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www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/20131008_cg/4_Rick_Evans_slides_41-46.pdf
January 01, 2013 - 2013
• Collaborative Action Planning
Specific steps and accountability
Implementation of best practices … indicators and targets
• Coordinated with MGH/MGPO targets
• Specific action plans required by all practices … • Improvement plans supported by best practice
implementation and training
Implementing Best Practices … • Reward and Recognition Approaches
• High, Middle and Low Performers
• MD Communication
Best Practices … Quiet Times
• Informed of Waits Approaches
• Service Recovery
• Hourly Rounding
For Staff
• Best Practices
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www.ahrq.gov/ncepcr/research-transform-primary-care/transform/synthesis-report/appb.html
October 01, 2015 - Diabetes
HbA1c <9%
LDL cholesterol <100 mg/dL
Blood pressure <130/80 mm Hg
Percent of practices … of patients achieving the target value in the first year of PCMH transformation:
HbA1c: 50% of practices … LDL cholesterol: 55% of practices
Blood pressure: 73% of practices
Transforming Primary … following PCMH transformation
Level of improvement varied by practice:
In the five most-improved practices … , and blood pressure increased by 8.8%, 14.9%, and 19.4%, respectively
In the five least-improved practices
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www.ahrq.gov/ncepcr/reports/grants-transform/health-outcomes-reported.html
March 01, 2017 - Diabetes
HbA1c <9%
LDL cholesterol <100 mg/dL
Blood pressure <130/80 mm Hg
Percent of practices … of patients achieving the target value in the first year of PCMH transformation:
HbA1c: 50% of practices … LDL cholesterol: 55% of practices
Blood pressure: 73% of practices
Transforming Primary … Level of improvement varied by practice:
In the five most-improved practices, the percent of patients … In the five least-improved practices, the percent of patients meeting the target values for HbA1c, LDL
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www.ahrq.gov/sites/default/files/wysiwyg/cahps/quality-improvement/reports-and-case-studies/cgcahps-webcast-brief-2014.pdf
January 01, 2014 - Primary and specialty care practices can use the
results from this survey to identify their
strengths … The Challenge: Choosing a Survey
To Meet Multiple Needs
Physician practices are increasingly facing … Results were reported back
to physicians and practices quarterly.
Ms. … practices as
needed for implementation. … As such, the service department
looks for opportunities to support and spread
best practices.
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www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/20141022_cg/cgcahps-webcast-brief-2014.pdf
January 01, 2014 - Primary and specialty care practices can use the
results from this survey to identify their
strengths … The Challenge: Choosing a Survey
To Meet Multiple Needs
Physician practices are increasingly facing … Results were reported back
to physicians and practices quarterly.
Ms. … practices as
needed for implementation. … As such, the service department
looks for opportunities to support and spread
best practices.
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www.ahrq.gov/ncepcr/research-transform-primary-care/transform/tpcbib/index.html
May 01, 2015 - with the lower-performing practices. … Self-management support activities in patient-centered medical home practices. … Almost 60 percent of practices performed at least eight of the nine activities. … Independent practices and practices with physicians and staff trained in self-management support were … Support and strategies for change among small patient-centered medical home practices.
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www.ahrq.gov/sites/default/files/publications/files/chipra-final-report_0.pdf
February 21, 2016 - , actionable, and appropriate for busy practices … About 140 child-serving practices participated in these efforts to some
extent (excluding practices … • States and practices found that practice facilitators need to limit the number of practices they … Alaska engaged the fewest practices (three), and Illinois the most (about 25 practices
signed up for … Most others had between 10 and 18 practices.
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www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/tools-and-materials/26-michigan-hh4m-outreach-charter.pdf
August 01, 2021 - The Outreach & Engagement Workgroup is
responsible for:
• Outreach to and enrollment of 3 pilot practices … starting August 1, 2021 (one each: Altarum,
MCRH, UPHCS)
• Beginning recruitment of main study practices … by October 1
• Recruiting a total of 58 practices by the end of 2021
o Recruitment goals: Altarum … 45, MCRH 8-10, UPHCS 5-7
• Continued program messaging, as needed, to practices throughout the program … • Retention of practices throughout the program
• Sending regularly scheduled program communications
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www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/demoeval/what-we-learned/supplhighlight01.pdf
January 01, 2012 - Currently, Maine is working with up to 24 practices to generate data needed to calculate a subset
of … The demonstration staff is encouraging practices to participate in the existing
immunization registry … Massachusetts is using State data systems and data collected by 13 practices participating in their … that allows practices to compare themselves with
each other. … How eight primary care practices initiated and maintained
quality monitoring and reporting.
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www.ahrq.gov/patient-safety/settings/hospital/resource/pressureinjury/workshop/slides4.html
October 01, 2017 - Examined best practices and made preliminary decisions on what best practices will be included in your … Pilot test the new best practices. … Educate staff on new best practices. … Slide 9: List of Best Practices
Preliminary list of best practices. … Staff training needs to learn new practices.
