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81. AHRQ Tips for Grant Applicants | Agency for Healthcare Research and Quality
    www.monahrq.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

82. Comparative Health System Performance Initiative: Compendium of U.S. Health Systems, 2018, Hospital Linkage File, Technical Documentation-Appendix B (pdf file)
    www.monahrq.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

83. The Medical Home Index: Revised Short Form: Pediatric | Agency for Healthcare Research and Quality
    www.monahrq.ahrq.gov/policymakers/chipra/demoeval/what-we-learned/mhi-rsf.html
    May 01, 2013 - Grant Application, Review & Award Process Grant Application Basics Application Forms … Demonstration Grant Program What We Learned The Medical Home Index: Revised Short Form … SHARE: The Medical Home Index: Revised Short Form … The MHI-Revised Short Form (MHI-RSF) is a subset of 14 items from the MHI. … Name (if different than the person who completed this form): ___________________________ Title/Position

84. Module 4: Component Kit (doc file)
    www.monahrq.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.

85. Heart Health Now Aspirin Algorithm (pdf file)
    www.monahrq.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

86. Measure 1, Section 2, Attachment 2 (pdf file)
    www.monahrq.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/chipra-88-measure-1-section-2-attachment-3.pdf
    January 17, 2017 - Measure 1, Section 2, Attachment 2 SNAC Submission Form Measure 1: Accurate ADHD Diagnosis Section … into record Initial evaluation or report of feedback from initial evaluation SNAC Submission Form … Note or scanned Rating Scale or initial evaluation report SNAC Submission Form Measure 1: Accurate

87. ADHD Summary of Public Comments (pdf file)
    www.monahrq.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/chipra-89-adhd-behavior-section-6-attach-2.pdf
    February 02, 2017 - ADHD Summary of Public Comments SNAC Submission Form … consider adding exceptions (AMA-PCPI Specifications Staff) Page 1 of 3 SNAC Submission Form … medical home setting (The Center for Advanced Pediatrics) Page 2 of 3 SNAC Submission Form

88. Measure 1, Section 6, Attachment 2 (pdf file)
    www.monahrq.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/chipra-88-measure-1-section-6-attachment-2.pdf
    January 17, 2017 - Measure 1, Section 6, Attachment 2 SNAC Submission Form … consider adding exceptions (AMA-PCPI Specifications Staff) Page 1 of 3 SNAC Submission Form … medical home setting (The Center for Advanced Pediatrics) Page 2 of 3 SNAC Submission Form

89. Comparative Health System Performance Initiative: Compendium of U.S. Health Systems, 2018, Hospital Linkage File, Technical Documentation-Appendix A (pdf file)
    www.monahrq.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

90. Tobacco Use and Help with Quitting Among Adolescents | Agency for Healthcare Research and Quality
    www.monahrq.ahrq.gov/pqmp/measures/tobacco-use.html
    August 01, 2021 - Grant Application, Review & Award Process Grant Application Basics Application Forms … (PDF, 82 KB) NCINQ Tobacco Use and Help Specifications—Pop (PDF, 88 KB) NCINQ Tobacco Use and Help Form … (PDF, 697 KB) NCINQ Tobacco Use and Help Form—References (PDF, 18 KB) Materials Written Statement

91. Grant Closeout Requirements | Agency for Healthcare Research and Quality
    www.monahrq.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

92. TeamSTEPPS for Office-Based Care: Measurement | Agency for Healthcare Research and Quality
    www.monahrq.ahrq.gov/teamstepps/officebasedcare/module10/office_msmt-ig.html
    September 01, 2015 - Grant Application, Review & Award Process Grant Application Basics Application Forms … Reactions —TeamSTEPPS for Office-Based Care Course Evaluation Form. … If you plan to use a course evaluation form for continuing education credit purposes, please check with … This form captures both affective and instrumentality reactions. … Patient Safety Culture has an accompanying toolkit that contains the following materials: Survey forms

93. Attachment A: CHIPRA Pediatric Quality Measures Proram (PQMP) Candidate Measure Submission Form (CPCF) (pdf file)
    www.monahrq.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.

94. Section 8: Feasibility, Attachment 1: Preliminary Results: Performance Rates (pdf file)
    www.monahrq.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

95. Heart Health Now Lipid Algorithm (pdf file)
    www.monahrq.ahrq.gov/sites/default/files/wysiwyg/evidencenow/heart-health/cholesterol-lipid-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

96. Section 5: Evidence, Attachment 1: AAP Guideline Evidence (pdf file)
    www.monahrq.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

97. TeamSTEPPS 2.0: Module 10. Measurement | Agency for Healthcare Research and Quality
    www.monahrq.ahrq.gov/teamstepps/instructor/fundamentals/module10/igmeasure.html
    March 01, 2014 - Grant Application, Review & Award Process Grant Application Basics Application Forms … Reactions —TeamSTEPPS Course Evaluation Form. … Return to Contents Reactions: TeamSTEPPS Course Evaluation Form Say: Participant reactions … This form captures both affective and instrumentality reactions. … patient safety culture has an accompanying toolkit that contains the following materials: Survey forms

98. Instructor Manual Print Components | Agency for Healthcare Research and Quality
    www.monahrq.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

99. Measure 1, Section 8, Attachment 1 (pdf file)
    www.monahrq.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

100. Learn-From-Defects-Facilitator-Guide (doc file)
     www.monahrq.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.