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81. Chapter 4: Building the Community Foundation | Agency for Healthcare Research and Quality
    www.cahps.ahrq.gov/ncepcr/tools/obesity/obpcp4.html
    May 01, 2014 - Grant Application, Review & Award Process Grant Application Basics Application Forms … Chart Audit Form and Instructions Tool 3. Clinical Care Observation Guide Tool 4.  … Sample Community Inventory Form Tool 9. Sample Prescription Pad Tool 10.  … 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.

82. Attachment A: CHIPRA Pediatric Quality Measures Proram (PQMP) Candidate Measure Submission Form (CPCF) (pdf file)
    www.cahps.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/CHIPRA0087-NCINQSexualActivityStatusForm.pdf
    February 06, 2012 - Attachment A: CHIPRA Pediatric Quality Measures Proram (PQMP) Candidate Measure Submission Form (CPCF … Attachment A: CHIPRA Pediatric Quality Measures Program (PQMP) Candidate Measure Submission Form … complete a specific field. << >> indicates the name of a text field in the online version of this form … . + indicates an upload field in the online version of this form. … Data Source [Online form will have radio buttons] a.

83. Section 8: Feasibility, Attachment 1: Preliminary Results: Performance Rates (pdf file)
    www.cahps.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/chipra-89-adhd-behavior-section-8-attach-1.pdf
    February 02, 2017 - Section 8: Feasibility, Attachment 1: Preliminary Results: Performance Rates SNAC Submission Form … Language English 52 89.66% 7 87.50% Spanish 6 10.34% 1 12.50% SNAC Submission Form

84. Section 5: Evidence, Attachment 1: AAP Guideline Evidence (pdf file)
    www.cahps.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/chipra-89-adhd-behavior-section-5-attach-1.pdf
    January 01, 2009 - Section 5: Evidence, Attachment 1: AAP Guideline Evidence SNAC Submission Form ADHD Measure 2: Behavior … SNAC Submission Form ADHD Measure 2: Behavior Therapy Section 5: Evidence Attachment 1: AAP Guideline … SNAC Submission Form ADHD Measure 2: Behavior Therapy Section 5: Evidence Attachment 1: AAP Guideline … • These programs typically run in the form of group parent training programs, and although not always … was limited to preschool-aged children who had moderate to severe dysfunction; SNAC Submission Form

85. Instructor Manual Print Components | Agency for Healthcare Research and Quality
    www.cahps.ahrq.gov/teamstepps/instructor/printver/index.html
    March 01, 2014 - Grant Application, Review & Award Process Grant Application Basics Application Forms … 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

86. Measure 1, Section 8, Attachment 1 (pdf file)
    www.cahps.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/chipra-88-measure-1-section-8-attachment-1.pdf
    January 17, 2017 - Measure 1, Section 8, Attachment 1 SNAC Submission Form … 20 100.00% 35.00% 14.10% 55.90% Site 2 38 32 84.21% 71.88% 56.30% 87.45% SNAC Submission Form

87. Learn-From-Defects-Facilitator-Guide (doc file)
    www.cahps.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/teamwork/sensemaking/learn-from-defects-facilitator-guide.docx
    May 01, 2017 - The Learn From Defects Form, which provides a standardized means to assess where defects occur and to … To accomplish the same work, Sensemaking uses the Discovery Form, the Root Cause Analysis, the Failure … To examine defects or failures, CUSP uses the Learn From Defects Form, and Sensemaking uses the Causal … To code defects or failures, CUSP uses the Learn From Defects Form, and Sensemaking uses the Eindhoven … Further guidance to complete this exercise can be found using the CUSP Learn From Defects form.

88. THE MEDICAL HOME INDEX: (doc file)
    www.cahps.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/demoeval/what-we-learned/mhi-rsf.docx
    March 25, 2009 - THE MEDICAL HOME INDEX: Medical Home Index-Revised Short Form (MHI-RSF) for the National Evaluation … The Medical Home Index: Revised Short Form: Pediatric Measuring the Organization and Delivery of Pediatric … The MHI-Revised Short Form (MHI-RSF) is a subset of 14 items from the MHI. … ____________________ Email: _______________________________ Who took the lead in completing this form … Name (if different than the person who completed this form): ___________________________ Title/Position

89. Sensemaking and Learn From Defects for Perinatal Safety: Facilitator Guide | Agency for Healthcare Research and Quality
    www.cahps.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/teamwork/learn-from-defects-fac-guide.html
    July 01, 2023 - Grant Application, Review & Award Process Grant Application Basics Application Forms … The Learn From Defects Form, which provides a standardized means to assess where defects occur and to … Sensemaking tools include— Discovery Form. Root Cause Analysis. … Further guidance to complete this exercise can be found using the CUSP Learn From Defects form. … Keep project leaders apprised of the information on this form.

