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21. Designing & Delivering Whole-Person Transitional Care The Hospital Guide to Reducing Medicaid Readmissions Webinar 5
    www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/medicaidreadmitguide/aspire_webinar5/aspire_webinar5.pptx
    April 02, 2025 - Centers Community Health Centers Behavioral Health Homes Resident Physician Clinics Patient Centered Medical … Homes Substance Use Treatment Centers Adult Day Care Centers Medicaid Managed Care Plans   Medicaid-Relevant … Peer Support Look for Care Management Resources Accountable care organizations Patient-centered medical … homes Bundled payment initiators Health homes Behavioral health homes Medicaid managed care organizations

22. Resource List - AHRQ Nursing Home Survey (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/nursing-home/nursinghome-resourcelist.pdf
    April 01, 2023 - the occurrence of in- house pressure ulcers, providing residents with more efficient, effective, and patient-centered … care.

23. CHIPRA quality demonstration States help school-based health centers strengthen their medical home features | Agency for Healthcare Research and Quality
    www.ahrq.gov/policymakers/chipra/demoeval/what-we-learned/highlight08.html
    June 01, 2014 - CHIPRA quality demonstration States help school-based health centers strengthen their medical home features … States help SBHCs engage students and families because students need to use SBHCs as medical homes in … "We’ve learned that youth engagement needs to be at the forefront because it pertains to medical homes … Patient Centered Medical Home Resource Center, Defining the PCMH. … Position Statement: School-Based Health Centers and the Patient-Centered Medical Home.

24. Appendix A. Key Characteristics of Transforming Primary Care Grants | Agency for Healthcare Research and Quality
    www.ahrq.gov/ncepcr/reports/grants-transform/key-characteristics.html
    March 01, 2017 - Home Transformation in Pediatric Primary Care: What Drives Change? … The top performing pediatric primary care practices that participated in the Medical Home Learning Collaborative … MD, PhD, MPH; Transforming Primary Care: Evaluating the Spread of Group Health Medical Home Group Health … MD, PhD, MPH; Transforming Primary Care: Evaluating the Spread of Group Health Medical Home Well established … home.

25. 1. Background on AHRQ's National Center for Excellence in Primary Care Research | Agency for Healthcare Research and Quality
    www.ahrq.gov/ncepcr/reports/2024-annual-report/background.html
    May 01, 2024 - Homes P8: Do Telemedicine Visits Provide Similar Quality and Safety as In-Person Visits? … P9: Using a Mobile Health Tool to Improve Patient-Centered Care for Patients with Type 2 Diabetes P10 … Help Address Medication Non-Adherence S4: Does Support for CDS Implementation Increase the Use of Patient-Centered … Care To Treat Chronic Pain in Primary Care S5: Developing a Mobile Tool to Improve Self-Care and Shared … AHRQ has led efforts related to primary care transformation, patient-centered medical homes, quality

26. S4: Does Support for CDS Implementation Increase the Use of Patient-Centered Care To Treat Chronic Pain in Primary Care | Agency for Healthcare Research and Quality
    www.ahrq.gov/ncepcr/reports/2024-annual-report/spotlight-s4-harle-salloum.html
    May 01, 2024 - Primary Care Research for 2021 and 2022 S4: Does Support for CDS Implementation Increase the Use of Patient-Centered … Homes P8: Do Telemedicine Visits Provide Similar Quality and Safety as In-Person Visits? … P9: Using a Mobile Health Tool to Improve Patient-Centered Care for Patients with Type 2 Diabetes P10 … Help Address Medication Non-Adherence S4: Does Support for CDS Implementation Increase the Use of Patient-Centered … technology that can be used in primary care to help clinicians work with patients to choose safe and patient-centered

27. AHRQ's Quality & Patient Safety Programs by Setting: Long-Term Care | Agency for Healthcare Research and Quality
    www.ahrq.gov/patient-safety/settings/long-term-care/index.html
    September 01, 2021 - AHRQ's Quality & Patient Safety Programs by Setting: Long-Term Care CAHPS ® Nursing Home Survey was developed by AHRQ and designed to measure patients’ experiences of their care, including communication with doctors and nurses, responsiveness of staff, and other indicators of safe, high-quality care. The su…

