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www.ahrq.gov/sites/default/files/wysiwyg/mcc/pccp4p/baseline-scan-appendices.pdf
February 22, 2024 - Person Centered Care Planning for Persons with Multiple Chronic Conditions: Appendices
0
Appendix … centered
care
planning
A process of active collaboration and
shared decision-making among providers,
persons … /family/caregiver; and
(7) empowering persons, families, and
caregivers to engage in self-management … person on their journey? … the resource to the person.
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www.ahrq.gov/sites/default/files/wysiwyg/mcc/pccp4p/pccp4p-synthesis.pdf
September 01, 2025 - Person-Centered Care Planning for Persons With Multiple Chronic Conditions: Partner Roundtable Synthesis … Person-Centered Care Planning for
Persons With Multiple Chronic
Conditions
Partner Roundtable … Person-Centered
Care Planning for Persons
With Multiple Chronic
Conditions: Partner
Roundtable Synthesis … care plan for each person that crosses systems … Person Centered Care Planning for
Persons with Multiple Chronic
Conditions: Current Approaches and
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www.ahrq.gov/sites/default/files/wysiwyg/mcc/pccp4p/pccp4p-summitsummary.pdf
September 01, 2025 - Person-Centered Care Planning for Persons With Multiple Chronic Conditions: Summit Summary Report … Person-Centered Care Planning for
Persons With Multiple Chronic
Conditions
Summit Summary Report … Conceptual process for achieving person-centered care
planning for persons with multiple chronic conditions … Person Centered Care Planning for Persons with Multiple Chronic conditions: Current Approaches
and Models … Summit Agenda
Person-Centered Care Planning for Persons With Multiple Chronic Conditions
Summit
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www.ahrq.gov/sites/default/files/wysiwyg/mcc/pccp4p/pccp4p-learningcollab.pdf
September 01, 2025 - Person-Centered Care Planning for Persons With Multiple Chronic Conditions: Learning Collaborative Report … Person-Centered Care Planning for
Persons With Multiple Chronic
Conditions
Learning Collaborative … Person-Centered
Care Planning for Persons
With Multiple Chronic
Conditions: Learning
Collaborative … Providing high quality, comprehensive, long-term, person-centered care for persons living with, or at … It puts the person with MCC at increased risk for avoidable adverse events, and unduly
burdens persons
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www.ahrq.gov/practiceimprovement/delivery-initiative/ihs/chap5tab4.html
December 01, 2017 - Table 4: Health care coverage during fiscal year 2010, among persons who used health services during … Project site
Medicaid
Medicare
Private insurance
No coverage
All persons a
Children and … adolescents
Medicare
Persons aged 65+ years
All persons
All persons
Percent
Percent … Approximately 0.1% persons had Railroad Retirement coverage. … Approximately 1.7% persons had both Medicaid and Medicare.
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www.ahrq.gov/practiceimprovement/delivery-initiative/ihs/chap5tab3.html
December 01, 2017 - Table 3: Health Care Coverage Among Persons Who Used Health Services During Fiscal Year 2010. … Age group
Medicaid
Medicare
Private insurance
No coverage
All persons
Percent
Percent … A person may have more than one type of coverage. … Approximately 1.7% persons had both Medicaid and Medicare coverage. … Approximately 0.1% persons had Railroad Retirement coverage.
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www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/webinars/ncepcr-webinar-person-centered-care.pptx
June 27, 2024 - Research on Person-Centered Care
National Center for Excellence in Primary Care Research
Presents … Research on Person-Centered Care
June 27, 2024
Presented by:
Ian Hargraves, PhD
Alex Krist, MD, MPH … Vision & Mission
VISION:
NCEPCR envisions a future where all patients receive high quality, whole person … care.
7
7
Today’s Webinar Objectives
Research Methods on Person-Centered Care
Highlight research … involving person-centered tools and processes that support primary care practice.
8
The goal of today
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www.ahrq.gov/talkingquality/distribute/promote/multiple/outreach.html
September 01, 2019 - Using Person-to-Person Outreach Strategies for Quality Reports
Many people prefer interacting … Strategies"
Using Mass Media to Spread Messages
Using Advertising and Free Placements
Using Person-to-Person
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www.ahrq.gov/practiceimprovement/delivery-initiative/ihs/chap5tab14.html
December 01, 2017 - All persons
Persons with diabetes
Persons with CVD
Persons with both diabetes and CVD
Persons … with CVD but not diabetes
Persons with either diabetes or CVD
Number of persons a
420,108 … b The utilization rate is the number of admissions or days, divided by the number of persons.
