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Showing results for "neighborhoods".

21. All Papers, Briefs, and Other Resources on the PCMH | PCMH Resource Center
    pcmh.ahrq.gov/page/papers-briefs-and-resources
    December 01, 2011 - Coordinating Care in the Medical Neighborhood: Critical Components and Available Mechanisms ( PDF … Version — 663.28KB) “Neighbors” in the medical neighborhood include the medical home, specialists, … care's role in the medical neighborhood and in improving population health, as well as the health of … In the context of the Clinical-Community Relationships Measures Database (CCRM Database), a clinical-community … The clinical practice and the community resource may engage by networking, coordinating, cooperating,

22. Acknowledgments | Agency for Healthcare Research and Quality
    pcmh.ahrq.gov/healthsystemsresearch/hspc-research-study/acknowledgments.html
    June 01, 2020 - (Neighborhood Family Practice; Case Western Reserve University) Stephanie Studenski, M.D., M.P.H.

23. Module 4: An Introduction to Practice Organization (pdf file)
    pcmh.ahrq.gov/sites/default/files/attachments/pcpf-module-4-practice-management.pdf
    September 01, 2015 - Review/scan information on practice interaction with their medical neighborhood (care coordination … Coordinating Care in the Medical Neighborhood: Critical Components and Available Mechanisms. … Coordinate patients’ care across the medical neighborhood. … The clinician may rely heavily on referrals to the medical neighborhood if the services he or she provides … Community health worker Community health workers are members of the local community who are engaged

24. Strategies to Ensure HITECH Supports the Patient-Centered Medical Home. (pdf file)
    pcmh.ahrq.gov/sites/default/files/attachments/Strategies%20to%20Ensure%20HITECH%20Supports%20the%20PCMH.pdf
    February 01, 2011 - patients to both by eligible primary care providers who serve patientsmedical and social resources in the community … communicate with the For instance, the standards could require that the variouspractice’s “medical neighborhood … ” (the other EHR systems of entire “medical neighborhoods” be able toproviders seen by the patients). … Available at: HITECH Act and health information technology’s http://www.pcmh.ahrq.gov/portal/server.pt/community

25. Layout 1 (pdf file)
    pcmh.ahrq.gov/sites/default/files/attachments/roles-of-pcmhs-and-acos-in-coordinating-patient-care-white-paper.pdf
    December 01, 2010 - available in the community that help support patients’ health and wellness or meet their care goals … be identifying clusters of patients who smoke and offering smoking cessation programs in those neighborhoods … and extends beyond creating hospital discharge care coordination programs to creating a ―medical neighborhood … True integration also requires the type of cohesive medical neighborhood that is envisioned as a product … interventions, both in PCMHs and ACOs, should be designed to reflect the strengths and needs of local communities

26. The Roles of Patient-Centered Medical Homes And Accountable Care Organizations in Coordinating Patient Care | PCMH Resource Center
    pcmh.ahrq.gov/page/roles-patient-centered-medical-homes-and-accountable-care-organizations-coordinating-patient
    December 01, 2010 - available in the community that help support patients’ health and wellness or meet their care goals. … might be identifying clusters of patients who smoke and offering smoking cessation programs in those neighborhoods … includes and extends beyond creating hospital discharge care coordination programs to creating a ―medical neighborhood … True integration also requires the type of cohesive medical neighborhood that is envisioned as a product … interventions, both in PCMHs and ACOs, should be designed to reflect the strengths and needs of local communities

27. Layout 1 (pdf file)
    pcmh.ahrq.gov/sites/default/files/attachments/Roles%20of%20PCMHs%20And%20ACOs%20in%20Coordinating%20Patient%20Care.pdf
    December 01, 2010 - available in the community that help support patients’ health and wellness or meet their care goals … be identifying clusters of patients who smoke and offering smoking cessation programs in those neighborhoods … and extends beyond creating hospital discharge care coordination programs to creating a ―medical neighborhood … True integration also requires the type of cohesive medical neighborhood that is envisioned as a product … interventions, both in PCMHs and ACOs, should be designed to reflect the strengths and needs of local communities

28. SHARE Approach Webinars | Agency for Healthcare Research and Quality
    pcmh.ahrq.gov/health-literacy/professional-training/shared-decision/webinars/index.html
    September 01, 2020 - (Patient-Centered Medical Home and Neighborhood): Current NCQA requirements for PCMHs and ACOs regarding

29. Care Coordination | Agency for Healthcare Research and Quality
    pcmh.ahrq.gov/ncepcr/care/coordination.html
    August 01, 2018 - National Center Research Initiatives Data Resources Tools and Resources Research Communities … Linking to community resources. Working to align resources with patient and population needs. … Coordinating Care in the Medical Neighborhood: Critical Components and Available Mechanisms.

30. Agency for Healthcare Research and Quality
    pcmh.ahrq.gov/research/findings/studies/index.html
    January 01, 2024 - Infections (59) Community-Based Practice (150) Community Partnerships (18) Comparative Effectiveness … Exposure was ZIP code-level Child Opportunity Index (COI), a composite measure of neighborhood resources … Decreasing neighborhood opportunity was associated with increasing hospitalization rates among children … Association of neighborhood opportunity and pediatric hospitalization rates in the United States. … ED, and 60,725 from a rural community ED.