28. Care Planning | Digital Healthcare Research
    digital.ahrq.gov/health-care-theme/care-planning
    January 01, 2023 - Care Planning Cloud Care: A Feasibility Study of Cloud-Based Care Plans for Children With Medical Complexity Description This research evaluated Cloud Care, a cloud-based longitudinal multidisciplinary care plan for children with medical complexity and found that perceived eas…

29. Webinar 5: Reach Out to Collaborate with Partners Across Settings: Slide Presentation | Agency for Healthcare Research and Quality
    www.ahrq.gov/patient-safety/settings/hospital/resource/guide/web5.html
    December 01, 2017 - Patient Centered Medical Homes. Substance Use Treatment Centers. Adult Day Care Centers. … Patient-centered medical homes. Bundled payment initiators. Health homes.

30. Patient and Family Centered I-PASS (Family-Centered Communication Program to Reduce Medical Errors and Improve Family Experience and Communication Processes) | PSNet
    psnet.ahrq.gov/innovation/patient-and-family-centered-i-pass-family-centered-communication-program-reduce-medical
    February 26, 2025 - Patient and Family Centered I-PASS (Family-Centered Communication Program to Reduce Medical Errors and Improve Family Experience and Communication Processes) Save Save to your library Print Download PDF Share Facebook Twitter Linkedin Copy URL …

31. P9: Using a Mobile Health Tool to Improve Patient-Centered Care for Patients with Type 2 Diabetes | Agency for Healthcare Research and Quality
    www.ahrq.gov/ncepcr/reports/2024-annual-report/profile-p9-schoenthaler-mann.html
    May 01, 2024 - Investments in Primary Care Research for 2021 and 2022 P9: Using a Mobile Health Tool to Improve Patient-Centered … Homes P8: Do Telemedicine Visits Provide Similar Quality and Safety as In-Person Visits? … P9: Using a Mobile Health Tool to Improve Patient-Centered Care for Patients with Type 2 Diabetes P10 … Help Address Medication Non-Adherence S4: Does Support for CDS Implementation Increase the Use of Patient-Centered … technology, such as the mobile phone and electronic health record, to support the delivery of high-quality patient-centered

32. Virtualized Homes: Tools for Better Discharge Planning | Digital Healthcare Research
    digital.ahrq.gov/ahrq-funded-projects/virtualized-homes-tools-better-discharge-planning
    January 01, 2023 - Stakeholder Type of Care Preventive Care Health Care Theme Care Planning Patient-Centered … Care Hospital readmissions are difficult for patients and place institutions at increased

33. Multiple Settings | Agency for Healthcare Research and Quality
    www.ahrq.gov/patient-safety/settings/multiple/index.html
    August 01, 2023 - CAHPS surveys can be customized with supplemental item sets, including, for example, patient-centered medical … homes; health literacy; interpreter services; health information technology; and children with chronic

34. Emerging Research Spotlights | Agency for Healthcare Research and Quality
    www.ahrq.gov/ncepcr/reports/2024-annual-report/appendix-d-emerging.html
    May 01, 2024 - Homes P8: Do Telemedicine Visits Provide Similar Quality and Safety as In-Person Visits? … P9: Using a Mobile Health Tool to Improve Patient-Centered Care for Patients with Type 2 Diabetes P10 … Help Address Medication Non-Adherence S4: Does Support for CDS Implementation Increase the Use of Patient-Centered … Medication Non-Compliance (PI: Snyder) S4: Does Support for CDS Implementation Increase the Use of Patient-Centered … Care to Treat Chronic Pain in Primary Care?

