-
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?
-
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
-
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
-
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 follow … up
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
-
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
-
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
-
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
-
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.
-
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.
-
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
-
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.
-
www.ahrq.gov/ncepcr/care/coordination/atlas/chapter6i.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 … 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
-
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
-
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
-
www.ahrq.gov/ncepcr/care/coordination/atlas/chapter6w.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 … 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
-
www.ahrq.gov/ncepcr/care/coordination/atlas/chapter6o.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 … 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
-
www.ahrq.gov/ncepcr/care/coordination/atlas/chapter6j.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 … 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
-
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
-
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 & Follow … Up
• 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
-
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.