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4281. Exhibit 7.4. Core measures for asthma, diabetes, and congestive heart failure | Agency for Healthcare Research and Quality
      www.qualitymeasures.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/medicaidmgmt/exh7-4.html
      October 01, 2014 - Safety Patient Safety Resources by Setting Long Term Care Resources Home and … Safety Patient Safety Research Summaries Patient Safety Resources by Setting Hospital … and Families About AHRQ's Quality & Patient Safety Work Patient Safety News and Events … Cholesterol Management for Patients with a Cardiovascular Condition (HEDIS) Percentage of members who … https://www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/medicaidmgmt/exh7-4.html

4282. Indwelling Urinary Catheter Maintenance Facilitator Notes (doc file)
      www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/urinary-catheter-maintenance-notes.docx
      April 01, 2022 - Indwelling Urinary Catheter Maintenance,” is part of the Agency for Healthcare Research and Quality’s Safety … Slide 2 AHRQ Safety Program for Intensive Care Units: Preventing CLABSI and CAUTI AHRQ Safety … It is not uncommon that a critically ill patient is admitted to the ICU from the emergency department … Organisms, once introduced, persist in this pool of urine, putting that patient at risk for infection … No. 17(22)-0019 April 2022 2 AHRQ Safety Program for ICUs: Preventing CLABSI and CAUTI

4283. Antibiotic-Targets-Facilitator-Guide (doc file)
      www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/antibiotic-targets-facilitator-guide.docx
      June 01, 2021 - Safety SAY: Let’s begin by reviewing the 5 steps for improving the culture of patient safety. … In the presentation “Improving Antibiotic Use is a Patient Safety Issue,” the Staff Safety Assessment … Safety Issue.” … should also understand that prescribing antibiotics without evidence of a bacterial infection can harm patients … safety.

4284. 2013 Child Core Set Measure Retirement Process Summary of SNAC Scoring: Round II – Final Scoring (pdf file)
      www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/measure_retirement/supplemental-materials/supplementaldoc3.pdf
      September 01, 2014 - C-Section NPSV � Importance � A measure of potential harm/waste. � High cost, and safety … is no validity data for this or the other visit measures; Seems more important to keep for younger patients … Not patient centered, better measure would be survey of patients (CAHPS), and most states do this survey … Few patients. … Regardless of the issues identified, there are relatively strong indicators that central line bundles

4285. Neonatal Intensive Care All-Condition Readmissions Without Gestational Age: Full Report (pdf file)
      www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-208-fullreport.pdf
      May 13, 2019 - Measure Topic – patient safety: No. k. Measure Topic – family experience with care: No. l. … rates of hospital readmissions (Srivastava, Keren, 2013), leading to higher rates of readmission at safety … volume of tabulated results that underscore the limited utility of 5-digit zip code level socioeconomic indicators … Effect of hospital safety-net burden on cost and outcomes after surgery. … Indirect vs. direct hospital quality indicators for very low birth weight infants.

4286. Medical Office SOPS: 2016 User Comparative Database Report, Part II (pdf file)
      www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patientsafetyculture/medical-office/2016/mosurvey2016pt2.pdf
      January 01, 2016 - on Quality, and patient safety grade. … Overall Perceptions of Patient Safety and Quality 1. … Overall Perceptions of Patient Safety and Quality 1. … Overall Perceptions of Patient Safety and Quality 1. … Overall Perceptions of Patient Safety and Quality 1.

4287. Health Assessments in Primary Care: How-to Guide (pdf file)
      www.qualitymeasures.ahrq.gov/sites/default/files/publications/files/health-assessments_0.pdf
      September 01, 2013 - Link: http://www.ahrq.gov/professionals/ quality-patient-safety/quality-resources/ tools/literacy/index.html … education/curriculum-tools/chroniccaremodel/chronic3a13a.html� http://www.ahrq.gov/professionals/quality-patient-safety … /quality-resources/tools/literacy/index.html http://www.ahrq.gov/professionals/quality-patient-safety … /quality-resources/tools/literacy/index.html http://www.ahrq.gov/professionals/quality-patient-safety … Agenda-setting with patients Goal-setting with patients Health literacy for better patient communication

