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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patientsafetyculture/medical-office/mowebinar_2014/funaro-0914slides.pdf
January 01, 2014 - Hospital
• Yuma Clinic is a federally qualified Rural Health
Center
47
47
Patient Care Tracking/Follow … up
44%
82%
0%
20%
40%
60%
80%
100%
2011 2013
Pe
rc
en
t P
os
iti
ve
R
es
po
ns
e … Year Administered
48
48
Patient Care Tracking/Follow up
Key factors with the implementation … Mapping
Solutions discussed
• New process suggestions taken back to clinic for
implementation
• Follow … Yuma District Hospital and Clinics
Yuma Clinic Background
Patient Care Tracking/Follow up
Patient
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www.ahrq.gov/ncepcr/care/coordination/atlas/chapter6t.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 … was transmitted to the facility or primary physician or other health care professional designated for follow-up … up, and respond to change
□
Support self-management goals
Link to … Monitor, follow-up, and respond to change
Development and Testing: The measure was endorsed by NQF
-
www.ahrq.gov/patient-safety/reports/liability/etchegaray.html
August 01, 2017 - There were significant improvements (all p-values < .05) in the follow-up surveys compared with the baseline … Follow-up survey data revealed significant differences (all p-values < .001) between faculty who had … In all, 1,217 participants completed the follow-up survey, resulting in a response rate of 22 percent … We compared culture perceptions between baseline and follow-up surveys by examining percent positive … Minor error disclosure culture was significantly higher in the follow-up surveys than in the baseline
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/continuing-ed/moc_haguide.pdf
January 14, 2016 - ............................................................................................. 10
Follow-up … You will need Internet access to use the dynamic charting feature in the Baseline and Follow-up
Data … Follow-up Data
You will repeat the data collection process using the same performance measurements you … The follow-up performance measure results will be shown in a table. … data
and a comparison between the baseline and follow-up data.
-
www.ahrq.gov/sites/default/files/2024-12/eder-report.pdf
January 01, 2024 - indicates the importance of a consistent practice process for
tracking samples, test results, and follow-up … ; of informing patients of all test
results; of increased patient follow-up on abnormal results; and … failures in monitoring patients through follow-up on their abnormal
results for three of the four tests … More patients were not monitored through follow-up than were not notified
of their results for three … Our study illustrates the high and unacceptable error rates
in test notification follow-up in a group
-
www.ahrq.gov/news/newsroom/case-studies/201522.html
August 01, 2015 - interventions focus on comprehensive discharge planning, patient education, and post-discharge patient follow-up … By designating discharge advocates who help patients reconcile their medicines and schedule follow-up … Patients who are discharged home receive a follow-up phone call within 72 hours" as well as three additional … This team prompts other team members to educate patients, help them manage medications, set up doctors … The hospital instituted teach-back, follow-up appointments, patient call-backs, and other aspects of
-
www.ahrq.gov/sites/default/files/2024-01/jack-report.pdf
January 01, 2024 - Pilot studies of post-discharge
follow-up were performed. … Post-discharge follow-up appears to be effective. … The problems
inherent in such care are compounded because the 15-minute post-hospital follow-up visit … Post-discharge follow-up phone call by a
pharmacist and impact on patient care. … No follow up with patient post-discharge: “Did you
get medications, etc?”
-
www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/20131008_cg/service_expectations_poster.pdf
June 02, 2025 - Thank patients for coming
to MGH
Associated “ALWAYS” Behaviors
Ask if patients need any
follow-up … INTERACTIONS
Service Expectations
Use four-part telephone greeting
Address caller by proper name
Follow … proper hold protocol
Follow transfer call protocol
Use two-part telephone closing
Associated “ALWAYS … Expectation
Providers and other clinical professionals entering
an exam room will consistently follow … / concerns
END
Explain results of exam / procedure
Explain next steps needed
(e.g., tests, follow-up
-
www.ahrq.gov/ncepcr/care/coordination/atlas/chapter4tab4.html
June 01, 2014 - Use clinically relevant information to identify patients who should receive reminders for preventive/follow-up … Atlas Domains: Monitor, follow up, and respond to change
eMeasure specifications available: N/A … across settings
eMeasure specifications available: Yes
Stage 2 Meaningful Use EP CQM
Follow-Up … Two rates are reported: (1) percent of children with one follow-up visit with a practitioner with prescribing … Atlas Domains: Monitor, follow up, and respond to change
eMeasure specifications available: Yes
-
www.ahrq.gov/funding/training-grants/grants/active/kawards/Kawdsumwere.html
October 01, 2014 - program to enable automatic delivery of returning results for pending tests to the designated outpatient follow-up … Evaluate how the automatic delivery of test results impacts follow-up providers' actions and attitudes … enhanced to allow it to deliver results of tests that were identified as pending to the outpatient follow-up
