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901. AHRQ-Funded Patient Safety Project Highlights (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/highlights/ps-project-highlights-harms.pdf
     August 01, 2025 - of Care, that focuses specifically on reducing falls during a patient’s hospital stay. … Adoption of three of four core strategies (priority and trigger summary reports, plus either the nutrition … of Care 2011–2012 $33,456 Final Report Purpose: Examine and evaluate the efficacy of various clinician-directed … quality of care concerns in the physician assistant (PA) profession, in general, and better enable … Quality of Care in Rural and Urban Nursing Units 2014–2018 $941,576 Final Report Purpose: Design

902. AHRQ Final report: Designing for Patient Safety: Developing Methods to Integrate Patient Safety Concerns in the Design Process (pdf file)
     www.ahrq.gov/sites/default/files/2024-01/joseph1-report.pdf
     January 01, 2024 - Scope: Background Since the release of the 1999 IOM report, To Err is Human (Kohn, Corrigan, and Donaldson … Levinson’s (2010) Department of Health and Human Services’ Office of the Inspector General’s report … evaluated in the national seminar. … 2009 national healthcare quality report and national Healthcare Disparities Report. … Washington DC: National Academies Press.

903. HHS AHRQ Freedom of Information Annual Report - FY 2010 | Agency for Healthcare Research and Quality
     www.ahrq.gov/policy/foia/foiafy10.html
     November 01, 2020 - Electronic address for this report on the World Wide Web: http://www.ahrq.gov/foia/index.html#Reports … Address for paper copies of this report ** Copies of the annual reports of a number of individual HHS … Resources and Services Administration IHS—Indian Health Service NIH—National Institutes of Health … Concise descriptions of the nine FOIA exemptions: Exemption 1: classified national defense and foreign … - Health Resources and Services Administration IHS - Indian Health Service NIH - National Institutes

904. Supplemental Document 2 (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/measure_retirement/supplemental-materials/supplementaldoc2.pdf
     September 01, 2014 - Advisory Council Subcommittee on Children’s Healthcare Quality Measures for Medicaid and CHIP Programs … Health care quality improvement strategies of various kinds can improve rates of screening for chlamydia … Building data quality and confidence in data reported to the National Healthcare Safety Network. … Advisory Council Subcommittee on Children’s Healthcare Quality Measures for Medicaid and CHIP Programs … The effect of financial incentives on the quality of health care provided by primary care physicians

905. Publications From the Comparative Health System Performance Initiative | Agency for Healthcare Research and Quality
     www.ahrq.gov/chsp/publications/index.html
     September 01, 2023 - Changes in Quality of Care After Hospital Mergers and Acquisitions. … Quality of Care Improves for Patients With Diabetes in Medicare Shared Savings Accountable Care Organizations … Health System Affiliation of Physician Organizations and Quality of Care for Medicare Beneficiaries Who … Provision of Social Services and Health Care Quality in U.S. Community Health Centers, 2017. … A Systematic Review of Vertical Integration and Quality of Care, Efficiency, and Patient-Centered Outcomes

906. Final Progress Report: Infection Prevention in Emergency Care: A Systems Approach (pdf file)
     www.ahrq.gov/sites/default/files/2025-05/schuur-report.pdf
     January 01, 2025 - Final Progress Report: Infection Prevention in Emergency Care: A Systems Approach Title: Infection … Summarize and report back Specifically, they honed in on using a socio-technical systems model which … They included: communication, limited provider times, varying kinds of disparities, especially power … and Quality Improvement Workgroup Report o Human Factors Breakout Report 14 http://edip.bwh.harvard.edu … :40 Moderated Panel: Prioritization of Infection Prevention Research in the ED 3:40-4:40 Workgroup Reports

907. SDOH Environmental Scan - Updated April 29, 2021 (xls file)
     www.ahrq.gov/sites/default/files/wysiwyg/sdoh/sdoh-environmental-scan.xlsx
     April 29, 2021 - and Consolidated Ordering System (ARCOS) Retail Drug Summary Reports https://www.deadiversion.usdoj.gov … /Statistics-Trends-and-Reports/Chronic-Conditions/CCDashboard.html N Y Y Regions 2008, 2010, and 2017 … /state-reports N Y Y 2010 to 2019 Y Y Y Y Y Y Y Centers for Disease Control and Prevention, National … Centers for Medicare & Medicaid Services Mapping Medicare Disparities https://data.cms.gov/mapping-medicare-disparities … Y N N N Y N *Counties, towns, and cities with 350,000 or fewer inhabitants are not required to report

908. Chapter 3. Care Coordination Measurement Framework | Agency for Healthcare Research and Quality
     www.ahrq.gov/ncepcr/care/coordination/atlas/chapter3.html
     June 01, 2014 - emergency room visits, or hospitalizations) Health Care Professional(s) Perspective Nurses reports … of care (safe, effective, efficient, timely, equitable, patient-centered) measured through analysis … For our purposes, strengths of the Donabedian model include its familiarity to the health care quality … providers: Report to Congress. … National Quality Forum-endorsed definition and framework for measuring care coordination.

909. Chapter 6. Measure Maps and Profiles (continued, 19) | Agency for Healthcare Research and Quality
     www.ahrq.gov/ncepcr/care/coordination/atlas/chapter6r.html
     June 01, 2014 - Testing: The survey's framework, intended goals, and content was designed by a National Expert Panel … The 2003 and 2007 national and State data are publicly available for download online. 1 Sources: … Design and operation of the National Survey of Children's Health, 2007. Vital Health Stat 1 . … National Quality Forum. … report.