4288. How are CHIPRA quality demonstration States working together to improve the quality of health care for children? | Agency for Healthcare Research and Quality
      www.qualitymeasures.ahrq.gov/policymakers/chipra/demoeval/what-we-learned/highlight06.html
      January 01, 2014 - Research Education & Training Hospitals & Health Systems Prevention & Chronic Care Quality & Patient … Safety Research Publications & Products AHRQ Publishing … Safety Making Healthcare Safer Report National Healthcare Quality and Disparities Reports Technology … Safety Funding & Grants Notice of Funding Opportunities … Newsletter AHRQ News Now Events AHRQ Research Summit on Diagnostic Safety

4289. Gap Analysis Facilitator's Guide: Appendix C | Agency for Healthcare Research and Quality
      www.qualitymeasures.ahrq.gov/patient-safety/settings/hospital/candor/modules/facguide3/apc.html
      August 01, 2022 - Safety Patient Safety Resources by Setting Hospital Hospital Resources CANDOR … Safety Patient Safety Research Summaries Patient Safety Resources by Setting Hospital … and Families About AHRQ's Quality & Patient Safety Work Patient Safety News and Events … Is a patient safety program in place?         … Are patients and families encouraged to report safety concerns?        

4290. An Overview of the SOPS® Surveys for New Users - Tyler (pdf file)
      www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/4-sops101-webcast-2023-tyler.pdf
      January 01, 2023 - SOPS Database Manager User Network for the AHRQ Surveys on Patient Safety Culture (SOPS) Westat … safety, do not encourage shortcuts, and address patient safety concerns. … safety rating Average patient safety rating of unit/work area 67% of respondents rated their unit … Comparative Results by Interaction with Patients Composite Measure Results Item Results Patient Safety … 41 Action Plan Template 42 Improving Patient Safety Resource Lists 43 Improving Workplace Safety

4291. Strategy 2: Communicating to Improve Quality (Tool 3) (doc file)
      www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/implementation/training-tools/asc-checklist-template.docx
      January 01, 2009 - Ambulatory Surgery Center Checklist Template AHRQ Safety Program for Ambulatory Surgery Implementation … , and Patient Review: · Patient identification (name and date of birth) · Surgical site · Surgical procedure … Based on the WHO Surgical Safety Checklist, www.who.int/patientsafety/safesurgery/checklist/en/index.html … Long-Term Care Safety Toolkit Ambulatory Surgery Checklist Operating Room AHRQ Safety Program for … Based on the WHO Surgical Safety Checklist, www.who.int/patientsafety/safesurgery/checklist/en/index.html

4292. Summary of the 2018 AHRQ CAHPS Research Meeting (pdf file)
      www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/cahps/surveys-guidance/survey-methods-research/summary-research-meeting.pdf
      January 01, 2019 - particularly in the context of competing priorities, to ensure that AHRQ’s measures of quality and safety … Adjusting for differences in patient characteristics across units is a standard CAHPS analysis; the … Two key issue are the need for consent before texting a patient and the need for a secure method to … as inpatient rounding to ask patients about their experiences with care delivery. … invaluable for improving the care delivered to patients.

4293. The Culture of Culturing: The Importance of Knowing When to Order Urine Cultures
      www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/implementation/educational-bundles/urine-culturing/whento-order/urine-cultures.pptx
      March 01, 2017 - No. 16(17)-0003-16-EF March 2017 AHRQ Safety Program for Long-Term Care: HAIs/CAUTI Welcome to today … This module is part of the Agency for Healthcare Research and Quality’s (or AHRQ’s) Safety Program for … Common Signs That Are Inappropriate Triggers for Urine Cultures1 Chronically catheterized patients … PROGRAM FOR LONG-TERM CARE: HAIs/CAUTI Patients with a urinary catheter in place acquire bacteriuria … Therefore, chronically catheterized patients have bacteriuria 99% of the time.

