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www.ahrq.gov/hai/cusp/toolkit/observing-rounds.html
December 01, 2012 - disciplines, identify areas where communication can be more concise and relevant in setting daily patient goals … target areas where communication can be improved in the rounding process and in setting patient daily goals … Was there something missing in the patient care goals? … If so, list it below:
Patient Room
and Bed Number
Patient System, Goal Not Addressed
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www.ahrq.gov/ncepcr/care/coordination/atlas/chapter3tab3.html
June 01, 2014 - are measurably coaccountable for their contributions to the shared plan and achieving the patient's goals … Assess Needs and Goals
Antonelli: Care coordination function – completes/analyzes assessments. … MPR: Care coordination activity – assess patient's needs and health status; develop goals. … care plan based on the information collected through an assessment or reassessment that specifies the goals … and services that are capable of providing needed services to address identified needs and achieve goals
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www.ahrq.gov/hai/cusp/modules/implement/teamwork-notes.html
December 01, 2012 - Daily Goals Checklist
Slide 13. Daily Goals
Slide 14. … How to Use the Daily Goals Checklist
Slide 15. Using the Daily Goals Checklist
Slide 16. … How to Use the Daily Goals Checklist
Say:
When using the Daily Goals Checklist, unit teams should … Say:
Collaboration is defined as the act of working together with one or more people to achieve a goal … This tool can be used to target a goal for improvement shortly after the culture assessment and then
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www.ahrq.gov/ncepcr/care/coordination/atlas/chapter6i.html
June 01, 2014 - Across settings
As coordination needs change
Assess needs and goals …
Monitor, follow up, and respond to change
■
Support self-management goals … not specified : 17
Facilitate transitions:
Across settings: E9
Assess needs and goals … : 4, 9
Monitor, follow up, and respond to change: 9, 11, 12
Support self-management goals: 9, … of the survey contains 17 items spanning 5 areas: (1) individualized assessment, (2) collaborative goal
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www.ahrq.gov/ncepcr/care/coordination/atlas/chapter6j.html
June 01, 2014 - Across settings
As coordination needs change
Assess needs and goals …
■
Monitor, follow up, and respond to change
□
Support self-management goals … health care teams or settings: 1B13
Participants not specified : 1B15, 1C2
Assess needs and goals … : 9, 12, 28
Monitor, follow up, and respond to change: 28
Support self-management goals: 12 … : 17, 26, 33, 35
Monitor, follow up, and respond to change: 14
Support self-management goals:
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/building-team-040814.pptx
January 01, 2013 - Two Goals for the CAUTI Collaborative:
Improve the culture of safety on your unit through the Comprehensive … Unit-based Safety Program (CUSP)
Reduce your unit’s CAUTI rate by 25%
Both goals require strong … Have you shared the project goals within your unit and your organization? … discontinuation of this type of anesthesia should prevent need for urinary catheter placement)
The goal … utilization is seen, evaluate appropriateness of utilization (indications vs. non-indications)
The long term goal
-
www.ahrq.gov/hai/tools/mrsa-prevention/toolkit/clabsi.html
November 01, 2024 - CUSP Tool: Daily Goals Checklist for ICU (DOCX, 413 KB) CUSP Tool: Daily Goals Checklist for Non-ICU … (DOCX, 393 KB) The Daily Goals Checklist is a tool to guides healthcare teams when reviewing patient … needs and setting goals for each patient. … More detail on the Daily Goals process can be found on the AHRQ website: AHRQ: Daily Goals During Interdisciplinary
-
www.ahrq.gov/hai/tools/mrsa-prevention/toolkit/cusp-tools-resources.html
October 01, 2024 - Sustainability and the Premortem Tool CUSP Tool: Daily Goals Checklist for ICU (DOCX, 413 KB) CUSP … Tool: Daily Goals Checklist for Non-ICU (DOCX, 393 KB) The Daily Goals Checklist is a tool that … guides healthcare teams when reviewing patient needs and setting goals for each patient. … More detail on the Daily Goals process can be found on the AHRQ website: Daily Goals During Interdisciplinary
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/sustainability/sustainability-assesment-tool.xlsx
March 01, 2017 - for CAUTI prevention and develop clear next steps and an action plan to reach those goals. … Step II: Know where you want to go (i.e., facility team goals)
3. … )
Objective: Determine future goals for CAUTI prevention at your facility. … Strongly Disagree 2 = Disagree 3 = Neither Agree nor Disagree 4 = Agree 5 = Strongly Agree
Section II.A: Goal … My team has goals established for CAUTI prevention or reduction.
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/module2/module2-obtaining-organizational-buy-in-support.pptx
August 14, 2015 - responsible for assessing, developing, implementing, and monitoring risk management plans with the goal … Senior leadership can also reinforce accountability for implementation of the process and goal achievement … Setting team goals.
Facilitating progress toward goals.