910. Summary of Patient Safety Research Opportunities | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/news-events/summit-research-2020/questions.html
     March 01, 2021 - How can the patient safety effects of disparities in COVID testing, treatment, and outcomes across medically … across healthcare settings affecting the safety and quality of care that is delivered to patients? … such as a national reporting system for digital health safety events (likely intensified by COVID and … Patient safety and quality of care are focal points for all healthcare organizations. … Despite the numerous initiatives being in place since the IOM report was released, patient safety improvements

911. Results | Agency for Healthcare Research and Quality
     www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-test-result-communication4.html
     July 01, 2024 - trends and disparities in portal-based test result access  Studies identified a general trend toward … event reports, information technology help desk queries, and a survey of clinical staff. … lab and radiologic findings in lay language to accompany the standard report. 13 , 25 , 86 , 98,99 Patient-oriented … reports to explain genetic test results. 87 , 100 Healthcare professional attitudes and perceptions … We haven’t had many [reports of adverse outcomes].

912. References | Agency for Healthcare Research and Quality
     www.ahrq.gov/es/patient-safety/settings/hospital/vtguide/guideref.html
     July 01, 2018 - Eisenberg Patient Safety and Quality Award, National Level. … Evidence-based guideline and evidence report from the American Academy of Orthopaedic Surgeons. 2d ed … NHS National Institute for Health and Clinical Excellence. … Can increased incidence of deep vein thrombosis (DVT) be used as a marker of quality of care in the absence … Development of a computer-based monitor and comparison with chart review and stimulated voluntary report

913. References | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/hospital/vtguide/guideref.html
     July 01, 2018 - Eisenberg Patient Safety and Quality Award, National Level. … Evidence-based guideline and evidence report from the American Academy of Orthopaedic Surgeons. 2d ed … NHS National Institute for Health and Clinical Excellence. … Can increased incidence of deep vein thrombosis (DVT) be used as a marker of quality of care in the absence … Development of a computer-based monitor and comparison with chart review and stimulated voluntary report

914. HCBS Population | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/find2.html
     December 01, 2012 - Using national (all States and the District of Columbia) MAX data, we defined an individual as being … Key Attributes of the HCBS Population   The national HCBS population is large and diverse, as described … Most of the HCBS population is non-Hispanic white and the majority are female. … Results in this report therefore are generally presented by subpopulation as well as overall. … Although we do not present State-by-State results for most tables, the national numbers reflect substantial

915. Data Evaluation of All-Payer Claims Databases | Agency for Healthcare Research and Quality
     www.ahrq.gov/data/apcd/backgroundrpt/data.html
     April 01, 2017 - This report provides a brief summary of the availability of datasets. … National billing standards break out facility type from provider services. … A current NQF committee has developed a report on the attribution of care to providers and facilities … roles in assessing disparities and in some cases, where the application indicates, risk adjustment. … not all individuals report a second race.

916. Executive Summary: Implementing PCOR To Increase Referral, Enrollment, and Retention in Cardiac Rehabilitation through Automatic Referral with Care Coordination (pdf file)
     www.ahrq.gov/sites/default/files/publications2/files/takeheart-executive-summary.pdf
     August 01, 2023 - reduce known disparities in CR referral and retention, and  Integrate efforts to increase utilization … Hospitals reach underserved populations and help them identify strategies to reduce known disparities … project can also work with the individual champions to assist them in the development of outcomes reports … help decrease disparities in CR as part of a larger effort by the hospitals. … Accessed at https://trumpwhitehouse.archives.gov/presidential-actions/proclamation-declaring-national

917. Final Progress Report:: The National Quality Forum – Annual Meeting 2003 (pdf file)
     www.ahrq.gov/sites/default/files/2024-11/kizer-report.pdf
     January 01, 2024 - Final Progress Report:: The National Quality Forum – Annual Meeting 2003 THE NATIONAL QUALITY FORUM … of care? … to stimulate and support providers and other clinicians to improve the quality of healthcare. … New England Healthcare Assembly New Jersey Health Care Quality Institute, Inc. … Island Jewish Health System Northeast Health Care Quality Foundation Ohio KePRO Pacific Business Group

918. Overview of Patient Safety Learning Laboratory (PSLL) Projects | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/resources/learning-lab/index.html
     August 01, 2025 - the safety and quality of healthcare delivery. … The CHOP Center for Healthcare Quality and Analytics Patient Monitoring Taskforce. … redesign of current systems to improve the quality of care and promote patient safety, particularly for … Poor provider wellness negatively affects the entire healthcare organization, reducing both care quality … Provider burnout is associated with increased risk of patient safety incidents and poorer quality of

919. Section 7: Measuring Value in a Care Management Program | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/medicaidmgmt/mm7.html
     October 01, 2014 - Care management reports and logs. Directly actionable by program or providers. … Pennsylvania 's program, ACCESS Plus, is designed to improve the quality of care delivered to its Medicaid … Information Set (HEDIS) or the Ambulatory Care Quality Alliance (AQA) Ambulatory Care Starter set. … quality of care being delivered to these specific groups. … national nonprofit organizations.

920. Meeting Minutes (Draft), November 2023 | Agency for Healthcare Research and Quality
     www.ahrq.gov/news/events/nac/2023-11-nac/nacmtg111623-minutes.html
     January 01, 2024 - This involves a charge to consider ways to vanquish unequal treatment, not simply to reduce disparities … feedback reports that compare a submitter’s results to database averages. … and transparently track and report on improvement progress while minimizing reporting burden by patients … The SNAC report for the PCORTF investment includes discussions of the use of data and EHRs. … Report of the transformational effort on safety.