-
www.cahps.ahrq.gov/ncepcr/care/coordination/atlas/chapter6f.html
June 01, 2014 -
Across settings
■
As coordination needs change
Assess needs and goals … care
Monitor, follow up, and respond to change
□
Support self-management goals … : 15, 16
Monitor, follow up, and respond to change: 25, 26
Support self-management goals: 17-24 … care
Monitor, follow up, and respond to change
Support self-management goals … coordination needs change: C6Q0A, C6Q0A_B, C6Q0A_C, C6Q0A_D, C6Q0A_E, C6Q0A_F
Assess needs and goals
-
www.cahps.ahrq.gov/ncepcr/care/coordination/atlas/chapter6h.html
June 01, 2014 -
Across settings
□
As coordination needs change
Assess needs and goals … care
Monitor, follow up, and respond to change
■
Support self-management goals … teams or settings : E10, E11
Facilitate transitions:
Across settings: E9
Assess needs and goals … I11-I14
Monitor, follow up, and respond to change: C8, E7, E11, E12, F7
Support self-management goals … care
Monitor, follow up, and respond to change
■
Support self-management goals
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www.cahps.ahrq.gov/ncepcr/care/coordination/atlas/chapter6q.html
June 01, 2014 -
Across settings
As coordination needs change
Assess needs and goals … care
Monitor, follow up, and respond to change
Support self-management goals …
Across settings
As coordination needs change
Assess needs and goals … care
Monitor, follow up, and respond to change
Support self-management goals … care
Monitor, follow up, and respond to change
Support self-management goals
-
www.cahps.ahrq.gov/ncepcr/care/coordination/atlas/chapter6w.html
June 01, 2014 - Across settings
□
As coordination needs change
Assess needs and goals … care
Monitor, follow up, and respond to change
■
Support self-management goals … settings: 46, 47, 52
Facilitate transitions:
Across settings: 49, 50
Assess needs and goals … 23, 24, 38
Monitor, follow up, and respond to change: 9, 18, 20, 35, 49
Support self-management goals … care
Monitor, follow up, and respond to change
■
Support self-management goals
-
www.cahps.ahrq.gov/ncepcr/care/coordination/atlas/chapter6d.html
June 01, 2014 -
Across settings
As coordination needs change
Assess needs and goals … care
■
Monitor, follow up, and respond to change
Support self-management goals … care teams or settings: 4-6
Create a proactive plan of care: 1-3
Support self-management goals … care
Monitor, follow up, and respond to change
Support self-management goals … Scales address 5 topics: (1) Patient Activation; (2) Delivery System Design/Decision Support; (3) Goal
-
www.cahps.ahrq.gov/ncepcr/care/coordination/atlas/chapter6b.html
June 01, 2014 -
Across settings
As coordination needs change
Assess needs and goals … care
Monitor, follow up, and respond to change
□
Support self-management goals … DT2, HPC1, SD1, SD2, RV7
Monitor, follow up, and respond to change: 22
Support self-management goals … : SD1, SD2
Monitor, follow up, and respond to change: 22
Support self-management goals: 17, DC4 … : DT2, SD1, SD2
Monitor, follow up, and respond to change: 22
Support self-management goals: 17
-
www.cahps.ahrq.gov/ncepcr/care/coordination/atlas/chapter6e.html
June 01, 2014 -
Across settings
As coordination needs change
■
Assess needs and goals … care
■
Monitor, follow up, and respond to change
■
Support self-management goals … care
■
Monitor, follow up, and respond to change
■
Support self-management goals … transitions:
As coordination needs change: 4.1A-C, 4.2A-H, 8.1B, 8.1F, 14.2
Assess needs and goals … , follow up, and respond to change: 1.7, 7.1F, 8.1A, 8.1F, 14.1C-F, 14.2
Support self-management goals
-
www.cahps.ahrq.gov/ncepcr/care/coordination/atlas/chapter6c.html
June 01, 2014 -
Across settings
■
As coordination needs change
Assess needs and goals … care
□
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 … care
□
Monitor, follow up, and respond to change
□
Support self-management goals … care
Monitor, follow up, and respond to change
Support self-management goals
-
www.cahps.ahrq.gov/ncepcr/care/coordination/atlas/chapter6p.html
June 01, 2014 -
Across settings
□
As coordination needs change
Assess needs and goals … care
Monitor, follow up, and respond to change
Support self-management goals … care
Monitor, follow up, and respond to change
Support self-management goals … (s) and patient/family: 11
Facilitate transitions:
Across settings: 6
Assess needs and goals … care
Monitor, follow up, and respond to change
