared results during staff meetings and at quarterly board meeting with doctors  Surprised … that staff might be afraid, and not feel at ease to speak up during a case • Staff encouraged … encouragement for more open communication and making the atmosphere more comfortable for speaking up … USC Medical Staff Underwood Surgery Center Structure Response Rate Survey Results Reactions & Follow
  20. www.ahrq.gov/sites/default/files/wysiwyg/pqmp/toolkits/sca-key-drive-diagram.pdf
    June 02, 2025 - Follow up card after hospital discharge to connect with MHP care coordinator resources. … Obtain transportation support for appointments or other medical needs (e .g., picking up prescriptions … Follow up plan communicated to MHP care coordinator.

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