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  1. www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/surgery/9-senior-executives.pptx
    June 01, 2023 - Goals Improve patient outcomes Make perioperative processes more efficient Make perioperative care … Setting for [Service Line] Surgery ISCR at [Hospital Name] 10 Use your Gap Analysis and Goal Setting … Top Three Goals List your ISCR team’s top three goals for the ISCR program at your hospital. … These are the goals your ISCR Core Team identified using your latest assessment from the Gap Analysis … and Goal Setting Form.
  2. 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 GoalsGoals: 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
  3. 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
  4. www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy4/Strat4_Tool_1_IDEAL_chklst_508.docx
    January 01, 2010 - Listen to and honor the patient’s and family’s goals, preferences, observations, and concerns. … You can: Elicit patient and family goals at admission and note progress toward those goals each day Involve … Elicit the patient and family’s goals for when and how they leave the hospital, as appropriate. … Who: All clinical staff Discuss the patient, family, and clinician goals and progress toward discharge … Once goals are set at admission, revisit these goals to make sure the patient and family understand how
  5. www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy4/Strat4_Tool_1_IDEAL_chklst_508.pdf
    January 01, 2010 - Listen to and honor the patient’s and family’s goals, preferences, observations, and concerns. … You can: • Elicit patient and family goals at admission and note progress toward those goals each … own words to be sure that you explained things well Listen to and honor the patient and family’s goals …  Elicit the patient and family’s goals for when and how they leave the hospital, as appropriate … Once goals are set at admission, revisit these goals to make sure the patient and family understand
  6. 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
  7. www.ahrq.gov/ncepcr/care/coordination/atlas/chapter6w.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 … 23, 24, 38 Monitor, follow up, and respond to change: 9, 18, 20, 35, 49 Support self-management goals …       Monitor, follow up, and respond to change     ■ Support self-management goals … , 23 Monitor, follow up, and respond to change: 13a, 13d, 17a, 21c Support self-management goals
  8. www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/results/research/interview-protocol-qi-ny.pdf
    June 02, 2025 - How important is it to set organizational goals for quality measures? … PROBE: What is the process for deciding practice goals? Who is involved? … What guides the selection of goals and quality measures for the practice? … PROBE: How are the goals communicated to others in the practice? 8. … PROBE: How will HHNYC help you meet goals related to new policies? 2.
  9. www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/resources/job-aid-intro-qi.pdf
    June 02, 2025 -  Set goals.  Develop a plan that specifies: o what changes the practice will make. … Primary Care Practice Facilitator Training Series 2 Aligning QI Work with Practices’ GoalsGoals of primary care practices typically fall into three categories:  Improving quality of patient … representations of how multiple changes build upon each other to get a practice to reach a particular goal … strategies and activities they believe or that the evidence tells them will help them reach a particular goal
  10. 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
  11. 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
  12. www.ahrq.gov/evidencenow/projects/heart-health/about/index.html
    April 01, 2021 - About Advancing Heart Health Background and Stories from the Field Background Goals Components … The goal of this initiative was to strengthen our Nation’s primary care system and its ability to adapt … Goals AHRQ launched EvidenceNOW: Advancing Heart Health , a $112 million effort and one of AHRQ’s … largest primary care research projects to date, in 2015 with four primary goals: Help practices implement
  13. www.ahrq.gov/research/findings/final-reports/diabetesnetwork/diabnet5.html
    October 01, 2014 - Center for Health Improvement of the PCC wanted to continue the emphasis on patient self-management and goal … setting, spread the intervention to its other clinics, and use goal setting for additional chronic diseases … ' goals and the monitoring and tracking of goals by clinic team members. … Clinic teams developed action plans for implementing the goal-setting intervention within their clinics … training at the end of the session to a smaller group of participants on using the new EMR to document goals
  14. www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/toolkit/infectionprevchcklst.doc
    June 02, 2025 - Identify and mitigate barriers to achieving the project goals. 11. … Ask clinicians what is difficult in achieving the project goals. 12. … Collaborate to remove barriers to achieving the project goals.
  15. www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/tools-and-materials/chcanys-qi-primer.pdf
    August 01, 2017 - QI Team Goals Page 10 V. … Creating SMAART Goals While creating your team’s goals, please consider the SMAART methodology. … Set stretch goals. A "stretch" goal is one to reach for within a certain time. … o CPCI Baseline* Target Goal: o  Percentage of o CPCI Baseline* Target Goal: Our individual goalsGoals 3: Individual Goals 4: Cycle conclusions 1: Cycle conclusions 2: Cycle conclusions 3:
  16. www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/medicaidmgmt/mm7.html
    October 01, 2014 - lead to these goals is helpful. … self-management, then an appropriate measure might track weight loss or whether patients have a self-management goal … To demonstrate that the State is achieving this goal, Pennsylvania agreed on a measurement strategy with … The former represents an absolute improvement goal, the latter a relative improvement goal. … The State should set realistic goals for improvement and be ready to adapt these goals as the measure
  17. www.ahrq.gov/teamstepps-program/curriculum/intro/teach.html
    August 01, 2023 - Teaching Goals It's critical to lay groundwork for the time you spend with trainees learning TeamSTEPPS … As you begin your training, aspire to achieve the following goals to lay the foundation for the remainder … These goals relate to how you present yourself and other faculty, how you define the relationships you … Relationship Goals It's crucial to create a relationship characterized by mutual respect, enjoyment … You can’t achieve this goal if you present yourself as the instructor and your trainees as passive listeners
  18. www.ahrq.gov/evidencenow/summary.html
    September 01, 2017 - Goals The goals of EvidenceNOW are ambitious and include-- Helping primary care practices implement … Our goal is that each of these practices will meet the national target of 70 percent of all patients
  19. www.ahrq.gov/ncepcr/care/coordination/atlas/chapter6c.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: Outcomes: 2b-I; Care Coordination Needs: 3; Focus Encounter: 6 Assess needs and goals … Across settings          As coordination needs change       Assess needs and goals … □     Monitor, follow up, and respond to change □     Support self-management goals
  20. www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/evaluation/evidence-now-improving-capacity.pdf
    January 01, 2018 - EvidenceNOW: Helping Small Primary Care Practices Build Capacity for Quality Improvement One of the main goals … 15.2% “Our practice uses teams for quality improvement” 59% But, fewer practices were setting goals … NG LY D IS AG RE E ST RO NG LY A GR EE 33.3% 25.6% 10.4%12.3%18.4% “Our practice sets goals … Local and national evaluations will explore whether EvidenceNOW was able to achieve both goals.

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