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www.cpsi.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.
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www.cpsi.ahrq.gov/sites/default/files/wysiwyg/ncepcr/tools/PCMH/pcpf-module-3-primary-care-landscape.pdf
September 01, 2015 - person
• Coordinated care, which includes coordination across all elements of the entire medical
neighborhood … Implements community-based
teaching health centers.
workforce. … implementing PCMHs; develops significantly to primary care
extension program primary care learning communities … • Federally Qualified Health Centers (FQHCs), which are community-based health
centers that provide … payment reform
Other resources and emerging trends in primary care
Coordinating care across the medical neighborhood
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www.cpsi.ahrq.gov/ncepcr/research-transform-primary-care/transform/cost/app-a.html
July 01, 2015 - National Center
Research Initiatives
Data Resources
Tools and Resources
Research Communities … Research–Kaiser Permanente Northwest
Eight clinic systems with more than 40 primary care practices, including neighborhood … Sarah Shih, MPH; What Are the Costs to Small Practices and Community Health Centers to Maintain Comprehensive … Department of Health and Mental Hygiene
45 small, office- based practices and CHCs serving lower income neighborhoods … Abbreviations: ACO = Accountable Care Organization; CHCs = Community Health Centers; FQHCs = Federally
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www.cpsi.ahrq.gov/ncepcr/reports/cost-guide/characteristics.html
February 01, 2017 - National Center
Research Initiatives
Data Resources
Tools and Resources
Research Communities … Research–Kaiser Permanente Northwest
Eight clinic systems with more than 40 primary care practices, including neighborhood … Sarah Shih, MPH; What Are the Costs to Small Practices and Community Health Centers to Maintain Comprehensive … Department of Health and Mental Hygiene
45 small, office- based practices and CHCs serving lower income neighborhoods … Abbreviations: ACO = Accountable Care Organization; CHCs = Community Health Centers; FQHCs = Federally
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www.cpsi.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
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www.cpsi.ahrq.gov/research/findings/factsheets/minority/cbprbrief/index.html
April 01, 2020 - It creates bridges between scientists and the communities that participate in the study through the use … These groups may be churches, church members, neighborhood organizations, community residents, or other … (Ends 2011)
Communities as Partners in Cancer Clinical Trials (HS16471). PI: Sarena D. … This grant supports a three-part conference series to create a conceptual framework for communities as … in health research in American Indian communities.
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www.cpsi.ahrq.gov/research/findings/nhqrdr/chartbooks/blackhealth/part1.html
December 01, 2018 - such as poverty, lack of access to high-quality education, unemployment, unhealthy housing, unsafe neighborhoods
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www.cpsi.ahrq.gov/nursing-home/nursing-home-network.html
November 01, 2021 - 3
48
Colorado Center for Nursing Excellence
66
2
32
Comagine Health
348
12
192
Community … Montefiore Health System, Inc.
86
3
51
Mountain Area Health Education Center
107
3
48
Neighborhood
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www.cpsi.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.
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www.cpsi.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.
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www.cpsi.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.
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www.cpsi.ahrq.gov/sites/default/files/wysiwyg/ncepcr/tools/PCMH/pcpf-module-32-self-management-support.pdf
September 01, 2015 - 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. … programs
• developing referral relationships and protocols with community-based programs (Health … Connect
patients with
resources in
community and
elsewhere in
health system.
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www.cpsi.ahrq.gov/news/newsletters/e-newsletter/818.html
June 01, 2022 - Financial impacts of the Medicaid expansion on community health centers. … Neighborhood socioeconomic deprivation and health care utilization of medically complex children.
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www.cpsi.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
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www.cpsi.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
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www.cpsi.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/primary-care/workforce-financing/workforce-executive-summary.pdf
October 01, 2016 - (See Stanford case example)
Key Finding 5: Community Health Workers
Community health workers (CHWs … at community events and making home visits and
assessments. … As community navigators, CHWs connect patients with neighborhood resources
and a variety of health services … Cutting-edge innovation: Community health workers operate as advocates for healthy
communities, generating … CHWs and social workers
may be the most familiar with community resource linkages.
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www.cpsi.ahrq.gov/ncepcr/tools/workforce-financing/white-paper.html
July 01, 2019 - For example, in Learning to Integrate Neighborhoods and Clinical Care (LINCC), Group Health patients … co-designed a community resource specialist role for primary care. 28 Patients designed the community … health liaison job description and activities, served on a community oversight board to link neighborhood … So it follows that different types of staff and providers make up the care team in different communities … Creating a Clinic-Community Liaison Role in Primary Care: Engaging Patients and Community in Health Care
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www.cpsi.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/primary-care/workforce-financing/white_paper.pdf
January 01, 2020 - For example, in Learning to Integrate Neighborhoods and Clinical Care (LINCC),
Group Health patients … co-designed a community resource specialist role for primary care.28
Patients designed the community … health liaison job description and activities, served on a
community oversight board to link neighborhood … So it follows that different types of staff and
providers make up the care team in different communities … Creating a Clinic-Community Liaison Role in Primary Care: Engaging Patients and
Community in Health
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www.cpsi.ahrq.gov/ncepcr/care/coordination/atlas/chapter6r.html
June 01, 2014 - National Center
Research Initiatives
Data Resources
Tools and Resources
Research Communities … follow up, and respond to change
Support self-management goals
Link to community … follow up, and respond to change
Support self-management goals
Link to community … childhood, (7) middle childhood and adolescence, (8) family functioning, (9) parental health, (10) neighborhood … and community characteristics, and (11) additional demographics.
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www.cpsi.ahrq.gov/sites/default/files/wysiwyg/sops/quality-patient-safety/patientsafetyculture/nursing-home/nursinghome-users-guide.pdf
April 01, 2022 - For instance, in some nursing homes, residents may live in “neighborhood” clusters or
communities staffed … To capture
information about where a respondent works, the specific name of each neighborhood cluster … This information will enable survey feedback results to be provided to each cluster or
neighborhood. … The survey is not designed to be used in:
• Assisted living facilities;
• Community care facilities