31. AHRQ Stats: Relationship Between Electronic Nicotine Use and General Health | Agency for Healthcare Research and Quality
    pcmh.ahrq.gov/news/newsletters/e-newsletter/903.html
    March 01, 2024 - Technical Brief (draft open for comment through March 22) Evidence Map on Home and Community-Based Services … Medication management strategies by community-dwelling older adults: a multisite qualitative analysis … Reduced prevalence of childhood asthma after housing renovations in an underresourced community. … Association of neighborhood opportunity and pediatric hospitalization rates in the United States.

32. Potentially Preventable Readmissions: Conceptual Framework To Rethink the Role of Primary Care: Final Report (pdf file)
    pcmh.ahrq.gov/sites/default/files/wysiwyg/patient-safety/rev-finalreport-update-2021.pdf
    January 01, 2021 - transition strategies are part of a broader movement in primary care toward the development of “medical neighborhoods … While the transition from the hospital to primary care is important, the medical neighborhood perspective … Readmissions: A Conceptual Framework To Rethink the Role of Primary Care 3 perspectives of the primary care community—community … Community Agency Staff The perspective of community agencies, affiliated with the primary care sites … Primary care can claim greater ownership of care transitions as the hub of the medical neighborhood

33. Care-Mgmt-Issue-Brief-No-15-0018-Ef (pdf file)
    pcmh.ahrq.gov/sites/default/files/attachments/Care-Mgmt-Issue-Brief-No-15-0018-EF.pdf
    April 01, 2015 - foster care alignment across providers • Create a framework for aligning CM services across the medical neighborhood … of specialty referrals, assistance with ancillary services, and referrals to and coordination with community … research is needed regarding the development and implementation of CM services across the medical neighborhood … reconciliation, while social workers are well positioned to assess psychosocial needs and connect patients with community … Managing populations, maximizing technology: population health management in the medical neighborhood

34. Using Mass Media To Spread Messages About a Quality Report | Agency for Healthcare Research and Quality
    pcmh.ahrq.gov/talkingquality/distribute/promote/multiple/using-media.html
    September 01, 2019 - People who live in a certain neighborhood. … Tell that story so that it reflects the particular concerns of your state or community. … How are the health plans or providers in your community doing overall? … How has the report made a difference to specific, real members of the community? … If the examples come from community members, make sure you get their permission first.

35. Implementing the New CAHPS® Protocol for Obtaining Patient Comments About Their Care (pdf file)
    pcmh.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/nyp-webinar-servati-demo-project.pdf
    October 29, 2018 - patient population – Weill Cornell: Higher income, elderly patients – Columbia: Lower income, strong neighborhood

36. AHRQ Announces New Challenge Competition To Highlight the Impact of its Patient Safety Tools | Agency for Healthcare Research and Quality
    pcmh.ahrq.gov/news/newsletters/e-newsletter/867.html
    June 01, 2023 - Assessing patient-level knowledge of precision medicine in a community health center setting. … J Community Genet 2023 Apr;14(2):197-210. Epub 2023 Jan 7. Access the abstract on PubMed®. … The impact of neighborhood social disadvantage on abdominal aortic aneurysm severity and management.

37. Module 32: Improving Self-Management Support (pdf file)
    pcmh.ahrq.gov/sites/default/files/attachments/pcpf-module-32-self-management-support.pdf
    September 01, 2015 - Deborah Peikes, Erin Fries Taylor, and Jesse Crosson Primary Author Lyndee Knox, Ph.D., LA Net Community … fast foods and limited access to healthy low-cost foods and safe spaces for exercise in low-income neighborhoods … Fortunately, self-management support programs are often offered in the community and can be used to … Practices using this approach will need to identify and vet these community-based programs. … Connect patients with resources in community and elsewhere in health system.

38. Staying Active and Healthy with Blood Thinners - Transcript | Agency for Healthcare Research and Quality
    pcmh.ahrq.gov/patients-consumers/diagnosis-treatment/treatments/btpills/stayactive-tr.html
    September 01, 2015 - includes all medicines that other doctors prescribe or ones that you might buy over the counter at your neighborhood

39. AHRQ Signals Plan To Establish Healthcare Extension Service | Agency for Healthcare Research and Quality
    pcmh.ahrq.gov/news/newsletters/e-newsletter/888.html
    November 01, 2023 - Impact of neighborhood social disadvantage on the presentation and management of peripheral artery disease

40. Coordinating Care for Adults With Complex Care Needs in the Patient-Centered Medical Home: Challenges and Solutions | PCMH Resource Center
    pcmh.ahrq.gov/page/coordinating-care-adults-complex-care-needs-patient-centered-medical-home-challenges-and
    January 01, 2012 - from falling through the cracks in a highly fragmented system, small practices need a “health care neighborhood … medical care, social support, and home service providers that potentially comprise the health care neighborhood … can effectively help PCPs by organizing a “health care neighborhood” for complex-needs populations must … and neighborhoods not currently served, and would require patients to switch to a different source of … Coordinating care in the medical neighborhood: critical components and available mechanisms [white paper