35. Appendix A. Key Characteristics of Estimating Costs Grants | Agency for Healthcare Research and Quality
    www.ahrq.gov/ncepcr/reports/cost-guide/characteristics.html
    February 01, 2017 - Both clinics received a State medical home certification based on the NCQA model. … Magill, MD; Tool to Assess Ongoing Costs of Patient-Centered Medical Homes R03 HS022620 University … Martsolf, PhD, MPH, RN; Estimating Costs Associated With Patient-Centered Medical Home Transformation … George Valko, MD; Patient-Centered Medical Home Cost of Sustaining and Transforming R03 HS022630 … Arturo Vargas-Bustamante, PhD, MPP, MA; Examining the Costs of a Medical Home Transformation for Seniors

36. AHRQ Staff: Kristin Dillon | Agency for Healthcare Research and Quality
    www.ahrq.gov/cpi/about/nac/pcortf-snac/dillon.html
    November 01, 2022 - AHRQ Staff: Kristin Dillon Kristin Dillon, M.D., F.A.A.F.P. Subject Matter Expert AHRQ Subcommittee of the National Advisory Council on Patient-Centered Outcomes Research Trust Fund Investments Principal Consultant, Policy and Strategy Alder Canyon LLC Kristin Dillon, M.D., F.A.A.F.P., is a family physic…

37. S9: Using Integrated Social and Medical Risk Data Dashboards To Improve Chronic Disease Management and Prevention | Agency for Healthcare Research and Quality
    www.ahrq.gov/ncepcr/reports/2024-annual-report/spotlight-s9-hessler-jones-fichtenberg.html
    May 01, 2024 - Reform Models P7: Understanding the Relationship Between Proximity and Utilization of Patient-Centered Medical … Homes P8: Do Telemedicine Visits Provide Similar Quality and Safety as In-Person Visits? … P9: Using a Mobile Health Tool to Improve Patient-Centered Care for Patients with Type 2 Diabetes P10 … Help Address Medication Non-Adherence S4: Does Support for CDS Implementation Increase the Use of Patient-Centered … Care To Treat Chronic Pain in Primary Care S5: Developing a Mobile Tool to Improve Self-Care and Shared

38. How the CHIPRA quality demonstration elevated children on State health policy agendas | Agency for Healthcare Research and Quality
    www.ahrq.gov/policymakers/chipra/demoeval/what-we-learned/highlight04.html
    October 01, 2013 - home standards used in the State’s Patient-Centered Primary Care Home (PCPCH) program—a statewide medical … When Oregon began the process of revising its medical home standards, the lessons learned through the … “Patient-centered medical homes tend to wind up with a very adult chronic illness focus. … home is assigned a facilitator.... … Defining the medical home: the Oregon experience. J Am Board Fam Med 2012;25(6):869-877. 9.

39. Evaluation of Effectiveness of a Health Information Technology-Based Care Transition Information Transfer System - 2012 | Digital Healthcare Research
    digital.ahrq.gov/ahrq-funded-projects/evaluation-effectiveness-health-information-technology-based-care-transition/annual-summary/2012
    January 01, 2012 - health care include imposed payments for avoidable readmissions, the development of patient-centered medical … homes, accountable care organizations, and bundled payments. … * Strategic Goal: Develop and disseminate health IT evidence and evidence-based tools to support patient-centered … care, the coordination of care across transitions in care settings, and the use of electronic exchange

40. S6: Can an Electronic Shared Decision-Making Tool Increase the Uptake of Collaborative Care... | Agency for Healthcare Research and Quality
    www.ahrq.gov/ncepcr/reports/2024-annual-report/spotlight-s6-moise.html
    May 01, 2024 - Reform Models P7: Understanding the Relationship Between Proximity and Utilization of Patient-Centered Medical … Homes P8: Do Telemedicine Visits Provide Similar Quality and Safety as In-Person Visits? … P9: Using a Mobile Health Tool to Improve Patient-Centered Care for Patients with Type 2 Diabetes P10 … Help Address Medication Non-Adherence S4: Does Support for CDS Implementation Increase the Use of Patient-Centered … Care To Treat Chronic Pain in Primary Care S5: Developing a Mobile Tool to Improve Self-Care and Shared