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Showing results for "form".

61. Medication List (Note Sheet) (pdf file)
    pcmh.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/pfeprimarycare/medmanage_medlist.pdf
    November 30, 2017 - 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

62. Strategy 6E: Rapid Referral Programs | Agency for Healthcare Research and Quality
    pcmh.ahrq.gov/cahps/quality-improvement/improvement-guide/6-strategies-for-improving/access/strategy6g-rapid-referral.html
    April 01, 2023 - Providing the PCP with decision support for the referral decision (typically in the form of guidelines … Referral form: This form captures the patient information needed by the specialist being given the referral … One way to address this problem is for a group practice to develop a referral expert in the form of a … want to explore other ideas for managing referrals more effectively, such as: Standardizing referral forms … Developing forms that specialists offices can fill out so that the PCP has all the information needed

63. Please bring ALL your medicines to your next appointment. (Postcard) (pdf file)
    pcmh.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/pfeprimarycare/medmanage-ptreminder-postcard.pdf
    December 01, 2017 - 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

64. Instructor Manual Print Components | Agency for Healthcare Research and Quality
    pcmh.ahrq.gov/teamstepps/instructor/printver/index.html
    March 01, 2014 - PDF File , 308 KB) Combat Care ( PDF File , 265 KB) Measurement Tools: Sample Course Evaluation Form … Instructor's Guide ( PDF File , 465 KB) Classroom Slides ( PowerPoint® File , 1.47 MB) Coaching Feedback Form … Instructor's Guide ( PDF File , 147 KB) Classroom Slides ( PowerPoint® File , 455 KB) Teaching Feedback Form

65. Teach-Back Tips (pdf file)
    pcmh.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/pfeprimarycare/teach-back-tips-jobaid-final508.pdf
    April 04, 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

66. Creating a Safe Medicine List: Patient Information/Reminder Flyer (pdf file)
    pcmh.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/pfeprimarycare/medicinelist-patient-flier-final508.pdf
    April 12, 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

67. Measures From the CAHPS Health Literacy Item Sets | Agency for Healthcare Research and Quality
    pcmh.ahrq.gov/cahps/surveys-guidance/item-sets/literacy/measures.html
    May 01, 2017 - Blood test, x-ray, or other test results were easy to understand Ease of Filling Out Forms H-HL25 … Staff explained the purpose of a form before patient signed it H-HL27. … Staff offered patient help in filling out a form H-HL28. … Forms were easy for patient to fill out H-HL29. … Patient was given enough time to fill out forms Please note: The CAHPS Health Literacy Item Set for

68. Checklist: Creating a Medicine List When Patient Does NOT Bring Medicines (pdf file)
    pcmh.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/pfeprimarycare/medicinelist-checklist-nomeds-final508.pdf
    April 03, 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

69. Please bring ALL your medicines to your next appointment. (pdf file)
    pcmh.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/pfeprimarycare/medmanage-ptfactsheet.pdf
    November 27, 2017 - 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

70. Infographic Poster: Did you know...Patient safety issues in primary care are real. (pdf file)
    pcmh.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/pfeprimarycare/infographicposter-final508_0.pdf
    July 12, 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

71. TeamSTEPPS® for Office-Based Care - Course Evaluation (pdf file)
    pcmh.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/officebasedcare/handouts/courseeval.pdf
    December 02, 2015 - ........................ 1 2 3 Comments: TeamSTEPPS for Office-Based Care Course Evaluation Form … ............................................ 1 2 3 Comments: Course Evaluation Form – 2 TeamSTEPPS … ...................... 1 2 3 Comments: TeamSTEPPS for Office-Based Care Course Evaluation Form … Course Evaluation Form – 4 TeamSTEPPS for Office-Based Care TeamSTEPPS® for Office-Based Care … Additional Comments: TeamSTEPPS for Office-Based Care Course Evaluation Form –

72. Making Informed Consent an Informed Choice: Training for Health Care Leaders Audio Script | Agency for Healthcare Research and Quality
    pcmh.ahrq.gov/health-literacy/professional-training/informed-choice/audio-script-leaders.html
    September 01, 2020 - be informed, even if patients sign the form. … , or both, must also sign the form. … consent form according to your hospital's informed consent policy. … The Before button displays an original form, and the After button shows the improved form. … You may be able to build on an existing library of forms and modify or customize those forms to meet

73. PEMAT for Printable Materials (PEMAT-P) | Agency for Healthcare Research and Quality
    pcmh.ahrq.gov/health-literacy/patient-education/pemat-p.html
    November 01, 2020 - If you use the PEMAT Auto-Scoring Form , a form that will automatically calculate PEMAT scores once … The form is downloadable in Excel (235 KB). Step 1: Read through the PEMAT and User's Guide. … You may refer to the material at any time while you complete the form; you don't have to rely on your

74. EvidenceNOW: Cooperative Context Information and Assessment | Agency for Healthcare Research and Quality
    pcmh.ahrq.gov/evidencenow/projects/heart-health/research-results/research/cooperative-context.html
    March 01, 2021 - Cooperative Resource: Cooperative Context Assessment Information (PDF, 192.7 KB, 3 pages) This form

75. TeamSTEPPS® 2.0 | Agency for Healthcare Research and Quality
    pcmh.ahrq.gov/teamstepps/instructor/supplemental/index.html
    April 01, 2016 - Version [ - 465 KB} ) Classroom Slides ( PowerPoint® File [ - 1.47 MB] ) Coaching Feedback Form … Version [ - 147 KB ]) Classroom Slides ( PowerPoint® File [ - 455 KB] ) Teaching Feedback Form

76. Defining Health Systems | Agency for Healthcare Research and Quality
    pcmh.ahrq.gov/chsp/defining-health-systems/index.html
    January 01, 2023 - , skilled nursing facilities) that are jointly owned or managed (foundation models are considered a form … Under this definition, foundation models are considered a form of joint management, while joint participation

77. Control Cholesterol Numbers: Patient Education Booklet | Agency for Healthcare Research and Quality
    pcmh.ahrq.gov/evidencenow/heart-health/cholesterol/control.html
    September 01, 2018 - To Control Your Cholesterol Numbers Resource description: This patient education booklet in the form

78. EvidenceNOW: Cost Survey, National Evaluator | Agency for Healthcare Research and Quality
    pcmh.ahrq.gov/evidencenow/projects/heart-health/research-results/research/cost-survey.html
    March 01, 2021 - Evaluator Oregon Cooperative Resource: EvidenceNOW: Cost Survey (PDF, 180.2 KB, 3 pages) This form

79. EvidenceNOW: Cooperative Assessment, External Support | Agency for Healthcare Research and Quality
    pcmh.ahrq.gov/evidencenow/projects/heart-health/research-results/research/cooperative-context-external.html
    March 01, 2021 - Cooperative Context Assessment Information: Round 2, External Support (PDF, 293.4 KB, 3 pages) This form

80. Module 23: Documenting Your Work With Practices (pdf file)
    pcmh.ahrq.gov/sites/default/files/attachments/pcpf-module-23-documenting-work-with-practices.pdf
    September 01, 2015 - You can create paper-based forms or simple spreadsheets on a computer or you can use online spreadsheets … Sample data inventory form Department: Date: Information being collected (Summary – Optional … (Patient completes form, verbal question by receptionist, etc.) … EXAMPLE: Diabetes lab data, PHQ 9 data, visit data Manual entry from PHQ 9 forms; auto input … documenting-work-with-practices pcpf-appdx-23-sample-practice-record pcpf-appdx-12B-data-inventory-form