□
Support self-management goals
-
www.cahps.ahrq.gov/ncepcr/care/coordination/atlas/chapter6k.html
June 01, 2014 -
Across settings
□
As coordination needs change
Assess needs and goals … care
□
Monitor, follow up, and respond to change
Support self-management goals … ) and patient/family: 6
Facilitate transitions:
Across settings: 5, 7
Assess needs and goals … care
Monitor, follow up, and respond to change
Support self-management goals … care
Monitor, follow up, and respond to change
■
Support self-management goals
-
www.cahps.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
-
www.cahps.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
-
www.cahps.ahrq.gov/teamstepps-program/curriculum/situation/teach/index.html
August 01, 2023 - Teaching Goals
It's critical to lay groundwork for the time spent with trainees learning TeamSTEPPS … These goals relate to how you present yourself and other faculty, how you define the relationships you … Trainer Goals
Show that you care about the importance of TeamSTEPPS to patients, family caregivers, … Relationship Goals
It's vital to create a relationship characterized by mutual respect, enjoyment, … Trainings allow participants to meet others with shared goals and challenges and to create connections
-
www.cahps.ahrq.gov/teamstepps-program/curriculum/team/teach/index.html
August 01, 2023 - Teaching Goals
It's critical to lay groundwork for the time spent with trainees learning TeamSTEPPS … These goals relate to how you present yourself and other faculty, how you define the relationships you … Trainer Goals
Show that you care about the importance of TeamSTEPPS to patients, family caregivers, … Relationship Goals
It's vital to create a relationship characterized by mutual respect, enjoyment, … Trainings allow participants to meet others with shared goals and challenges and to create connections
-
www.cahps.ahrq.gov/teamstepps-program/curriculum/mutual/teach/index.html
August 01, 2023 - Teaching Goals
It's critical to lay groundwork for the time spent with trainees learning TeamSTEPPS … These goals relate to how you present yourself and other faculty, how you define the relationships you'd … Trainer Goals
Show that you care about the importance of TeamSTEPPS to patients, family caregivers, … Relationship Goals
It's vital to create a relationship characterized by mutual respect, enjoyment, … Trainings allow participants to meet others with shared goals and challenges and to create connections
-
www.cahps.ahrq.gov/sites/default/files/wysiwyg/ncepcr/resources/job-aid-intro-qi.pdf
May 18, 2021 - 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’ Goals … Goals 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
-
www.cahps.ahrq.gov/ncepcr/care/coordination/atlas/chapter3.html
June 01, 2014 - Goal. The framework starts at the top with the goal of achieving coordinated care. … 2 describes through definitions, visual means , and patient scenarios ways to think about this goal … Various mechanisms may be employed to facilitate this goal of care coordination. … , set goals for the patient's providers. … Support self-management goals.
-
www.cahps.ahrq.gov/ncepcr/care/coordination/atlas/chapter6y.html
June 01, 2014 - Across settings
■
As coordination needs change
Assess needs and goals … care
Monitor, follow up, and respond to change
□
Support self-management goals … Across settings
As coordination needs change
Assess needs and goals … care
Monitor, follow up, and respond to change
■
Support self-management goals … care
□
Monitor, follow up, and respond to change
■
Support self-management goals
-
www.cahps.ahrq.gov/sites/default/files/wysiwyg/evidencenow/practice-facilitators-effectiveness-infographic.pdf
September 01, 2022 - Cultivate Motivation
Ask open-ended questions to clarify
practice goals and challenges
Remain flexible … practices
choose to focus on
Tailor quality improvement activities to
primary care practices’ needs, goals
-
www.cahps.ahrq.gov/ncepcr/care/coordination/atlas/chapter6x.html
June 01, 2014 - Across settings
■
As coordination needs change
Assess needs and goals … care
Monitor, follow up, and respond to change
□
Support self-management goals … professionals: 12d
Facilitate transitions:
Across settings: 2a, 2b, 2c
Assess needs and goals … : 6c
Monitor, follow up, and respond to change: 3b, 14f
Support self-management goals: 6d, 14a … care
Monitor, follow up, and respond to change
□
Support self-management goals