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www.ahrq.gov/sites/default/files/wysiwyg/lhs/lhs_case_studies_utah_health.pdf
April 01, 2019 - Fostering a Culture of Learning
If data are critical to continuous improvement, an organizational … culture that supports using
data is foundational to being an LHS. … Culture change at University of Utah Health began a decade ago with the simple but powerful
idea that … For example, the focus on young physicians recognizes that sustainable culture change requires
that … They also emphasize that defining the return on investment in
becoming a LHS has to involve more than just
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www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/tools/PCMH/pcpf-module-1-instructors-guide.pdf
September 01, 2015 - competency
21 Working With and
Supporting Practice Leaders
Organizational
change
Organizational
cultures … In some cases, however, prior experience, beliefs, and attitudes can lead to incorrect
assumptions about … Discussion of these prior experiences, beliefs, and attitudes is an essential part of developing the … Do you agree with the items just discussed?” … For those that send you a
private message, you might state, “Someone just posted a comment that reads
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www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/implementing-new-protocol-transcript.pdf
October 01, 2018 - Webcast
October 2018 www.ahrq.gov/cahps | 3 of 15
the opportunity to refashion our institutions, our culture … And there is a distinct culture and patient population where it is lower income. … than the six months it is three months and there are a few other modifications, for example, some
custom … So before we would just get this report out, it would just look like a long list of comments, and you … This is an example of a custom New York Presbyterian question that’s added on the Press Ganey survey
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www.ahrq.gov/evidencenow/model/index.html
April 01, 2025 - Just as farmers have profited from the Agricultural Extension Service, primary care practices benefit … Even system-affiliated primary care practices can benefit from this support, just like large farms still … determine whether a practice can effectively use health IT for quality improvement, including practice culture
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www.ahrq.gov/sites/default/files/wysiwyg/takeheart/training/module-9-slides.pdf
February 24, 2022 - sessions
Phase III
Maintenance
Workflow processes and activities throughout the
continuum of care
Not just … 26
• Geography (just a few of many examples):
o Data on zip codes of most frequent and eligible patients … teach CR/schedules
(e.g., large farms, meat processing plant, IT company, etc.,)
• Demographics (just … a few of many examples):
o Cultures served
o Languages spoken
o Community centers that would impact … enrollment
• Initial provider contact
• Dedicated time
• Serve as a resource
• Advertise benefits
• Not just
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www.ahrq.gov/talkingquality/resources/writing/tip3.html
May 01, 2015 - introduction and proceed page by page through the document, provide information throughout the document—not just
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www.ahrq.gov/sites/default/files/2024-07/peck-report.pdf
January 01, 2024 - Mission
To be a champion for patient safety in a new healthcare culture. … As one participant wrote afterward:
I have come to the belief that healthcare, in general, and organizations … showcase content; (iii) curricular materials that use adult education
theory specifically adapted for the cultures … on how they work.
____________
I have come to the belief that healthcare, in general and organizations … showcase content; (iii) curricular materials that use
adult education theory specifically adapted for the cultures
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www.ahrq.gov/sites/default/files/wysiwyg/sops/quality-patient-safety/patientsafetyculture/hospital/healthitwebinar/sops-hit-webcast4-yount.pdf
June 02, 2025 - item set:
– Raise awareness about impact of Health IT on
patient safety
– Assess how organizational culture … “Everyone just learns to accept they will need to
override so many alerts and warnings that
people
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www.ahrq.gov/practiceimprovement/systemdesign/leancasestudies/lean-case3.html
November 01, 2014 - Change organizational culture. … Because—then you should be able to put together your own team and just go. … 'That's followed by at completion of the project saying, 'We just scratched the surface.' … significant changes in organizational culture. … "I think the other shift is that the CEO is saying, 'It's OK to fail, just try something.'
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www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/podcasts/Tackling_Low_Health_Literacy_Among_PCP_2012_05_01_Transcript.pdf
January 01, 2012 - about some of the factors that are important to any quality improvement effort
such as organizational culture … And this expanded definition moves beyond providing just a static
explanation and can more serve as … They just don’t have
the resources to do it right now. … Are you just working on the ambulatory side
or what other types of providers are you working with? … Stan Hudson
Currently right now, we’re just focused on the ambulatory side.