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www.ahrq.gov/sites/default/files/2024-11/dy-report.pdf
January 01, 2024 - Results
Implementation of patient safety activities varied across practices. … We included only Level-3 practices, as
the most mature, fully functioning PCMHs. … After excluding 951 Level-1 and -2 practices,
we included 84% of all recognized PCMH practices (n=5,007 … 25% were small private practices, and 71% included pediatrics. … Best practices for mixed methods research in the health
sciences. August 2011.
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www.ahrq.gov/sites/default/files/2024-02/pace-report.pdf
January 01, 2024 - CaReNet consists of three distinct types of practices. … Most of these practices are located in
frontier areas. … Residency practices averaged more issues per call (p < .001). … Labels were either
absent or incomplete in all 18 practices. … It is best suited to large practices, groups of practices
(e.g., PBRNs), or university- or hospital-affiliated
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www.ahrq.gov/sites/default/files/wysiwyg/research/findings/evidence-based-reports/services/quality/patientsftyupdate/ptsafetysum.pdf
March 01, 2013 - for Better
Healthcare” list)3 to rank safety practices
by strength of evidence. … , and the contextual factors influencing the
practices’ use and effectiveness. … This section describes the practice or practices proposed and evaluated. … This
recommendation particularly applies to the 10 “strongly
encouraged” practices. … Making Health Care Safer: A
Critical Analysis of Patient Safety Practices.
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www.ahrq.gov/sites/default/files/wysiwyg/cahps/cahps-database/2016_cg_cahps_chartbook.pdf
January 01, 2016 - Survey Database
2016 Chartbook: What Patients Say About Their
Health Care Providers and Medical Practices … Group Survey Database
2016 Chartbook: What Patients Say About Their Health Care Providers and Medical Practices … Texas 858 70% 89% 91% 90%
*When reporting comparison scores by State, States with fewer than five practices … 64% 82% 78% 76%
*When reporting comparison scores by specialty, specialties with fewer than five practices … The CAHPS Database asked each submitter to provide information about their practices (i.e.,
“practice
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www.ahrq.gov/prevention/resources/chronic-care/clinical-community-relationships-measures-atlas/ccrm-atlas-ex518.html
March 01, 2013 - Practitioner Post-Visit Survey
Wrap-Around Observation Manual—Second Version
Continuity of Care Practices … Past or validated application:
Nine primary care practices in the Tidewater region of Virginia were … The practices, members of a single medical group, and of the Virginia Ambulatory Care Outcomes Research … The practices have used the EMR for 3 to 10 years. … Two sites were solo practices, five had three clinicians, one had eight clinicians, and one (a family
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www.ahrq.gov/prevention/resources/chronic-care/clinical-community-relationships-measures-atlas/ccrm-atlas-ex517.html
March 01, 2013 - Practitioner Post-Visit Survey
Wrap-Around Observation Manual—Second Version
Continuity of Care Practices … Past or validated application:
Nine primary care practices in the Tidewater region of Virginia were … The practices, members of a single medical group and of the Virginia Ambulatory Care Outcomes Research … The practices have used the EMR for 3 to 10 years. … Two sites were solo practices, five had three clinicians, one had eight clinicians, and one (a family
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www.ahrq.gov/research/findings/final-reports/stpra/stpra3.html
April 01, 2018 - Staff not well-trained in infection control practices.
Glove puncture. … For example, if an ASC chooses to focus on improving skin preparation practices to appropriate levels … better standards for infection prevention practices into the daily care provided at ASCs. … As a result, we recommend that guidelines for infection control practices at ASCs, modeled after the … Skin preparation practices including antisepsis and draping.
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www.ahrq.gov/policymakers/chipra/demoeval/what-we-learned/qde-mmd-webinar-slides.html
January 01, 2016 - in reviewing quality measures and planning changes
Fostering a healthy rivalry within and between practices … and Stakeholders
Pediatric Practices
18 practices selected
Each practice identified a QI team … lead: practitioner, nurse and office manager
4 year commitment
Plan-Do-Study-Act Cycles
Practices … Have the opportunity to work with the same 18 practices for 4 years
Grassroots control, they don't … need for outpatient QI
Focusing on multiple QI indicators at one time is stressful for our practices
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/primary-care/workforce-financing/white_paper.pdf
January 01, 2020 - Recent qualitative studies of high-performing primary care practices suggest that these
practices produce … These
practice supports are also features of high-performing practices as described below. … The Feasibility of Collecting Data on Physicians and Their Practices. 2014. … http://www.ncqa.org/Programs/Recognition/Practices/PatientCenteredMedicalHomePCMH.a
spx. … Unlocking the black box: supporting
practices to become patient-centered medical homes.
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www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/demoeval/demostates/ncstateataglance.pdf
March 01, 2012 - The State will report on the
measures to networks, practices, and key stakeholders and pilot the extraction … of data by providers and
practices from existing or newly deployed EHRs to comply with meaningful use … communication, collaboration, and co‐management among the primary
care medical home, subspecialist practices … The model will be
expanded to a second cohort of practices in the 3rd and 4th years of the grant. … vendors in the process of implementing and testing the model
EHR format among pediatric and family practices