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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/fallsprev/ontimefallspximplsteps.pdf
June 02, 2025 - Introduce On-Time Falls Prevention 1st month
5. Review Reports 1st month
6. … Complete Self-Assessment 1st month
7. Pilot a Report With Data 2nd month
8. … Validate Data 2nd month
9. Agree To Use Reports/Implementation
Strategies
2nd month
10. … Develop Plan and Implement New Strategies
on All Units
4th month to 6th month
14. … Monitor Facility Implementation Progress
Monthly
6th month to 9th month
15.
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www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/20131008_cg/4_Rick_Evans_slides_41-46.pdf
January 01, 2013 - Myth Busting: Using the CG-CAHPS 12-Month Survey for Quality Improvement
The Practice Engagement Model … years (2008)
Consistent with national direction
Visit–specific version has questions that are 12
month … Myth Busting: Using the CG-CAHPS 12-Month Survey for Quality Improvement
Need Help? … Using the 12-Month CG-CAHPS Survey for Service Improvement
Dean Clinic A member of SSM Healthcare
-
www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/tracking-measuring-data-facilitator-guide.docx
June 01, 2021 - , you would enter 31 on the cephalexin line (if no other residents were on cephalexin that month). … Slide 8
Antibiotic Starts
SAY:
The number of antibiotic starts for the month should be entered … For example, if three residents were started on ciprofloxacin during the month of January, one for 3 … month. … for amoxicillin on the 20th of the month, enter two separate starts.
-
www.ahrq.gov/sites/default/files/wysiwyg/nursing-home/materials/ppe-covid19-audit-tracking-tool-userguide.pdf
April 01, 2021 - tab – recording employee and audit data
Select the month. … The first month for which you record audit
data is Month_1, the second is Month_2,
etc. … Figure 1 - Month label at the top of each data collection page. … AHRQ Pub No. 21-0027-EF
April 2021
www.ahrq.gov
Figure 9 - Month-to-month data comparison in … Rates by Job Roles, Location, and Time Block tabs offer the same graphing, summary information,
and month-to-month
-
www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/overviewhandouts4.html
December 01, 2017 - Within 1 st month
2. … -2 nd month
5. … -3 nd month
6. … -3 nd month
7. … -6th month
13.
-
www.ahrq.gov/sites/default/files/wysiwyg/nursing-home/materials/hand-hygiene-audit-tool-userguide.pdf
April 01, 2021 - tab – recording employee and audit data
Select the month. … In the tracking tool, select the appropriate Month tab to begin entering your audit data. … The first month for which you record audit Figure 1 - Month label data is Month_1, the second is Month … Figure 9 - Month-to-month data comparison in the Summary Rates tab. … Rates by Job Roles, Location, and Time Block tabs offer the same graphing, summary information,
and month-to-month
-
www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/20131008_cg/2_Linda_Sparks_slides_24-36.pdf
October 08, 2013 - Myth Busting: Using the CG-CAHPS 12-Month Survey for Quality Improvement
Using the 12-Month
CG-CAHPS … Network of more than 60 locations
•
Patient Experience Data
2006
CG-CAHPS 12-Month … 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 3.0% 4.5% 19.4% 73.1% 92.5%
Questions
Using the 12-Month
-
www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/20131008_cg/5_Carla_Zema_Closing_slides_47-51.pdf
January 01, 2013 - Myth Busting: Using the CG-CAHPS 12-Month Survey for Quality Improvement
To Ask a Question
Click
-
www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/surgery/surgical-skin-prep-audit-tool.docx
December 01, 2017 - Month and year
2. How many observations were done this month? … How many times was ChloraPrep used for skin preparation this month? … How many times was DuraPrep used for skin preparation this month? … How many times was ChloraPrep used for ostomy prep this month? … How many times was Betadine used for ostomy prep this month?
