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461. 5. What Are the Existing Measures of Clinical-Community Relationships? | Agency for Healthcare Research and Quality
     www.ahrq.gov/prevention/resources/chronic-care/clinical-community-relationships-measures-atlas/ccrm-atlas5.html
     March 01, 2013 - 7 Information about area (community) resources is offered by clinician (Wrap-Around Observation Form … care includes at least one public and/or private community service/resource (Wrap-Around Observation Form

462. Step 5: Set the Stage for Conducting the Survey | Agency for Healthcare Research and Quality
     www.ahrq.gov/cahps/surveys-guidance/helpful-resources/planning/Set-the-Stage-for-Conducting-the-Survey.html
     December 01, 2019 - Conducting the Survey Review all steps in the process of planning a survey project: Step 1: Form … Step 2: Form an Advisory Group .   Step 3: Define Your Goals .

463. Step 3: Define Your Project Goals | Agency for Healthcare Research and Quality
     www.ahrq.gov/cahps/surveys-guidance/helpful-resources/planning/Define-Your-Project-Goals.html
     December 01, 2019 - Your Project Goals Review all steps in the process of planning a survey project: Step 1: Form … Step 2: Form an Advisory Group .   Step 3: Define Your Goals.

464. Observing Patient Care Rounds | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/cusp/toolkit/observing-rounds.html
     December 01, 2012 - How to use this tool: Complete the form while observing patient care rounds. … You may use this form for one patient or the entire unit.

465. Four Moments of Antibiotic Decision Making | Agency for Healthcare Research and Quality
     www.ahrq.gov/antibiotic-use/acute-care/four-moments/index.html
     November 01, 2019 - Team Antibiotic Review Form The Antibiotic Stewardship Program is encouraged to find time to meet … portion of patients receiving antibiotics; this can be guided by use of the Team Antibiotic Review Form

466. 162-Example-Completed-Learning-Defects-Tool (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/162-example-completed-learning-defects-tool.docx
     October 01, 2024 - How to use this tool: Complete the form below for at least one defect per month. … all of the following defects, MRSA related or not: information gleaned from Staff Safety Assessment Forms … Daily Goals Form: In addition to removing the line when no longer necessary, add the following lines:

467. Hospital Survey on Patient Safety Culture Version 2.0: Items and Composite Measures Spanish (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/hospitalsurvey2-spanishitems.pdf
     April 02, 2025 - the following steps: 1) Development of the Pretest Translation The team coordinator developed a form … The reviewer documented her recommendations in the translation form and the reasons for suggested changes … The survey form posted on the AHRQ Web site is the final product of the translation development, review

468. Culture Checkup Tool | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/teamwork/culture-checkup-tool.html
     July 01, 2023 - Assign someone to complete the Culture Item Discussion Form (next page) to document issues that surface … Culture Item Discussion Form Statement to be discussed:   Unit Safety Assessment

469. Appendix A. Detailed Literature Search Methodology | Agency for Healthcare Research and Quality
     www.ahrq.gov/data/apcd/envscan/app-a.html
     June 01, 2017 - , and It was literature supporting a measure that was already endorsed nationally (and thus would form

470. What Are Patient-Reported Measures? | Agency for Healthcare Research and Quality
     www.ahrq.gov/cahps/about-cahps/patient-experience/prems-proms/index.html
     February 01, 2025 - Widely used PROMs include the 36-item Short Form Health Survey (SF-36) 1 for collecting self-reported … Practice .                                                                        1. 36-item Short Form

471. Location-Release (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/research/publications/pubcomguide/location-release.docx
     July 01, 2024 - AHRQ Publishing and Communications Guidelines Location Release Form for Video Shoots Instructions This … Location Release Form must be completed by the location’s administrative authority (herein called “Administrator

472. AHRQ Grants for Health Services Research Dissertation Program (R36) | Agency for Healthcare Research and Quality
     www.ahrq.gov/funding/training-grants/r36.html
     November 01, 2023 - peer-reviewed journal(s) by submitting the Get Recognition for Your AHRQ-Funded Study fillable PDF form … Please email the completed form to journalpublishing@ahrq.hhs.gov , with a copy to your Program Official

473. Strategy 1: Working with Patients & Families as Advisors (Tool 5)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy1/Strat1_Tool_5_InfoSession_508.pptx
     April 02, 2025 - This includes things such as forms, health information, medication lists, and discharge instructions. … Families as Advisors Information Session (Tool 5) Next steps Fill out the “My Participation Interests” form … The staff liaison will review your interest form, schedule an interview, and discuss your interests … family advisor after today’s information session, please fill out the “My Participation Interests” form … The staff liaison for advisors will review all of the forms, and then get in touch to schedule an interview

474. Compendium of U.S. Health Systems, 2021, Nursing Home Linkage File, Technical Documentation (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/chsp/compendium/2021-nh-linkage-techdoc.pdf
     January 01, 2021 - homes CMS reported in 2021.viii vii Foundation models of health system organization are considered a form … 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

475. Section 5: Marketing and Stakeholder Outreach | Agency for Healthcare Research and Quality
     www.ahrq.gov/research/publications/pubcomguide/pcguide5.html
     November 01, 2021 - Release Forms Appendix 1-B. Trademarks Appendix 1-C. … or journal articles in the past 3 months This information also can be supplied in this fillable PDF form … Send the completed form to journalpublishing@ahrq.hhs.gov . … healthcare policy, clinical practice, or patient outcomes should review the criteria and fill out the form

476. Health System Participation in Accountable Care Organizations (ACOs), 2016 (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/chsp/aco-participation.pdf
     January 01, 2019 - 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

477. Module 20: Creating Quality Improvement Teams and QI Plans (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/tools/PCMH/pcpf-module-20-creating-qi-teams.pdf
     September 01, 2015 - A team may need several forms of technical expertise, including technical 1 Adapted from the Institute … will find guidance on creating a key driver model, including a couple of samples showing different forms

478. An Introduction to Assessing Practices: Issues to Consider (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/tools/PCMH/pcpf-module-12-intro-to-assessing-practices.pdf
     September 01, 2015 - See Appendix 12B for a sample data inventory form. … Sample data inventory form Department: Date: Information Source for For what For what Data source … (Be specific – completes collected to provide Provide list variables) form, verbal this form) details … from PHQ 9 patients at County PPP Excel Patients with main office; Hispanic/ information data, PHQ 9 forms … director of behavioral health White African American Asian American Indian “first visit form

479. Learning-From-Antibiotic-Adverse (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/learning-from-antibiotic-adverse.docx
     June 01, 2021 - X Learning From Antibiotic-Associated Adverse Events Form 1. … No. 17(21)-0029 June 2021 LFAAAE Form AHRQ Safety Program for Improving Antibiotic Use – Long-Term Care

480. Culture Check-Up Tool | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/cusp/toolkit/culture-checkup.html
     December 01, 2012 - Assign someone to complete the Culture Item Discussion Form (next page) to document the issues that surface … Culture Item Discussion Form: Statement to be discussed:   Unit Safety Assessment