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www.healthcare411.ahrq.gov/patient-safety/settings/hospital/resource/qitool/webinar080116/index.html
December 01, 2017 - AHRQ
Peter Hussey, PhD
Senior Policy
Researcher
RAND Corporation
Courtney Gidengil, MD, MPH
Physician … safety measures (not at all, to some extent and to a great extent)
We have open communication among physicians … Then it flows down and between physicians, pharmacists, clinical nurse specialists, and quality improvement … Mechanical Prophylaxis when chemical contraindicated
Prospective Identification
Decision Support for physicians … Slide 74
Lessons Learned by Harborview
Leadership Support
Physician champions
Patient Centered
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www.healthcare411.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/sustainability/management/huddles/daily-huddles.pptx
May 01, 2017 - :
Staff nurses
Charge nurses
Nurse managers
Administrators Anesthesia staff
Technicians
Schedulers
Physicians … Practices for Sustainability
A Simple Huddle Agenda
5
Safety concerns observed in past day
Patients
Staff
Physicians
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www.healthcare411.ahrq.gov/prevention/clinician/ahrq-works/index.html
July 01, 2017 - AHRQ Works: Physician Burnout
Provides an overview of AHRQ investments in research that examine health
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www.healthcare411.ahrq.gov/talkingquality/measures/setting/health-plan/index.html
March 01, 2016 - Examples
Health Plan Measurement Sets
Health Plan Measure Databases
Measuring Physician
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www.healthcare411.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/officebasedcare/handouts/readiness.pdf
August 01, 2005 - for which TeamSTEPPS is
obviously relevant (e.g., a lack of standardization in the way nurses and physicians … Have you identified the right individuals, including at least one physician or other influential
clinician … The importance of identifying and maintaining a physician or other clinician as a champion is
critical … Without the commitment, support, and participation of at least one of the practice’s
physicians or other … For example, if staff
members are trained in the use of a specific communication tool but physicians
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www.healthcare411.ahrq.gov/sites/default/files/wysiwyg/sops/quality-patient-safety/patientsafetyculture/valuewebcast-sorrarev.pdf
February 01, 2018 - Positions N (%)
Admin, health IT, or clerical staff 448 (32%)
Other clinical staff 429 (31%)
Physician … Use less paper
“Less paper, more efficient ordering by
physician offices.”
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www.healthcare411.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/availability/chipra-133-fullreport.pdf
January 01, 2019 - In fact,
leaders in obstetrics emphasize the need for improved access to specialty physician services … As many high-risk
conditions are known prior to delivery, obstetricians and higher level physicians, … The definition of HROB specialty physician services for the purposes of these measures is broad
and … Health plans typically will credential physicians in an identified specialty. … The impact of National Health Service Corps
physicians in the lowering perinatal mortality rate in Dade
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www.healthcare411.ahrq.gov/hai/cusp/videos/index.html
September 01, 2019 - Perspective About CUSP: Overview Assemble the Team The 4 E's Building Your CUSP Team Psychological Safety Physician
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www.healthcare411.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/demoeval/what-we-learned/qde-mmd-webinar-on_quality-measure-use.pdf
September 24, 2015 - Plan-Do-Study-Act Cycles
• Practices document quality
improvement work
Maintenance of Certification
• Physicians … Felt quality reports are
effective*
Quality improvement
effort in last 2 years
%
Child-Serving Physicians … ' Reported Experiences with
and Attitudes Toward Quality Reporting
Physicians in participating health … systems (n=52)
Physicians outside participating health systems (n=178)
* = Statistically significant … Source: Survey of child-serving physicians.
