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www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/identifying-delirium.pdf
June 01, 2021 - Identifying Delirium
IDENTIFYING DELIRIUM
ABCs OF IDENTIFICATION
Acute/subacute
• Altered mental … status with
change in attention
Behavioral disturbance
• (Restless, agitated, combative)
Changes
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www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/poster-4x6-delirium.pdf
June 01, 2021 - )-0029
June 2021
IDENTIFYING DELIRIUM
ABCs OF IDENTIFICATION
Acute/subacute
• Altered mental … status from baseline
Behavioral disturbance
• Restless, agitated, combative
Changes in consciousness
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www.qualitymeasures.ahrq.gov/news/newsletters/e-newsletter/828.html
August 01, 2022 - August 23, 2022
AHRQ Stats: Largest Source of Mental Disorder Spending
In 2019, 41.5 percent of medical … spending for mental disorders occurred during office-based and outpatient visits, representing the largest … Medical Expenditure Panel Survey Statistical Brief #539, Healthcare Expenditures for Treatment of Mental … those affected by the broader effects of COVID-19, including not only long COVID but also effects on mental
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www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-194-section-6-table-12.pdf
April 17, 2019 - semicoma, somnolence, stupor,
unconsciousness)
780.09
Dizziness and giddiness 780.4
Altered mental
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www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/chipra_1415-p011-1-ef_0.pdf
March 01, 2015 - the most expensive, highest in risk, and fastest growing of therapeutic
classes for children with mental … Antipsychotics have serious, common side effects, including weight gain, hyperprolactinemia3, and
metabolic disturbance … American Academy
of Child and Adolescent Psychiatry and the Centers for Education and Research on Mental
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www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/ncepcr/tools/PCMH/pcpf-module-15-presenting-data.pdf
September 01, 2015 - disturbance, difficulty sleeping,
suicidal ideation, hallucinations, paranoia
Endocrine: denies polyuria … disturbance, difficulty sleeping, suicidal ideation,
hallucinations, paranoia
Endocrine: denies polyuria … disturbance, difficulty sleeping, suicidal ideation,
hallucinations, paranoia
Endocrine: denies polyuria … disturbance, difficulty sleeping, suicidal ideation,
hallucinations, paranoia
Endocrine: denies polyuria … sores, lesions, color change
Neurologic: denies syncope
Psychiatric: denies depression, anxiety, mental
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www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/ncepcr/tools/PCMH/pcpf-module-14-collecting-performance-data.pdf
September 01, 2015 - disturbance, difficulty sleeping,
suicidal ideation, hallucinations, paranoia
Endocrine: denies polyuria … disturbance, difficulty sleeping, suicidal ideation,
hallucinations, paranoia
Endocrine: denies polyuria … disturbance, difficulty sleeping, suicidal ideation,
hallucinations, paranoia
Endocrine: denies polyuria … disturbance, difficulty sleeping, suicidal ideation,
hallucinations, paranoia
Endocrine: denies polyuria … sores, lesions, color change
Neurologic: denies syncope
Psychiatric: denies depression, anxiety, mental
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www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/chipra-89-adhd-behavior-section-5-attach-4.pdf
January 01, 2011 - Screening for Attention-Deficit/Hyperactivity
Disorder (ADHD) Should Be Part of Every Patient's Mental … In any mental health assessment, the clinician should screen for
ADHD by specifically asking questions … diagnosis of ADHD, the primary care
clinician should determine that Diagnostic and Statistical Manual of
Mental … information obtained primarily from reports of parents or
guardians, teachers, and other school and mental … behavior interventions have not
provided adequate improvement and there is moderate to severe
continuing disturbance
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www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/chipra-88-measure-1-section-5-attachment-4.pdf
January 01, 2011 - Screening for Attention-Deficit/Hyperactivity Disorder
(ADHD) Should Be Part of Every Patient's Mental … In any mental health assessment, the clinician should screen for ADHD by
specifically asking questions … diagnosis of ADHD, the primary care
clinician should determine that Diagnostic and Statistical Manual of Mental … information obtained primarily from reports of parents or guardians, teachers,
and other school and mental … behavior interventions have not provided adequate
improvement and there is moderate to severe continuing disturbance
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www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/topics/managing-interruptions-improve-diagnostic-decisionmaking.pdf
December 29, 2022 - clinicians to take a moment after being interrupted to
consider any possible biases or heuristics (i.e., mental
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www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/chipra-89-adhd-behavior-section-5-attach-1.pdf
January 01, 2009 - and youth,i and the number of
children with this condition is far greater than can be managed by the mental … behavior interventions have not provided adequate improvement and there is moderate to severe
continuing disturbance … the most common stimulant adverse effects
are appetite loss, abdominal pain, headaches, and sleep disturbance … It is
often helpful to obtain consultation from a mental health specialist with specific experience
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www.qualitymeasures.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/tap.html
December 01, 2012 - Serious mental illness (SMI) . … illness/serious emotional disturbance waiver (if any of the monthly MAX Waiver Type Code variables on … Prevalence of serious mental illness, State's . … Underserved by mental health providers . … illness/serious emotional disturbance, and technology dependent/medically fragile people.
