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Showing results for "improving clinical-community linkages in primary care for patients with multiple chronic conditions".
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/primary-care/workforce-financing/case_example_8.pdfOctober 01, 2016 - primary care workforce, and conducted site visits to primary care practices with innovative workforce … For this reason, the primary care team is more broadly defined. … - primary care connectivity. … Wesley nurses have some communication with primary care physicians, but challenges with the Wesley Clinic … They attend huddles and alert the primary care team if a patient is running late or needs to complete
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www.ahrq.gov/ncepcr/tools/workforce-financing/case-example-6.htmlJuly 01, 2019 - primary care workforce, and conducted site visits to primary care practices with innovative workforce … with multiple chronic diseases. … use of CHWs in primary care because of the Detroit area's diverse patient population and integrated … , secure room for dementia clients, and transportation services. … health care and support services to all community residents.
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www.ahrq.gov/ncepcr/tools/workforce-financing/case-example-4.htmlJuly 01, 2019 - primary care workforce, and conducted site visits to primary care practices with innovative workforce … Foresight aspires to be the premier primary care practice in its area. … health patients, since Foresight physicians are not their primary care providers. … as evidenced in meetings with all MAs to talk about procedures, improving individuals' skills, and problem … primary care.
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www.ahrq.gov/ncepcr/tools/workforce-financing/case-example-8.htmlJuly 01, 2019 - Primary Care Staffing Models Acknowledgements Introduction The Agency for Healthcare Research … primary care workforce, and conducted site visits to primary care practices with innovative workforce … For this reason, the primary care team is more broadly defined. … Wesley nurses have some communication with primary care physicians, but challenges with the Wesley Clinic … They attend huddles and alert the primary care team if a patient is running late or needs to complete
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www.ahrq.gov/news/events/nac/2023-03-nac/nacmtg030623-minutes.htmlJuly 01, 2023 - Ensure connections between primary care and specialists. … How can we strengthen the backbone of primary care? Dr. … access for patients. … Ting, M.D., agreed on the importance of addressing the linkages between primary care and specialty care … Address training, communication, primary care, accountability, and payment models. Dr.
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www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/highlights/ps-project-highlights-medication-safety.pdfSeptember 30, 2024 - Based Approach to Improving Opioid Management in Primary Care … Guide for primary care practices to assist them in managing patients with chronic pain on long-term … patient advisors in primary care. … patients with noncancer pain in rural primary care clinics across Washington and Idaho. … for chronic pain in a manner that improves patient safety and the work life of primary care clinicians
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www.ahrq.gov/ncepcr/tools/workforce-financing/case-example-1.htmlJuly 01, 2019 - primary care workforce, and conducted site visits to primary care practices with innovative workforce … because nationwide, the number and percentage of adults living with multiple chronic conditions who … SCC patients have risk factors that are about 2.5 times higher than average primary care patients in … and self-management support, with the three in-house physicians providing primary care. … -SCC physician Most patients seen at SCC have difficulty managing their multiple chronic conditions
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www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/tools/PCMH/pcpf-module-12-intro-to-assessing-practices.pdfSeptember 01, 2015 - For example, in a practice interested in improving its lab reporting process, observation and document … of HRSA Primary Care Programs. … linkages • Patients are linked to outside resources • Practice partners with community organizations … self- management goals developed with patient • Community programs provide feedback about patients … care for low-income patients in the region. 1 Module12 Module 12 Intro to assessing practices
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www.ahrq.gov/ncepcr/tools/obesity/obpcp1.htmlMay 01, 2014 - Integrating Primary Care Practices and Community-based Resources to Manage Obesity Chapter 1: Attaining … In more than 10 years of experience working with rural primary care practices, we have found that clinicians … Staff not directly involved in patient care might fill some of the important linkage roles with limited … with patients and be recognized and valued by their superiors. … Primary care was seen as a potential resource for weight-related conversations and health behavior change
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www.ahrq.gov/sites/default/files/publications/files/obesity-toolkit.pdfMarch 01, 2014 - Community Connections: Linking Primary Care Patients to Local Resources for Better Management of Obesity … Community Connections Linking Primary Care Patients to Local Resources for Better Management … partner as akin to a patient searching for a new primary care physician. … Maintaining Contact with the Community Partner Community Connections: Linking Primary Care Patients … The Improving Efficiency in Primary Care toolkit (http://fammed.ucdenver.edu/efficiency/default.htm)
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www.ahrq.gov/sites/default/files/publications2/files/building-state-cooperatives-meeting-summary.pdfSeptember 26, 2024 - Alabama Primary Health Care Association (APHCA) as key partners. … the primary care safety net grounded in a robust patient and stakeholder engagement infrastructure. … of care, and health outcomes for people in medically underserved areas with multiple chronic conditions … on expanding primary care team capacity to manage cardiovascular disease in Medicaid patients. … improving quality of care and patient outcomes.