Removing identified barriers. … , facilitating progress toward goals, and removing identified barriers to progress. … Rather, an organization should set improvement as a goal.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/implementation/long-term-modules/module6/facilitator-notes.docx
March 01, 2017 - The goal of sustainability should be both the continuation of the implemented changes and continued effectiveness … Therefore, the goal is to embed safe practices within your organization rather than allow for backsliding … factors such as staffing conditions, administrators’ loss of interest, or changes in organizational goals … Planning early helps the team think about how it will sustain its goal despite changes such as resource … Sustainability will look different in different facilities depending on resources and goals.
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www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/reports/issue-briefs/dx-leadership-cx.pdf
June 03, 2021 - People need to understand the goal, but also what
they can do on a daily basis to help reach that goal … what will happen if they do or do not meet those goals. … emotional
support, and establish
relationships with care
providers.
7
e
Shared Responsibility Goal … • How can we use participatory goal setting to engage staff in the diagnostic safety
improvement process … Goal communication
• How will people know what is important and what we are trying to achieve?
-
www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/reports/issue-briefs/dx-leadership.pdf
June 03, 2021 - People need to understand the goal, but also what
they can do on a daily basis to help reach that goal … what will happen if they do or do not meet those goals. … emotional
support, and establish
relationships with care
providers.
7
e
Shared Responsibility Goal … • How can we use participatory goal setting to engage staff in the diagnostic safety
improvement process … Goal communication
• How will people know what is important and what we are trying to achieve?
-
www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/settings/mcc-summit/mcc-summit-dorr-samal.pdf
May 19, 2020 - support
• Self-management data collection
• Education
• Shared decision making
• Motivational support
• Goal-setting … Proactive Plan of Care + ++
Monitor, Follow Up, and Respond to Change ++ +++
Support Self-Management Goals … Goals:
What brings you joy? … Increase walking 5 times per week
Goals:
What brings you joy?
What matters in life? … MCCs via HIT solutions
Need to integrate these care plans with the voice of the person and their goals
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www.ahrq.gov/ncepcr/care/coordination/atlas/chapter6g.html
June 01, 2014 - Across settings
As coordination needs change
□
Assess needs and goals …
■
Monitor, follow up, and respond to change
Support self-management goals … Across settings
□
As coordination needs change
□
Assess needs and goals … ■
Monitor, follow up, and respond to change
■
Support self-management goals … transitions:
Across settings: I 11a
As coordination needs change: I 18
Assess needs and goals
-
www.ahrq.gov/hai/cusp/clabsi-hpwpreport/clabsi-hpwp3.html
August 01, 2015 - but also emphasized the development of new knowledge and skills designed to support broader safety goals … compensation—are designed to enhance leader capabilities and support achievement of organizational goals … visible alignment practice was the incorporation of CLABSI rates and rate reductions as performance goals … at the unit level (done at all hospitals) and as contributors to an organizational-level goal in four … none of these hospitals were incentive payments directly tied to the accomplishment of CLABSI-related goals
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/resources/tools/implement/team-roster.docx
March 01, 2017 - collaboration
Energized; positive attitude
Data driven
· Understand and clearly articulate program goals … Administrative Champion
Senior policy and delivery support
Energized; positive attitude
· Align project goals … with organizational goals.
· Sponsor and visibly support the team to make the work a priority.
· Commit … Frontline Champion
Resourceful
Problem solver
· Inspire others to commit to goals and interventions … PHYSICIAN CHAMPION
NURSE CHAMPION
FRONTLINE CHAMPION
INFECTION PREVENTIONIST
Advocate for project goals
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www.ahrq.gov/ncepcr/care/coordination/atlas/chapter6q.html
June 01, 2014 - Across settings
As coordination needs change
Assess needs and goals …
Monitor, follow up, and respond to change
Support self-management goals … Frequency of communication, shared goals, shared knowledge, and mutual respect were significantly associated … Across settings
As coordination needs change
Assess needs and goals …
Monitor, follow up, and respond to change
Support self-management goals
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/pfeprimarycare/beprepared-slides-final508.pptx
June 02, 2025 - Be ready
Ask questions
Speak up
What they want to talk about
Their questions
Their health goals … The goal is to help patients and families to be ready for the appointment, to ask questions, and to speak … Sheet and encourage them to write down what they want to talk about, their questions, and their health goals … In the last section, patients can write their health goals. … ’t be time to discuss both their current complaint and all their nonurgent concerns, questions, and goals
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/pfeprimarycare/beprepared-slides-508.pdf
June 02, 2025 - Be ready Ask questions Speak up
What they want
to talk about
Their
questions
Their health
goals … The goal is to help patients and families to be ready for the appointment, to ask questions, and to speak … Sheet and encourage them to write down what they want to talk about, their questions, and their health goals … In the last section, patients can write their health goals. … ’t be time to discuss both their current complaint and all their nonurgent concerns, questions, and goals