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Showing results for "form".

81. How To Use the PEMAT To Assess a Material | Agency for Healthcare Research and Quality
    www.cpsi.ahrq.gov/health-literacy/patient-education/pemat2.html
    November 01, 2020 - Grant Application, Review & Award Process Grant Application Basics Application Forms … If you use the PEMAT Auto-Scoring Form, a form that will automatically calculate PEMAT scores once you … 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.

82. Health Literacy Improvement Tools | Agency for Healthcare Research and Quality
    www.cpsi.ahrq.gov/health-literacy/improve/index.html
    March 01, 2024 - Grant Application, Review & Award Process Grant Application Basics Application Forms … AHRQ's Easy-to-Understand Telehealth Consent Form AHRQ's telehealth consent resources include a  … sample telehealth consent form  (Word, 27 KB) that is easy to understand and how-to guidance for clinicians … The consent form includes provisions for healthcare providers that have curtailed in-person visits due

83. Plan-Do-Study-Act Worksheet, Directions, and Examples | Agency for Healthcare Research and Quality
    www.cpsi.ahrq.gov/health-literacy/improve/precautions/tool2b.html
    March 01, 2024 - Grant Application, Review & Award Process Grant Application Basics Application Forms … Health Literacy Universal Precautions Toolkit, 3rd Edition Introduction Quick Start Guide Form … Key Strategies for Clear Communication Communication Self-Assessment Communication Observation Form … Insurance Release of Medical Information Appointment Reminder Letter Inclusive Language for Intake Forms … Help With Medicines Poster Get Patient Feedback: Tool 17 Patient Portal Feedback Form Suggestion

84. Strategy 1: Working with Patients & Families as Advisors (Tool 13) (doc file)
    www.cpsi.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy1/Strat1_Tool_13_ShortTerm_HO_508.docx
    February 10, 2011 - Patient and family advisors can work with you to help create or revise forms, letters, handouts, instructions … involvement of patient and family advisors, please fill out the Request for Patient and Family Advisors form … project, along with anticipated meeting times Complete the Request for Patient and Family Advisors form … , conference call, or progress report) Request for patient and family advisors Complete this form … Please submit this form to: [NOTE: Insert staff liaison name and contact information] Guide to Patient

85. Checklist: Creating a Medicine List When Patient Brings Medicines (pdf file)
    www.cpsi.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/pfeprimarycare/medicinelist-checklist-meds-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

86. Overcoming Barriers to Medicine Adherence (pdf file)
    www.cpsi.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/pfeprimarycare/medicinelist-barriers-postcard-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

87. AHRQ Safety Program for Perinatal Care: Labor and Delivery Unit Safety Issues Worksheet for Senior Executive Partnership (doc file)
    www.cpsi.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/teamwork/supporting/worksheet.docx
    May 01, 2017 - Health care providers and senior leader(s) How to complete this form: Provide as much detail as possible … When to complete this form: It should be completed at least semiannually.

88. Development and Usability Testing of the Agency for Healthcare Research and Quality Common Formats to Capture Diagnostic Safety Events (pdf file)
    www.cpsi.ahrq.gov/sites/default/files/wysiwyg/topics/development-and-usability-testing-common-formats.pdf
    January 01, 2022 - •The form was restructured to allow respondents to report details of several interrelated diagnostic … Suggestions for revising the form included having separate sets of items (e.g., using branching logic … ) or separate forms for inpa- tient versus outpatient settings. … There was no consensus about who in the organization should complete the form, and some participants … One participant noted that prior review “made it a lot easier” to complete the form.

89. Four Moments of Antibiotic Decision Making | Agency for Healthcare Research and Quality
    www.cpsi.ahrq.gov/antibiotic-use/long-term-care/four-moments/index.html
    August 01, 2021 - Grant Application, Review & Award Process Grant Application Basics Application Forms … Long-Term Care Toolkit Four Moments Four Moments Posters Four Moments Review Form … The Four Moments of Antibiotic Decision Making Review Form and Guide The Antibiotic Stewardship Team … is encouraged to use Four Moments of Antibiotic Decision Making Form to review 5–10 residents each

90. Integrating Primary Care Practices and Community-based Resources to Manage Obesity | Agency for Healthcare Research and Quality
    www.cpsi.ahrq.gov/ncepcr/tools/obesity/index.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.  … Chart Audit Form and Instructions Tool 3. Clinical Care Observation Guide Tool 4.  … Sample Community Inventory Form Tool 9. Sample Prescription Pad Tool 10. Sample Brochure Tool 11. 

91. Strategy 1: Working With Patients and Families as Advisors | Agency for Healthcare Research and Quality
    www.cpsi.ahrq.gov/patient-safety/patients-families/engagingfamilies/strategy1/index.html
    December 01, 2017 - Grant Application, Review & Award Process Grant Application Basics Application Forms … 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

92. AHRQ Tips for Grant Applicants | Agency for Healthcare Research and Quality
    www.cpsi.ahrq.gov/funding/process/grant-app-basics/apptips.html
    July 01, 2021 - Grant Application, Review & Award Process Grant Application Basics Application Forms … Funding Grant Application, Review & Award Process Grant Application Basics Application Forms … Revision Application (when applicable) 1 Specific Aims (Attachment 2 on PHS 398 Research Plan form … DP7 applications only 25 Program Plan (Attachment 2 on PHS 398 Research Training Program Plan form … a multi-component application) 1 Specific Aims For all Activity Codes that use an application form

93. Implementation Quick Start Guide: Warm Handoff Plus (pdf file)
    www.cpsi.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/pfeprimarycare/warm-handoff-quick-start-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

94. Comparative Health System Performance Initiative: Compendium of U.S. Health Systems, 2018, Hospital Linkage File, Technical Documentation-Appendix B (pdf file)
    www.cpsi.ahrq.gov/sites/default/files/wysiwyg/chsp/compendium/2018-hospital-linkage-techdoc-appb.pdf
    January 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

95. Create a Safe Medicine List Together: Scripts (pdf file)
    www.cpsi.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/pfeprimarycare/medicinelist-scripts-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

96. Module 4: Component Kit (doc file)
    www.cpsi.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/sustainability/management/observation/observation-component-kit.docx
    May 01, 2017 - · Keep your maintenance checklist observation forms in a folder or binder, in date order, so you can … Preparation 1 Can you use a surgical safety checklist form to summarize three procedure segments? … Example Here is an example of an observation form tested at an ambulatory surgical center in April 2016 … Example Observation Form Key: ID: Identity DOB: Date of birth CRNA: Certified registered nurse anesthetist … The observation form can be posted on your visual management board.

97. Heart Health Now Aspirin Algorithm (pdf file)
    www.cpsi.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

98. Implementation Quick Start Guide: Create a Safe Medicine List Together (pdf file)
    www.cpsi.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/pfeprimarycare/medicinelist-quickstart-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

99. Comparative Health System Performance Initiative: Compendium of U.S. Health Systems, 2018, Hospital Linkage File, Technical Documentation-Appendix A (pdf file)
    www.cpsi.ahrq.gov/sites/default/files/wysiwyg/chsp/compendium/2018-hospital-linkage-techdoc-appa.pdf
    January 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

100. Grant Closeout Requirements | Agency for Healthcare Research and Quality
     www.cpsi.ahrq.gov/funding/grant-mgmt/closeout.html
     December 01, 2022 - Grant Application, Review & Award Process Grant Application Basics Application Forms … Use Standard Form 425, form and instructions available online at: https://grants.nih.gov/grants/forms … Use Form HHS 568, which is available online at: http://grants.nih.gov/grants/hhs568.pdf ( Plugin Software