-
www.ahrq.gov/sites/default/files/wysiwyg/cahps/cahps-database/about/2013cliniciangroupchartbook.pdf
July 01, 2014 - Composite 12-Month
Adult/PCMH
Combined
12-Month
Child/PCMH
Combined
Access (Getting Timely … The number of survey respondents and practice sites submitting the 12-month survey versus the
12-month … survey with PCMH items in 2013 is shown in Table 3-2:
Table 3-2. 12-Month vs. 12-Month/PCMH Survey … Comparative Results by Survey Version
12-month Adult/PCMH 2.0 Combined Core Results
12-month Adult … PCMH 2.0 Supplemental Composites
12-month Child/PCMH 2.0 Combined Core Results
12-month Child/PCMH
-
www.ahrq.gov/sites/default/files/wysiwyg/cahps/cahps-database/2012_cg_cahps_chartbook.pdf
January 01, 2012 - Composite/Item 12-Month
Adult
12-Month
Adult
PCMH
12-Month
Child and
PCMH
Combined
Visit … Survey Composites
Composite 12-Month
Adult
PCMH
12-Month
Child and
PCMH
Combined
Access … Adult 12-Month Adult PCMH Visit Adult
12-month Child/
PCMH Combined
Practice
Site
Count
Total … *Note that results for the 12-Month Child 4-point Survey have been combined with the 12-
Month Child … Comparative Results by Survey Version
12-month Adult 2.0 (4pt)
12-month Adult PCMH 2.0 (4pt)
12-month
-
www.ahrq.gov/sites/default/files/wysiwyg/cahps/cahps-database/2013_cg_cahps_chartbook.pdf
January 01, 2013 - Composite 12-Month
Adult/PCMH
Combined
12-Month
Child/PCMH
Combined
Access (Getting Timely … The number of survey respondents and practice sites submitting the 12-month survey versus the
12-month … survey with PCMH items in 2013 is shown in Table 3-2:
Table 3-2. 12-Month vs. 12-Month/PCMH Survey … Comparative Results by Survey Version
12-month Adult/PCMH 2.0 Combined Core Results
12-month Adult … PCMH 2.0 Supplemental Composites
12-month Child/PCMH 2.0 Combined Core Results
12-month Child/PCMH
-
www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/pruprev/timeline.html
December 01, 2014 - Provide Overview of On-Time Pressure Ulcer Prevention
1st month - 2nd month
Use On-Time Facilitator … Review On-Time Pressure Ulcer Prevention Reports
2nd month - 3rd month
Pressure Ulcer Prevention … Complete Pressure Ulcer Prevention Self-Assessment
2nd month - 3rd month
Pressure Ulcer Prevention … Implement All Reports in All Units
4th month - 6th month
Actual pressure ulcer prevention reports … Monitor Facility Implementation Progress Monthly
6th month - 9th month
Pressure Ulcer Prevention
-
www.ahrq.gov/sites/default/files/wysiwyg/cahps/surveys-guidance/cg/compare/CAHPS-Database-2012-CG-Chartbook.pdf
January 01, 2012 - Composite/Item 12-Month
Adult
12-Month
Adult
PCMH
12-Month
Child and
PCMH
Combined
Visit … Survey Composites
Composite 12-Month
Adult
PCMH
12-Month
Child and
PCMH
Combined
Access … Adult 12-Month Adult PCMH Visit Adult
12-month Child/
PCMH Combined
Practice
Site
Count
Total … Adult 12-Month Adult PCMH Visit Adult
12-month Child/
PCMH Combined
Practice
Site
Count
Total … *Note that results for the 12-Month Child 4-point Survey have been combined with the 12-
Month Child
-
www.ahrq.gov/sites/default/files/wysiwyg/pqmp/toolkits/technical-specifications.pdf
June 02, 2025 - ambulatory visits with asthma as the primary diagnosis AND a subsequent
ED visit in the Reporting Month … Enrollment Children who have been enrolled for three consecutive months including the
month being assessed … definition of identifiable asthma
includes the full year before the reporting year and each full calendar
month … before the reporting month being assessed for asthma ED visits. … a primary or secondary ICD-based
diagnosis of asthma in a child who was eligible in the reporting month
-
www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/pruhealing/impsteps.html
January 01, 2017 - Review Reports
1st month
6. Complete Self-Assessment
1st month
7. … Pilot a Report With Data
2nd month
8. Validate Data
2nd month
9. … Ensure Implementation Strategies Are Carried Out
3rd month–4th month (some facilities implement in … Develop Plan and Implement New Strategies in All Units
4th month–6th month
14. … Monitor Facility Implementation Progress Monthly
6th month–9th month
15.
-
www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/fallspx/steps.html
October 01, 2017 - Introduce On-Time Falls Prevention
1 st month
5. Review Reports
1 st month
6. … Complete Self-Assessment
1 st month
7. Pilot a Report With Data
2 nd month
8. … Develop Plan and Implement New Strategies on All Units
4 th month to 6 th month
14. … Monitor Facility Implementation Progress Monthly
6 th month to 9 th month
15. … Sustain the Effort
End of 9 th month to 12 th month
Return to Falls Prevention
-
www.ahrq.gov/hai/cauti-tools/impl-guide/implementation-guide-appendix-p.html
October 01, 2015 - Submission
Suggested Actions/Questions To Consider
At least 80% and same or better than last month … At least 60% and same or better than last month
Congratulate team; continue current work/data review …
At least 80% and same or better than last month
Less than 60% OR worse than last month … Less than 80% OR worse than last month
At least 60% and same or better than last month
Is team working … Less than 80% OR worse than last month
Less than 60% OR worse than last month
Does team intend to
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/pruhealing/puh-erepguide_slides.pptx
November 01, 2016 - Weekly Wound Rounds Report
Weekly Pressure Ulcer Treatment Summary Report
Pressure Ulcer Counts by Month … Calculation Details
November 2016
Pressure Ulcer Healing
54
54
The Pressure Ulcer Counts by Month … True
False
Check Your Understanding:
Pressure Ulcer Count by Month Quiz
November 2016
Pressure Ulcer … All of the above
Check Your Understanding:
Pressure Ulcer Count by Month Quiz
November 2016
Pressure … True
False
Check Your Understanding:
Pressure Ulcer Count by Month Quiz
November 2016
Pressure Ulcer
-
www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/duration/chipra-156-section-2.pdf
June 30, 2009 - Anchor date: Beginning of 18-month observation window. … Determine 18-month window of observation (can begin with any month in the year), and the
preceding … ) with at least a one-month gap from their last enrollment. … Determine 18-month window of observation (can begin with any month in the year), and the
preceding … ) with at least a one-month gap from their last enrollment in Medicaid/M-CHIP or S-CHIP.