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www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/chipra-88-measure-1-section-5-attachment-5.pdf
February 02, 2012 - interventions do
not provide significant improve
ment and there is moderate-to
severe continuing disturbance … In addition, relegating
mental health conditions exclusively to
mental health clinicians also is not … interventions do not
provide significant improvement
and there is moderate-to-severe
continuing disturbance … most common stimulant ad
verse effects are appetite loss, abdom
inal pain, headaches, and sleep
disturbance … on Mental Health.
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www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/chipra-89-adhd-behavior-section-5-attach-5.pdf
February 02, 2012 - interventions do
not provide significant improve-
ment and there is moderate-to-
severe continuing disturbance … In addition, relegating
mental health conditions exclusively to
mental health clinicians also is not … behavior interventions do not
provide significant improvement
and there is moderate-to-severe
continuing disturbance … the most common stimulant ad-
verse effects are appetite loss, abdom-
inal pain, headaches, and sleep
disturbance … Mental Health.
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www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-089-fullreport.pdf
January 30, 2017 - record systems have been
implemented generally, paper records are still used for documentation of some mental … Such adverse effects have been
described in the literature as pain, headaches, and sleep disturbance … health
documentation
No Paper records are used
for mental health
documentation
Ann & Robert … Sinai
Paper records for
mental health
documentation
No
Paper records are used
for mental health … National Institute of Mental Health Multimodal Treatment Study of
ADHD Follow-up: 24-month outcomes
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www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-195-section-2.pdf
January 01, 2016 - or confusion, including comments such as “not
acting like himself” per parent report
• Altered mental … movements
• Asymmetric face or extremity muscle movements
• Altered sensation
• Dizziness
• Gait disturbance … ☐Yes ☐No
Altered mental status
☐Yes ☐No
Glasgow Coma Scale Score <14
☐Yes ☐No
Papilledema … extremity muscle movements
☐Yes ☐No
Alerted sensation
☐Yes ☐No
Dizziness
☐Yes ☐No
Gait disturbance
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www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-126-fullreport.pdf
May 01, 2018 - for disfiguring movement
disorders remains, and atypical agents are more likely to cause metabolic disturbance … These risks are in addition
to the side effects of antipsychotic medications that include metabolic disturbance … While there were
concerns about the lack of mental health providers and limitations of claims data, … The relationship between mental health diagnosis and
treatment with secondgeneration antipsychotics … Medicaid Medical Directors Learning Network and Rutgers Center for Education and Research
on Mental
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www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-177-fullreport.pdf
May 01, 2018 - for disfiguring movement
disorders remains, and atypical agents are more likely to cause metabolic disturbance … public insurance, and a diagnosis of psychosis, tic disorder,
or pervasive development disorder or mental … These risks are in addition to side effects such as
metabolic disturbance, which may have a serious … • Mental health technical subgroup.
17
We also convened two panels with particular relevance … The relationship between mental health diagnosis and
treatment with second generation antipsychotics
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www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-246-fullreport.pdf
December 01, 2019 - Prevalence of serious emotional
disturbance in children and adolescents. … Rockville, MD: Center for Mental Health Services; 1996. … Unmet need for mental health care among U.S. … Lifetime prevalence of mental disorders in U.S. … National Collaborating Centre for Mental Health.
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www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/chipra-89-adhd-behavior-section-2-attach-1.pdf
February 01, 2012 - Mental health problems are 1 of the leading causes of days lost in
the workplace. … Therefore, mental health problems beginning in childhood may have a significant
effect on productivity … prescribe stimulants and less likely to utilize diagnostic services, engage in
follow-up care and mental … Broad band rating scales
that assess mental health functioning in general do not provide reliable and … behavior interventions have not provided adequate
improvement and there is moderate to severe continuing disturbance