90. Your Guide to Preventing and Treating Blood Clots | Agency for Healthcare Research and Quality
    www.cahps.ahrq.gov/patients-consumers/prevention/disease/bloodclots.html
    August 01, 2017 - Grant Application, Review & Award Process Grant Application Basics Application Forms … Return to Contents Causes of Blood Clots Blood clots can form if you don't move around a lot. … heparin Types of medicines that keep blood from clotting Deep vein thrombosis A blood clot that forms … Below the drawing is the text: "Blood clots can form in any deep veins of the body. … Most often they form in the legs, arms, or groin."

91. Coaching Workshop (Instructor Guide) (pdf file)
    www.cahps.ahrq.gov/sites/default/files/wysiwyg/teamstepps/longtermcare/module9/ts2-0ltc_module9_ig_coaching.pdf
    May 03, 2017 - If the exercise falls before a break, introduce the exercise and hand out the self-assessment forms … , and give the participants 15 minutes to complete the forms. … • Have participants fill out the form. … • Hand out the Coaching Feedback Forms and Coaching Scenarios for each group to select from. … SAY: You should each be in a group of three and have copies of the Coaching Feedback Forms and some

92. MEASURE SUMMARY (CHIPRA Core Set Candidate Measures) - Control #: PHP-43 (pdf file)
    www.cahps.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/overview/background/measures-PHP-43.pdf
    December 17, 2010 - Denominator: The total number of eligible children shown on Line 1 of the CMS-416 Form which represents … but insufficient detail provided Admin MR Survey  Other (specify): Annual EPSDT report CMS Form

93. Develop a Culture of Safety Around Antibiotic Prescribing | Agency for Healthcare Research and Quality
    www.cahps.ahrq.gov/antibiotic-use/acute-care/safety/index.html
    June 01, 2021 - Grant Application, Review & Award Process Grant Application Basics Application Forms … Poster (DOCX) Antibiotic Time Out Tool (DOCX) Identifying Antibiotic–Associated Adverse Events Form … (DOCX) Learning From Antibiotic–Associated Adverse Events Form (DOCX)

94. Sensemaking and Learn from Defects for Perinatal Safety (pdf file)
    www.cahps.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/teamwork/sensemaking/learn-from-defects-facilitator-guide.pdf
    May 01, 2017 - Safety Program for Perinatal Care Sensemaking & Learn From Defects 2 • The Learn From Defects Form … Sensemaking tools include— • Discovery Form • Root Cause Analysis • Failure Mode and Effects Analysis … To accomplish the same work, Sensemaking uses the Discovery Form, the Root Cause Analysis, the Failure … To examine defects or failures, CUSP uses the Learn From Defects Form, and Sensemaking uses the Causal … Further guidance to complete this exercise can be found using the CUSP Learn From Defects form.

95. Fall Prevention Toolkit (doc file)
    www.cahps.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/fallprevention-training/module5/module5_tools.docx
    August 03, 2017 - How to use this tool: Use this form to observe the patient at bedside and check the notes of 20 patients … Make sure the people completing the form know where to find the information, which may require modifying … the form to include explicit directions or cues. … This form should be completed by the unit manager or unit champions.

96. TeamSTEPPS, Module 9: Coaching Workshop (Instructor Guide) (pdf file)
    www.cahps.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/instructor/fundamentals/module9/igcoaching.pdf
    February 22, 2014 - If the exercise falls before a break, introduce the exercise and hand out the self-assessment forms … , and give the participants 15 minutes to complete the forms. … • Have participants fill out the form. … • Hand out the Coaching Feedback Forms and Coaching Scenarios for each group to select from. … SAY: You should each be in a group of three and have copies of the Coaching Feedback Forms and some

97. Measure 1, Section 2, Attachment 6 (pdf file)
    www.cahps.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/chipra-88-measure-1-section-2-attachment-6.pdf
    January 17, 2017 - Measure 1, Section 2, Attachment 6 SNAC Submission Form Measure 1: Accurate ADHD Diagnosis Section … SNAC Submission Form Measure 1: Accurate ADHD Diagnosis Section 2: Detailed Measure Specifications

98. Section 6-A, CPQSC Participating Hospitals (pdf file)
    www.cahps.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-200-section-6-a-cpqsc-hospitals.pdf
    November 21, 2017 - More than half of patients (53.00%) use Medicaid, 45.80% use Managed Care, and 1.20% use another form … More than half of patients use Managed care (57.75%) whereas 40.81% use Medicaid, 1.20% use another form

99. Section 6-A, CPQSC Participating Hospitals (pdf file)
    www.cahps.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-199-section-6-a-cpqsc-participating-hospitals.pdf
    November 17, 2017 - More than half of patients (53.00%) use Medicaid, 45.80% use Managed Care, and 1.20% use another form … More than half of patients use Managed care (57.75%) whereas 40.81% use Medicaid, 1.20% use another form

100. Making Informed Consent an Informed Choice: Training for Health Care Professionals Audio Script | Agency for Healthcare Research and Quality
     www.cahps.ahrq.gov/health-literacy/professional-training/informed-choice/audio-script.html
     September 01, 2020 - a hospital, because such forms provide very little information to patients. … be informed, even if patients sign the form. … Don't have forms on hand that have been translated by bilingual staff members. … the form out loud in the patient's language. … Forms can be designed to leave room for interpreters to write down their sight translations.