36 36
Lessons Learned
• Providers pursued a range
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www.healthcare411.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4d_combo_psi07-crbsi-bestpractices.pdf
May 20, 2016 - .8
Best Processes/Systems of Care
Introduction: Essential First Steps
• Engage key nurses, physicians … These procedures should be done by a
nurse, physician, or other health care professional who has received … Educational Recommendation
• Plan and provide education on protocols and standing orders to physicians … Provide feedback to all stakeholders (physicians and other providers, nursing, and ancillary •
staff; … cdn.community360.net/app/jh/csts/clabsi/JHH_VAD_Appendix_C_Central_Line_Che
cklist.pdf
Staff Required
• Physicians
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www.healthcare411.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-0209-technical-specs.pdf
January 30, 2020 - “Adjusted Model” with maternal medical data, which have the greatest
face validity for practicing physicians
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www.healthcare411.ahrq.gov/news/events/nac/2015-11-nac/nacmtg1115-minutes.html
May 01, 2016 - Sherman, M.D., M.H.A., CPE, FAAP, Group Health Physicians Jed Weissberg, M.D., FACP, Institute for Clinical … AHRQ is developing an analysis of the percentages of physicians working in health systems in the States … The analysis considers, for each State, the presence of one or more hospitals that manage community physicians … It seeks to help 5,000 primary care physicians to improve heart health for some 8 million patients. … Referring to the AHRQ analysis of physicians working in health systems in States, the NAC members agreed
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www.healthcare411.ahrq.gov/talkingquality/measures/types.html
July 01, 2015 - Known as the Donabedian model, this classification system was named after the physician and researcher … The number or proportion of board-certified physicians.
The ratio of providers to patients.
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www.healthcare411.ahrq.gov/talkingquality/measures/setting/hospitals/examples.html
March 01, 2016 - Databases Used for Hospital Quality Measures
Measuring Health Plan Quality
Measuring Physician … Percentage of physicians who are board-certified.
Nurse-to-patient staffing ratios.
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www.healthcare411.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/primary-care/workforce-financing/white_paper.pdf
January 01, 2020 - our gross domestic product.13 Although
multiple groups have projected a shortage of primary care physicians … The Feasibility of Collecting Data on Physicians and Their Practices. 2014. … Projecting US primary care physician workforce
needs: 2010-2025. … The Complexities of Physician Supply and Demand: Projections from 2013 to 2025. … Primary care: proposed solutions to the physician shortage
without training more physicians.
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www.healthcare411.ahrq.gov/sites/default/files/wysiwyg/ncepcr/tools/PCMH/pcpf-module-16-academic-detailing.pdf
September 01, 2015 - The National Resource Center for Academic Detailing
trains physicians interested in becoming academic … Academic detailing sessions are not limited to physicians. … Emphasize that this is a service
being offered to the physician, and convey the idea that it can actually … In fact, an objection presented by
a physician is a sign of participation and opens an opportunity for … for better understanding)
Depending upon what you discover, you may have to re-engage the stalling
physician
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www.healthcare411.ahrq.gov/funding/training-grants/grants/active/kawards/Kawdsumolom.html
October 01, 2014 - She will conduct physician and staff educational models training. … Guide to America's Top Physicians, 2007.
K-Generated Publications: None thus far.
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www.healthcare411.ahrq.gov/sites/default/files/wysiwyg/cahps/surveys-guidance/cg/cgkit/HowtoReportResultsofCGCAHPS080610FINAL.pdf
August 01, 2010 - , better equipped to
choose physicians and/or groups that meet their needs, and more engaged in decisions … Patients' Preferences for Technical versus Interpersonal Quality When
Selecting a Primary Care Physician … That is, for
each physician group or individual physician, you can see the percentage of patients who … The third recommended display
option shows consumers the actual score for each physician or group, often … approaches, the authors recognize
that not everyone is ready or willing to highlight differences in
physician
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www.healthcare411.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/demoeval/what-we-learned/perspectives-quality-improvement-collaboratives.pdf
January 01, 2018 - ✓ ✓
Stipends per practice per year $✓|| $13,800# $2,500**†† $7,000†† $18,000††
Fees charged per physician … for present
ers to have expertise and experience in a particular topic—for
example, to secure the physician … Interviewees in five states (ID, IL, MA, ME, SC) em
phasized the importance of having a strong physician … • Require practice teams to include a physician champion, a nurse, and administrative staff. … A South Carolina collabora
tive organizer said it was helpful hearing from a physician
who had tried
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www.healthcare411.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/communication-facilitator-guide.docx
June 01, 2021 - · The provider could decide to simply do nothing and wait to give the culture results to the physician … She calls the covering physician to discuss further. It is a Saturday. … SAY:
In the case we just discussed, the nurse yielded to an inappropriateresponse from a covering physician … relevant information in a clear, concise, and organized manner, the nurse has made it easy for the physician