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1. Healthy Hearts Northwest Follow-up Practice Survey (#2) (pdf file)
   www.cpsi.ahrq.gov/sites/default/files/wysiwyg/evidencenow/results/research/practice-survey-6mon-post-intervention-nw.pdf
   February 27, 2019 - Healthy Hearts Northwest Follow-up Practice Survey (#2) Page 1 CONTINUE TO PAGE 2 Healthy Hearts … Healthy Hearts Northwest Follow-up Practice Survey (#2) The first set of questions

2. Follow-up Practice Survey Codebook Including Core and Optional Items (pdf file)
   www.cpsi.ahrq.gov/sites/default/files/wysiwyg/evidencenow/results/research/survey-codebook-post-intervention.pdf
   August 23, 2018 - Follow-up Practice Survey Codebook Including Core and Optional Items Follow-up Practice Survey Codebook … codebook contains optional items that at least one cooperative expressed intentions of collecting in follow-up … Timepoint Baseline………………T0 First follow-up………..T1 Second follow-up……..T2 R18_cooperative Practice_site_ID … ________combined office staff FTE Number_psychol Psychologist Follow-up Practice Survey Codebook … Follow-up Practice Survey Codebook Including Core and Optional Items This codebook contains optional

3. Follow-up Practice Survey Codebook Including Core and Optional Items (pdf file)
   www.cpsi.ahrq.gov/sites/default/files/wysiwyg/evidencenow/results/research/survey-codebook-6mon-post-intervention.pdf
   August 23, 2018 - Follow-up … Timepoint Baseline………………T0 First follow-up………..T1 Second follow-up……..T2 R18_cooperative Practice_site_ID … Follow-up Practice Survey Codebook Including Core and Optional Items This codebook contains optional … Follow-up Practice Survey Codebook Including Core and Optional Items This codebook contains optional … Follow-up Practice Survey Codebook Including Core and Optional Items This codebook contains optional

4. HSOPS | Agency for Healthcare Research and Quality
   www.cpsi.ahrq.gov/hai/cusp/clabsi-final-companion/clabsicomp5a.html
   January 01, 2013 - To be included in analyses, units had to be an adult ICU and have a baseline and follow-up survey response … Analyses of baseline/follow-up changes in HSOPS dimension scores were assessed using a two-tailed, paired … ; p <0.01) and "teamwork within unit" (75.1 percent baseline versus 77.7 percent at follow-up; p <0.01 … Scores Difference p-value Baseline Follow-up Mean Stdev Outcomes Overall Perceptions … Baseline and follow-up HSOPS scores by dimension among adult ICUs (n=302) 13 .

5. Healthy Hearts NYC Recruitment Memo (pdf file)
   www.cpsi.ahrq.gov/sites/default/files/wysiwyg/evidencenow/results/research/implementation-tracking-sw.pdf
   July 26, 2018 - .)  Baseline  3-month follow up  6-month follow up  9-month follow up  Other: Please clarify: … Facilitator: Off HERO: Off CHITA: Off Regional Health Connector RHC: Off Other Specify: Off 3month follow … up: Off 6month follow up: Off 9month follow up: Off Other Please clarify: Off Optional: Clarification

6. Chapter 6. Measure Maps and Profiles (continued, 20) | Agency for Healthcare Research and Quality
   www.cpsi.ahrq.gov/ncepcr/care/coordination/atlas/chapter6s.html
   June 01, 2014 - Patients with a Transient Ischemic Event ER Visit That Had a Follow Up Office Visit Care Coordination … Patients with a Transient Ischemic Event ER Visit That Had a Follow Up Office Visit Purpose: To measure … Facilitate transitions Across settings Monitor, follow up and respond to change Development and … Biopsy Follow Up Purpose: To measure the percentage of patients who are undergoing a biopsy whose … Create a proactive plan of care Monitor, follow up, and respond to change Medication Management

7. Chapter 6. Measure Maps and Profiles (continued, 21) | Agency for Healthcare Research and Quality
   www.cpsi.ahrq.gov/ncepcr/care/coordination/atlas/chapter6t.html
   June 01, 2014 -     Assess needs and goals       Create a proactive plan of care     □ Monitor, follow … was transmitted to the facility or primary physician or other health care professional designated for follow-up …     Assess needs and goals       Create a proactive plan of care     □ Monitor, follow … family Facilitate Transitions Across settings Create a proactive plan of care Monitor, follow … Monitor, follow-up, and respond to change Development and Testing: The measure was endorsed by NQF

8. Error Disclosure Training and Organizational Culture | Agency for Healthcare Research and Quality
   www.cpsi.ahrq.gov/patient-safety/reports/liability/etchegaray.html
   August 01, 2017 - 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 … In examining the follow-up survey data only, we computed Cronbach’s alpha for each of the key constructs

9. What is Self-Management Support? | Agency for Healthcare Research and Quality
   www.cpsi.ahrq.gov/ncepcr/tools/self-mgmt/what.html
   February 01, 2016 - administrative staff with clearly defined roles and responsibilities, and using office systems to support follow-up … administrative staff with clearly defined roles and responsibilities, and using office systems to support follow-up … Involving the whole care team in planning, carrying out, and following up on a patient visit. … Making referrals to community-based resources, such as programs that help patients quit smoking or follow … Regular follow-up contact with patients via e-mail, phone, text messaging, and mailings to support them