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www.ahrq.gov/sites/default/files/2024-02/goldstein-report.pdf
January 01, 2024 - A single-center harm-reduction program, Nephrotoxic Injury Negated by
Just-in-time Action (NINJA), reduced … population in the US, estimates that chronic kidney disease patients incur per
person per year costs of just … We assessed
patient safety culture using the AHRQ Patient Safety Culture Survey, in which all items have … the variable will allow us
to additionally distinguish between hospitals with strong and weak safety cultures … For example, we do not
expect that there is just one way to effectively implement NINJA.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy2/Strat2_Tool_6_Pres_TX_508.pdf
June 02, 2025 - and how to get things done
• Are strangers in this environment
• Don not understand the system or culture … exercises
20 Strategy 2: Communicating to Improve Quality Training (Tool 6)
Vignette 1
• Jack has just … act annoyed
• Invite them to continue asking questions
• Remember that nonverbal communication says just … attending physician, John Gladstone, after hearing
from Angela about Jack’s pain and discomfort, has just … want them to—it is simply too risky for them
• Your job is to make it safe for them to be here, not just
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www.ahrq.gov/sites/default/files/wysiwyg/hai/abate/introduction/prelaunch-activities.pdf
March 01, 2022 - As is the case with many infection prevention programs, it will take time to
achieve culture change. … or history documented on transfer
o MRSA-positive screening test (if performed) or clinical culture … Use your current processes for identifying MRSA-positive clinical
cultures, screening cultures, and … Recognize that there may be patients with a history of MRSA, but with recent
negative surveillance cultures … Just-in-time training – this document can be used for new, registry, or float staff in
conjunction with
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www.ahrq.gov/sites/default/files/wysiwyg/lhs/lhs_case_studies_hca.pdf
April 01, 2019 - journey characterized by strong leadership, effective use of data in the
clinical setting, and both a culture … The heart of HCA’s approach is its belief that every piece of
data generated helps to tell a story and … “The EHR is just a transactional system within the larger information
ecosystem.”
3
For example … Fostering a Culture of Learning
While data is foundational to HCA’s operations, being a true LHS requires … At HCA, using data in a continuous
cycle of insights and learning is baked into its culture.
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www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/strategies/medication/safe-medication-fac-guide.html
July 01, 2023 - used on L&D units, but administration procedures vary greatly due to lack of standardization, local culture … This aspect of perinatal safety calls for L&D units to foster a culture of teamwork and communication … These techniques provide staff with the language and skills to "speak up" and have a "just in time" crucial … Tool, available on the AHRQ Web site, provides additional details for these six key safety elements just … used on L&D units, but administration procedures vary greatly due to lack of standardization, local culture
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www.ahrq.gov/practiceimprovement/delivery-initiative/casalino/paper/idkeydsrapd.html
February 01, 2014 - the delivery system, for example, knowledge that has been gained in other fields about organizational culture … Leadership
Culture
Change within organizations
ARRA Grant: Rodriguez
2. … the delivery system to high-performing organizations that focus continually on improving value (not just … Interprovider/Interorganizational Processes for Improving Care
Improving transitions in care, not just
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www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/20150317/excelling_cahps_lessons_medicaid_webinar_transcript.pdf
January 01, 2016 - That's part of the culture here at Blue Cross, but it's very deliberate, and it needs some care and … We don't just look at the overall average of the composites. … And you can even come up with custom questions as you need to if that's what helps you
in your circumstance … So I always recommend that we just keep our eyes and our ears open. … We called that just movie
theater.
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www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/2023-virtual-research-meeting-summary-patient-experience.pdf
January 01, 2023 - patient safety, and provider well-being may serve as a vital step for honing healthy
organizational cultures … reduced stress by clinicians, less likelihood of litigation, heightened learning,
stronger institutional cultures … family
Deny/defend Transparent, ongoing
Event analysis Physician, nurse are root causes Focus on Just … bond between patients and healthcare providers—thereby
promotingstrengthening healthy organizational cultures … Our hypothesis was that hospitals with more positive patient
safety cultures would have patients with
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www.ahrq.gov/hai/cusp/toolkit/content-calls/briefing.html
April 01, 2013 - For instance, at Hopkins we call our morning briefing just that in ICU. … And some of the things that we often find, especially when culture is poor, is that people feel that … We involve pretty much everybody and, using the HSOPS, we look at, as I said, we look at culture scores … Also when there's a difference of 20 percent between cultures of provider types -- those questions where … dumped a liter of blood into their pleuravac that was just placed?
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www.ahrq.gov/funding/training-grants/grants/active/kawards/kawdsummarsh.html
October 01, 2014 - Progress to Date: The grant has just started.