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www.ahrq.gov/ncepcr/tools/workforce-financing/case-example-5.htmlJuly 01, 2019 - primary care workforce, and conducted site visits to primary care practices with innovative workforce … It aspires to “one-stop shopping” for patients, bringing in-house specialists to the primary care clinics … Registered nurse (RN) outpatient case managers oversee the management of high-risk patients with multiple … chronic conditions based on their risk stratification scores. … Primary care team members feel responsible for improving metrics, so improvement strategies are addressed
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www.ahrq.gov/ncepcr/tools/workforce-financing/case-example-3.htmlJuly 01, 2019 - primary care workforce, and conducted site visits to primary care practices with innovative workforce … Return to Contents Implications for Primary Care Staffing Models Well-defined roles and respect for … Fairview is an exemplar primary care practice in its utilization of MTM to address and improve patients … Fairview Pharmacy Services, for hosting a site visit for the AHRQ New Models of Primary Care Workforce … Best Practices: Improving Patient Outcomes and Costs in an ACO Through Comprehensive Medication Therapy
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www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/projects/state/how-to-guide/how-to-guide.pdfAugust 01, 2024 - For example: » Alabama Cardiovascular Cooperative partnered with the Alabama Primary Health Care … Patient- and Family-Centered Care) Foundations and private donors investing in improving health/health-related … technical assistance and education to primary care practices and other health system partners on improving … fund a primary care extension program housed in a state university for services that benefit patients … Interview with James Mold from Oklahoma Primary Healthcare Improvement Cooperative. 2022. 44.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/primary-care/workforce-financing/case_example_5.pdfOctober 01, 2016 - It aspires to “one-stop shopping” for patients, bringing in-house specialists to the primary care clinics … Registered nurse (RN) outpatient case managers oversee the management of high-risk patients with multiple … chronic conditions based on their risk stratification scores. … Complex care followup is traditionally for 90 days before the patient is returned to the primary care … Primary care team members feel responsible for improving metrics, so improvement strategies are addressed
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New Models of Primary Care Workforce and Financing - Case Example #3: Fairview Health Services (pdf file)
www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/primary-care/workforce-financing/case_example_3.pdfOctober 01, 2016 - primary care workforce, and conducted site visits to primary care practices with innovative workforce … Patient Population Description and Practice Panel Size In 2014, Edina cared for 12,184 unique patients … Community Linkages The Edina clinic works closely with the Alzheimer’s Association to provide additional … Fairview is an exemplar primary care practice in its utilization of MTM to address and improve patients … Best Practices: Improving Patient Outcomes and Costs in an ACO Through Comprehensive Medication Therapy -
www.ahrq.gov/data/apcd/envscan/findings.htmlJuly 01, 2022 - mellitus is often an interdisciplinary effort in a patient-centered medical home, involving primary care … care physicians Primary care physician (PCP) metrics may need to be different from more discrete episodes … Measuring episodes of care for patients with multiple chronic diseases. … For patients with multiple chronic diseases, defining which “episode of care” to use may be difficult … patients with multiple chronic conditions.
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www.ahrq.gov/ncepcr/research-transform-primary-care/transform/tpcbib/index.htmlMay 01, 2015 - 12 primary care practices participating in North Carolina’s Improving Performance in Practice program … Medical home implementation and trends in diabetes quality measures for AN/AI primary care patients. … Qualitative findings from in-depth interviews with patients, primary care clinicians, health system employees … The Nocon study highlights the cost implications of improving primary care for underserved and vulnerable … for primary care.
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www.ahrq.gov/ncepcr/reports/grants-transform/bibliography/index.htmlFebruary 01, 2017 - 12 primary care practices participating in North Carolina’s Improving Performance in Practice program … Medical home implementation and trends in diabetes quality measures for AN/AI primary care patients. … Qualitative findings from in-depth interviews with patients, primary care clinicians, health system employees … The Nocon study highlights the cost implications of improving primary care for underserved and vulnerable … for primary care.
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www.ahrq.gov/evidencenow/projects/heart-health/research-results/results/publications.htmlMay 01, 2024 - Topics: Primary Care Landscape Practice Facilitation Practice Capacity for Quality Improvement Improving … PMID:31068404 https://www.ncbi.nlm.nih.gov/pubmed/31068404 The Capacity of Primary Care for Improving … their CHW contacts with clients by 20 percent. … a primary care clinic’s ability to care for patients. … of self-management support, patient social needs assessment, community resource linkages, and patient
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