10. Table 5. Other EHR-based Care Coordination Measures | Agency for Healthcare Research and Quality
    www.cpsi.ahrq.gov/ncepcr/care/coordination/atlas/chapter4tab5.html
    June 01, 2014 - Atlas Domains: Monitor, follow up, and respond to change, Health IT-enabled coordination eMeasure … specifications available: No Heart Failure Follow-Up Visit Scheduled k Percent of patients, regardless … for whom a followup appointment was scheduled and documented including location, date, and time for a follow-up … Atlas Domains: Facilitate transitions across settings, Monitor, follow up, and respond to change … Includes redundant testing, medication documentation, referral communication and post-discharge follow-up

11. AHRQ’s RED Toolkit Inspires Improved Patient Discharge at Nacogdoches Memorial Hospital | Agency for Healthcare Research and Quality
    www.cpsi.ahrq.gov/news/newsroom/case-studies/201501.html
    March 01, 2015 - comprehensive discharge planning, patient education about hospital discharge, and post-discharge patient follow-up … By designating discharge advocates who help patients reconcile their medicines and schedule follow-up … The hospital introduced the teach-back method around patient medications, made follow-up calls to patients … hospital also provides discharged patients in need with certain medicines and transportation to two follow-up … for Email Updates To sign up for updates or to access your subscriber preferences, please enter

12. Armstrong, April | Agency for Healthcare Research and Quality
    www.cpsi.ahrq.gov/funding/training-grants/grants/active/kawards/Kawdsumarm.html
    October 01, 2014 - Institution: University of California, Davis Grant Title: Patient-Centered Online Care Model for Follow-up … project has three main aims: Assess the effect of a asynchronous, online model for delivering direct, follow-up … Evaluate the effect of the asynchronous, online model for delivering direct, follow-up dermatologic care … patient knowledge about atopic dermatitis in the asynchronous, online model for delivering direct, follow-up … for Email Updates To sign up for updates or to access your subscriber preferences, please enter

13. Table 4. Meaningful Use Measures that Assess Care Coordination* | Agency for Healthcare Research and Quality
    www.cpsi.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 … Two rates are reported: (1) percent of children with one follow-up visit with a practitioner with prescribing … medication for ≥210 days who, in addition to the visit in the initiation phase, had at least 2 other follow-up … Atlas Domains: Monitor, follow up, and respond to change eMeasure specifications available: Yes

14. Webinar 3: Review & Update Readmission Reduction Efforts: Slide Presentation | Agency for Healthcare Research and Quality
    www.cpsi.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.

15. Chapter 6. Measure Maps and Profiles (continued, 12) | Agency for Healthcare Research and Quality
    www.cpsi.ahrq.gov/ncepcr/care/coordination/atlas/chapter6k.html
    June 01, 2014 -     Assess needs and goals   □   Create a proactive plan of care   □   Monitor, follow …     Assess needs and goals       Create a proactive plan of care       Monitor, follow … Follow-Up Care Delivery Care Coordination Measure Mapping Table   Measurement Perspective: Patient … coordination       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

16. Chapter 6. Measure Maps and Profiles (continued, 26) | Agency for Healthcare Research and Quality
    www.cpsi.ahrq.gov/ncepcr/care/coordination/atlas/chapter6y.html
    June 01, 2014 -     Assess needs and goals       Create a proactive plan of care       Monitor, follow … referral information), medication reconciliation, accountability (i.e., naming primary care provider), follow-up … settings: 1, 3, 4 Facilitate transitions: Across settings: 1, 2, 3, 4, 5, 6, 7 Monitor, follow …     Assess needs and goals     ■ Create a proactive plan of care       Monitor, follow … using a registry to track patients with chronic disease, providing reminders to patients about needed follow-up

17. Make Referrals Easy: Tool 21 | Agency for Healthcare Research and Quality
    www.cpsi.ahrq.gov/health-literacy/improve/precautions/tool21.html
    February 01, 2024 - 5 The Teach-Back Method Poster Teach-Back Questions for Informed Consent Lab Results Letter Follow … Making the referral process easy for patients increases the chances that they will follow through. … Follow up on referrals. … Follow up with the patient on the results of any tests or screenings, even normal results. … 6, and 12 months later, ask a sample of patients who have not completed referrals why they did not follow

18. AHRQ's RED Toolkit Helps Lower Readmissions in Dignity Health Hospitals | Agency for Healthcare Research and Quality
    www.cpsi.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 … The hospital instituted teach-back, follow-up appointments, patient call-backs, and other aspects of … for Email Updates To sign up for updates or to access your subscriber preferences, please enter

19. Chapter 6. Measure Maps and Profiles (continued, 11) | Agency for Healthcare Research and Quality
    www.cpsi.ahrq.gov/ncepcr/care/coordination/atlas/chapter6j.html
    June 01, 2014 -     Assess needs and goals   ■   Create a proactive plan of care   ■   Monitor, follow … needs and goals: 1C8, 1D1, 1D5 Create a proactive plan of care: 1A10, 1B10, 1C6, 1C8 Monitor, follow …     Assess needs and goals ■     Create a proactive plan of care □     Monitor, follow …     Assess needs and goals ■     Create a proactive plan of care       Monitor, follow … professional(s) and patient/family: 10, 11, 13-15 Assess needs and goals: 9, 12, 28 Monitor, follow

20. Were, Martin | Agency for Healthcare Research and Quality
    www.cpsi.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 …   Back to Top Connect With Us Sign up … for Email Updates To sign up for updates or to access your subscriber preferences, please enter