4294. Producing Accurate Clinical Quality Reports for Population Health: A Delivery System-Oriented Approach to Report Validation (pdf file)
      www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/evidencenow/tools-and-materials/ehr-reports.pdf
      March 01, 2016 - Peggy Evans, PhD—Vice President, Quality and Safety Initiatives Dr. … Evans is Qualis Health’s Vice President of Quality and Safety Initiatives (QSI). … , working with clients throughout the public and private sectors to advance the quality, efficiency, … For example: • Query 1 may list the patient identifiers for all patients with a given chronic disease … Patient Lists 1.

4295. 2023 SOPS Ambulatory Surgery Center Database Report Executive Summary Overview Infographic (pdf file)
      www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/asc/2023-ASC-Database-Report-Exec-Summary-Infographic.pdf
      January 01, 2023 - safety and makes changes to ensure that problems do not recur. … Hours 93% positive response (highest) 32 to 40 Hours 82% positive response (lowest) Overall Patient … Safety Rating 85% of respondents rated their ASC as "Excellent" or "Very good" 54% Excellent … Action planning for patient safety improvement The Action Planning Tool for the AHRQ Surveys on Patient … Safety Culture provides step-by-step guidance on how to develop an action plan to improve patient safety

4296. Cesarean Delivery for Nulliparous (NTSV) Women (Appropriate Use) (pdf file)
      www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/perinatal/chipra-0082-fullreport.pdf
      March 01, 2016 - These patients typically are considered low-risk patients and generally are not candidates for cesarean … Numerator Statement Patients who had a cesarean delivery. 1.H. … and safety through the identification and development of evidence-based clinical performance measures … C-sections cost about $13,000 for privately insured patients. … Measure Topic – patient safety: No. k. Measure Topic – family experience with care: No. l.

4297. Final Topic Refinement Document - Therapeutic Options for Obesity in the Medicare Population (pdf file)
      www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/research/findings/ta/topicrefinement/obesity_topic-refinement.pdf
      May 22, 2014 - In patients who are obese and who would be eligible for Medicare, what is the comparative effectiveness … Although they are efficacious among adults, the effectiveness and safety of these options for the people … The effectiveness and safety of obesity surgery, intragastric devices and other applications in the … disease such as sarcopenia) and including only health- related quality of life instead of a list of patient-reported … disease such as sarcopenia) and including only health-related quality of life instead of a list of patient-reported

4298. Training Program Summary: Practice Coach Training for the North Carolina AHEC Practice Support Program | Agency for Healthcare Research and Quality
      www.qualitymeasures.ahrq.gov/ncepcr/tools/case-studies/ncahec.html
      August 01, 2014 - Research Education & Training Hospitals & Health Systems Prevention & Chronic Care Quality & Patient … Safety Research Publications & Products AHRQ Publishing … Safety Making Healthcare Safer Report National Healthcare Quality and Disparities Reports Technology … Safety Funding & Grants Notice of Funding Opportunities … Core resources (e.g., Dartmouth Green Book, IHI, Safety Net Medical Home Resources, etc.)

4299. Appendix D. Ambulatory Surgery Center Checklist Template - Implementation Guide | Agency for Healthcare Research and Quality
      www.qualitymeasures.ahrq.gov/hai/tools/ambulatory-surgery/sections/implementation/implementation-guide/app-d.html
      April 01, 2017 - Safety Research Publications & Products AHRQ Publishing … Safety Funding & Grants Notice of Funding Opportunities … Surgical Care and Recovery Improving Your Laboratory Testing Process Mechanically Ventilated Patients … Toolkit MRSA Prevention Non-ICU Patients With Devices Reduce CAUTI in LTC Facilities … Enters Room Nurse, Anesthesia Professional, and Patient Review: |___| Patient identification (

4300. The Sometimes Antibiotics” Diagnoses: Sinusitis – Facilitator Guide (doc file)
      www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/ambulatory-care/sinusitis-guide.docx
      September 01, 2022 - The Sometimes Antibiotics” Diagnoses: Sinusitis – Facilitator Guide AHRQ Safety Program for Improving … Does my patient have an infection that requires antibiotics?  2. … Does my patient know what to expect and the followup plan?  … Slide 5 Moment 1: Does My Patient Have an Infection That Requires Antibiotics? … No. 17(22)-0030 September 2022 AHRQ Safety Program for Improving Antibiotic Use – Ambulatory Care Sinusitis