-
www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/recent-insights-webcast-parast.pdf
June 02, 2025 - conducted in 2016 with 50 hospitals
• Mail only, Telephone only, Standard mixed mode (mail with
telephone follow-up … within hospital to 1 of 9 survey arms
►Reference arm was standard mixed mode: mail with telephone
follow-up … invitations/reminders
• All arms involved sequential mixed modes
• All arms had mail and/or telephone follow-up … +mail+phone: 27.3%
►But not significantly higher than mail+phone: 25.5%
• Only arms with telephone follow-up
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www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/20140115_DB/5_Francis_Fullam_slide_45-52.pdf
June 02, 2025 - 88.91% 90.19% 1.28% 40th percentile
46 47
®
48
UHC Results – Follow-up on Test Results and … The area of weakest performance is in follow-up on results. … ordered a blood test, x-
ray or other test for you, how often did
someone from this doctor’s office follow … up to give you those results? … 2010 Pilot
UHC Results Compared to National
UHC Results—Doctor Communication
UHC Results – Follow-up
-
www.ahrq.gov/sites/default/files/2025-07/fenton2-report.pdf
January 01, 2025 - to 18 months of follow-up. … Results: Patients with acute low back pain who saw intervention and control clinicians during follow-up … Intervention and control clinicians had similar mean patient experience
ratings during follow-up. … (The follow-up plan may or may not include
a plan for deferred imaging.) … Of the 53 clinicians, 50 completed an audio-
recorded SP visit at ~9 months of follow-up.
-
www.ahrq.gov/sites/default/files/2025-03/fenton-report.pdf
January 01, 2025 - to 18 months of follow-up. … Results: Patients with acute low back pain who saw intervention and control clinicians during
follow-up … Intervention and control clinicians had similar mean patient
experience ratings during follow-up. … (The follow-up plan may or may not
include a plan for deferred imaging.) … Of the 53 clinicians, 50 completed
an audio-recorded SP visit at ~9 months of follow-up.
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/clinicians-providers/iadapt/hugheshalbert.pdf
December 19, 2014 - This decreased to 49% at 3-month follow-up. … Similarly, 67% reported that they trusted researchers
almost all or most of the time, but at follow-up … This
increased to 74% at the 3-month follow-up.
-
www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/chipra-88-measure-1-section-14-attachment-1.pdf
January 01, 2011 - Notably, follow-up care diminished from more
than 90% of visits to 75%. … At least 3 follow up visits in the year following initial diagnosis of ADHD, including 1
visit within … At least 2 of the 3 follow-up visits with assessment of ADHD symptoms (Inattention,
Hyperactivity and … up care
(e.g. patient for whom the follow up visits were not all with the same practice)
Supporting … Researchers noted that a single follow up visit is not
adequate to allow for medication adjustment or
-
www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/chipra-89-adhd-behavior-section-14-attach-1.pdf
January 01, 2011 - Children identified with ADHD, including those prescribed medication, had a median of
only one follow-up … Notably, follow-up care diminished from more
than 90% of visits to 75%. … At least 3 follow up visits in the year following initial diagnosis of ADHD,
including 1 visit within … At least 2 of the 3 follow-up visits with assessment of ADHD symptoms
(Inattention, Hyperactivity and … Researchers noted that a single follow up visit is not adequate to allow for
medication adjustment or
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patientsafetyculture/pharmacy/pharmwebinar/motzslides.pdf
June 02, 2025 - Follow up from Pilot Study
• Take action based on
survey results
• Asked locations to
develop patient … Follow up from Pilot Study
• Some QI Project Examples:
– Accurately identify patients using date of … Care
Experience with the Pharmacy Safety Culture Pilot Study
Pilot Study – Selected Results
Follow … up from Pilot Study
Next Steps
Thank you
-
www.ahrq.gov/ncepcr/reports/2024-annual-report/profile-p8-reed.html
May 01, 2024 - northern California from the multi-year study period to examine rates of prescribing and ordering, follow-up … telemedicine visit. 1 Researchers also found that there were lower rates of prescribing and higher rates of follow-up … Rates of follow-up office visits, emergency department visits, and hospitalizations were lower following … Treatment and Follow-up Care Associated With Patient-Scheduled Primary Care Telemedicine and In-Person … Primary care video and telephone telemedicine during the COVID-19 pandemic: treatment and follow-up health
-
www.ahrq.gov/sites/default/files/2024-12/danforth-report.pdf
January 01, 2024 - We found that timely follow-up of an initially abnormal estimated glomerular filtration
(eGFR) rate … The follow-up
(repeat) laboratory test is recommended to evaluate the chronicity of kidney function … Thus, follow-up of an initially abnormal eGFR result is complicated by the
need to wait to repeat the … and orders a
second lab test in order to minimize the impact of missed or delayed follow-up testing … Follow-up of abnormal
estimated GFR results within a large integrated health care delivery system: