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Total Results: 9,369 records

Showing results for "form".

381. Strategy 1: Working With Patients and Families as Advisors | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/patients-families/engagingfamilies/strategy1/index.html
     December 01, 2017 - Word version - 2.62 MB ;   PDF version - 171.61 KB ] Patient and Family Advisor Application Form—Form … Microsoft Word version - 462.55 KB ;   PDF version - 214.81 KB ] My Participation Interests - Form … session that contains suggestions for ways to incorporate advisors on short-term projects along with a form

382. PBRN Registration | Agency for Healthcare Research and Quality
     www.ahrq.gov/ncepcr/communities/pbrn/registry/register/registration.html
     PBRN Registration Form Asterisk denotes required fields Name of Person Making Request … based in public health agencies) Other: (Describe your focus in the "Other PBRN Type" section of this form … or Virgin Islands Outside of US (please specify country in Notes to AHRQ section at the end of this form … Outside of US (please specify country in Notes to AHRQ section at the end of this form

383. MEPS
     meps.ahrq.gov/communication/participants/confidentialitypharm.shtml
     Such information may not be published or released in other form if the person who supplied the information … consent is documented through the patient’s signature on the MEPS authorization form … The MEPS authorization form (PDF 202 KB, or HTM 6 KB) was redesigned … in 2002 to meet the HIPAA requirements for authorization forms described in Section 164.508(c) 45 … The revised form was reviewed and deemed HIPAA compliant by the Westat IRB.

384. MEPS
     meps.ahrq.gov/communication/participants/confidentialitymcp.shtml
     Such information may not be published or released in other form if the person who supplied the information … This consent is documented through the patient’s signature on the MEPS authorization form … The MEPS authorization form was redesigned in 2002 to meet the HIPAA requirements for … authorization forms described in Section 164.508(c) 45 CFR 164. … The revised form was reviewed and deemed HIPAA compliant by the Westat IRB.

385. Staff-Safety-Assessment (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/implementation/long-term-modules/module2/staff-safety-assessment.docx
     March 01, 2017 - This form can be filled out by anyone who works here at any time. … At a minimum, everyone should complete this form twice a year.

386. Hlthstat (pdf file)
     meps.ahrq.gov/data_stats/nhc/hlthstat.pdf
     September 30, 1997 - Ranges for determining the validity of the assessment dates for MDS forms are displayed below. … If there are two or more forms completed in the same month and only one has 5 a DAY entry, the form … If no forms dated in the same month have a DAY entry, none are eligible to use as the primary form for … Identify the forms by a “M” or “Q” preceding the section fills. … I am prepared to abstract from the medical record and MDS forms myself.

387. Authorization To Obtain Information OMB #: 0935-0118 PANEL 13
     meps.ahrq.gov/survey_comp/mpc/AuthorizationForms/2008/af_p13_medicalprovider.htm
     January 01, 2008 - This authorization form covers any care I received at your facility during this period, including treatment … This form (or a photocopy of this form) gives you my authorization. … I have signed this form voluntarily, with the understanding that my decision to sign or not to sign the … form will have no effect on my eligibility for treatment, payment, enrollment, or eligibility for any

388. Chapter 4: Building the Community Foundation | Agency for Healthcare Research and Quality
     www.ahrq.gov/ncepcr/tools/obesity/obpcp4.html
     May 01, 2014 - Chart Audit Form and Instructions Tool 3. Clinical Care Observation Guide Tool 4.  … Sample Community Inventory Form Tool 9. Sample Prescription Pad Tool 10.  … This process used four key steps and resulted in the creation of a community resource inventory form. … An example of a completed inventory form appears in Tool 8 . … Use or modify the attached form to collect common information from all the resources.

389. Heart Health Now Aspirin Algorithm (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/heart-health/aspirin-algorithm.pdf
     December 14, 2015 - Page does not require timed responses Navigation links Passed Navigation links are not repetitive Forms … Rule Name Status Description Tagged form fields Passed All form fields are tagged Field descriptions … Passed All form fields have description Alternate Text Rule Name Status Description Figures alternate

390. Teach-Back: A Guide for Staff (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/pfeprimarycare/teach-back-guideforstaff.pdf
     January 01, 2003 - Page does not require timed responses Navigation links Passed Navigation links are not repetitive Forms … Rule Name Status Description Tagged form fields Passed All form fields are tagged Field descriptions … Passed All form fields have description Alternate Text Rule Name Status Description Figures alternate

391. Compendium of U.S. Health Systems, 2016, Hospital Linkage File, Technical Documentation-Appendix B (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/chsp/compendium/chsp_linkage_file_tech_doc-appb.pdf
     October 01, 2018 - Page does not require timed responses Navigation links Passed Navigation links are not repetitive Forms … Rule Name Status Description Tagged form fields Passed All form fields are tagged Field descriptions … Passed All form fields have description Alternate Text Rule Name Status Description Figures alternate

392. 1.a-1 Information Packet for Participating Practices | Agency for Healthcare Research and Quality
     www.ahrq.gov/research/findings/final-reports/crctoolkit/crctool1a1.html
     April 01, 2018 - Electronic Record Review 4.a-1 Introduction Letter to Patients With Instructions for Completing SEA Form … Spanish) 4.a-2 Screening Eligibility Assessment (SEA) Form  (incl. … Spanish) 5.a-1 Master Patient Database Elements 5.d-1 Chart Audit Review Form 6.a-1 Feedback Form … for Stool Test Positive 6.a-2 Feedback Form for Stool Test Negative 6.b-1 Feedback Form for CDE … [INSERT HERE: YOUR LAB'S NAME] has provided a short form to return kits to the lab for processing.

393. Your Guide to Preventing and Treating Blood Clots (pdf file)
     www.ahrq.gov/sites/default/files/publications/files/bloodclots.pdf
     May 01, 2009 - No. 09­0067­C May 2009 Swelling Clot Vein Blood clots can form in any deep veins of the body … Most often, they form in the legs, arms, or groin. 1 Introduction Blood clots (also called deep … phone number is: _________________________________________ Causes of Blood Clots Blood clots can form … Blood clots that form in the veins in your legs, arms, and groin can break loose and move to other parts … heparin Types of medicines that keep blood from clotting Deep vein thrombosis A blood clot that forms

394. Open Door Family Health Center, Inc.Managing the Hypertensive Patient – User’s Manual (pdf file)
     digital.ahrq.gov/sites/default/files/docs/resource/Helene_Kopal_IQHIT_Q6_HTN_Intervention_Users_Manual.pdf
     March 01, 2009 - *Recommended assessments for elevated BMI and tobacco use appear as smart forms and are discussed … Managing the Hypertensive Patient – User’s Manual v 1.0 11 March 2009 4.2 Smart Forms. … Smart forms are electronic questionnaires that contain logic that facilitate assessments. … meds and/or fill out the Fax-to-Quit Form. … Completion of the tobacco control smart form and/or the Fax-to-Quit form is automatically inserted

395. Medication Management Transactions and Errors in Family Medicine Offices: A Pilot Study (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol4/Advances-Lynch_37.pdf
     March 21, 2008 - the end of each 2-hour data collection period, the study coordinator collected all data collection forms … At a later date, an independent nurse reviewer brought the data collection forms to each office site … After completion, the data collection forms were returned to the study coordinator. … In the final step, one of the physician investigators reviewed all of the data collection forms, made … All information gathered on the data collection forms was then entered into a database for statistical

396. Usability | Digital Healthcare Research
     digital.ahrq.gov/health-it-tools-and-resources/evaluation-resources/workflow-assessment-health-it-toolkit/all-workflow-tools/usability
     January 01, 2023 - Simulation Description Simulation is a form of (usability) evaluation in which realistic … Heuristic Evaluation Description Heuristic evaluations are a form of usability evaluation

397. Computer Assisted Medication and Patient Information Interface (CAMPII) | Digital Healthcare Research
     digital.ahrq.gov/ahrq-funded-projects/computer-assisted-medication-and-patient-information-interface-campii
     January 01, 2023 - Study patients preferred the tool to paper forms. … Close Medication reconciliation: comparing a customized medication history form … to a standard medication form in a specialty clinic (CAMPII 2). … Medication reconciliation: comparing a customized medication history form to a standard medication form

398. Medical Expenditure Panel Survey - Employer Participant Frequently Asked Questions
     meps.ahrq.gov/communication/employer_participant_faqs.jsp
     I have returned my form. Why have I received another just like it ? … ^top I have returned my form. Why have I received another just like it? … We send follow-up letters and forms when the deadline passes. … Your returned form and our follow-up letter and form may have crossed in the mail. … Some companies receive more than one form so they can report for different lines of business

399. Medical Expenditure Panel Survey Medical Provider Component Data Collection
     meps.ahrq.gov/mepsweb/survey_comp/mpc_data_collection.jsp
     October 01, 2004 - Patients in sampled households were asked to sign authorization forms permitting the data … Institutional Event Form for Non-hospital Facilities. … Office-based Provider Event Form. … Separately Billing Doctors Event Form. … Hospital Event Form.

400. Medical Expenditure Panel Survey - Employer Participant Frequently Asked Questions
     meps.ahrq.gov/mepsweb/communication/employer_participant_faqs.jsp
     I have returned my form. Why have I received another just like it ? … ^top I have returned my form. Why have I received another just like it? … We send follow-up letters and forms when the deadline passes. … Your returned form and our follow-up letter and form may have crossed in the mail. … Some companies receive more than one form so they can report for different lines of business