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www.ahrq.gov/practiceimprovement/delivery-initiative/ihs/chap5tab9.html
December 01, 2017 - Age group
All persons
Persons with diabetes
Persons with CVD
Persons with both diabetes and CVD … Persons with CVD but not diabetes
Persons with either diabetes or CVD
0-17 years
0.4 … years
2.8
4.6
6.6
8.1
4.8
4.7
65+ years
4.5
6.8
8.2
9.6
6.5
6.7
All persons
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www.ahrq.gov/practiceimprovement/delivery-initiative/ihs/chap5tab5.html
December 01, 2017 - Age group
All persons
Persons with diabetes
Persons with CVD
Persons with both diabetes and CVD … Persons with CVD but not diabetes
Persons with either diabetes or CVD
No
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www.ahrq.gov/practiceimprovement/delivery-initiative/ihs/chap5tab22.html
December 01, 2017 - All ages
Adults
Percent of persons
Average risk score
Average cost per person
Percent of … all costs
Percent of persons
Average risk score
Average cost per person
Percent of all costs … All persons
100.0%
1.3
$2,957
100.0%
100.0%
1.7
$3,581
100.0%
With diabetes … Without diabetes
90.0%
1.0
$2,380
72.4%
85.3%
1.3
$2,789
66.4%
Persons … With renal failure b
0.3%
26.9
$16,088
1.8%
0.5%
26.9
$16,098
2.2%
Persons
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www.ahrq.gov/practiceimprovement/delivery-initiative/ihs/chap5tab10.html
December 01, 2017 - Project Site
All Persons
Persons with
diabetes
Persons with
CVD
Persons with
both … diabetes
and CVD
Persons with
CVD but not
diabetes
Persons with
either diabetes
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www.ahrq.gov/practiceimprovement/delivery-initiative/ihs/chap6tab24.html
December 01, 2017 -
Among adults with diabetes and who had at least 1 ECM visit
Average number of ECM visits
Persons … who had 1 ECM visit
Persons who had 2 ECM visits
Persons who had 3 ECM visits
Persons who had … 4 or more ECM visits
All persons
Percent
Percent
Percent
Percent
Percent
Site 01
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www.ahrq.gov/practiceimprovement/delivery-initiative/ihs/chap5tab19.html
December 01, 2017 - Type of service
All persons
Persons with diabetes
Persons with CVD
Persons with both
diabetes … and CVD
Persons with CVD
but not diabetes
Persons with either
diabetes or CVD
No. … No. of visits per person
No. of visits a
Avg. No. of visits per person
No. of visits a
Avg. … No. of visits per person
No. of visits a
Avg. No. of visits per person
No. of visits a
Avg. … No. of visits per person
No. of visits a
Avg.
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www.ahrq.gov/funding/grant-mgmt/trafficking.html
October 01, 2014 - Term of Award: Trafficking in Persons
As of February 2008, a new Term of Award—Human Trafficking—applies … under this award, and subrecipients' employees may not—
Engage in severe forms of trafficking in persons … subrecipient who is engaged in the performance of the project or program under this award; or
Another person … of the following methods: the recruitment, harboring, transportation, provision, or obtaining of a person … "Severe forms of trafficking in persons," "commercial sex act," and "coercion" have the meanings given
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www.ahrq.gov/practiceimprovement/delivery-initiative/ihs/chapter9.html
December 01, 2017 - The FY2010 data include information on a purposeful sample of almost 440,000 persons; the data mart includes … data for more than 540,000 persons. … Outcomes
A clinical opportunity to improve a health outcome may be defined as an office visit by a person … Project 4: Assessing Pharmacy Utilization
Persons with chronic disease may be high users of prescribed
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www.ahrq.gov/practiceimprovement/delivery-initiative/ihs/chap5tab12.html
December 01, 2017 - The percent of persons who have specific values a for the three clinical measures. … Only data for persons with all three outcome measures are included in the table (61% of adults with diabetes
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www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/settings/mcc-summit/mcc-summit-bayliss.pdf
June 02, 2025 - Models of High Value Care for Persons with Multiple Chronic Conditions: Slide Presentation
Models of … High Value Care for Persons with
Multiple Chronic Conditions
Elizabeth A. … kp.org
mailto:Lucy.A.Savitz@kpchr.org
mailto:Elizabeth.Bayliss@kp.org
Models of High Value Care for Persons
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www.ahrq.gov/practiceimprovement/delivery-initiative/ihs/chap6tab27.html
December 01, 2017 - ECM visit (row percent)
Percent of adults who had at least one ECM visit (row percent)
All persons … 32.4%
2.4
High risk
1.1
34.9%
3.2
a Medicare includes a small number of persons