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  1. www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/cahps/surveys-guidance/cg/overview-questionnaires-cg40-3350.pdf
    November 01, 2020 - Provider identifica tion - Is this the provider you usually see if you need a check-up, want advice … “talking to” provider Length of relation ship - How long have you been going to this provider? … included Provider communi cation - In the last 6 months, how often did this provider explain … possible and 10 is the best provider possible, what number would you use to rate this provider? … 21 Rating of provider vs.
  2. ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/cahps/surveys-guidance/cg/overview-questionnaires-cg40-3350.pdf
    November 01, 2020 - Provider identifica tion - Is this the provider you usually see if you need a check-up, want advice … “talking to” provider Length of relation ship - How long have you been going to this provider? … included Provider communi cation - In the last 6 months, how often did this provider explain … possible and 10 is the best provider possible, what number would you use to rate this provider? … 21 Rating of provider vs.
  3. digital.ahrq.gov/sites/default/files/docs/citation/ereferralimplementationhandbookfinal.pdf
    February 01, 2012 - The referring provider handwrote the patient name and telephone number, the referring provider name, … or choose another provider. … select an attending provider. … Attending provider selection window Based on these selections, the patient, referring provider … , attending provider and primary care provider contact information is auto-populated from the DPH EMR
  4. Patient Exit Survey (pdf file)

    www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/patient-safety/resources/diagnostic-toolkit/11a-pfe-patient-survey.pdf
    August 01, 2021 - I feel like the provider listened to me attentively. … Yes No Did the provider use medical jargon? Yes No Was the provider warm and friendly? … Yes No Did the provider listen to you? Yes No Did the provider interrupt when you were talking? … Yes No Did the provider urge you to tell your story? … Yes No Did the provider urge you to ask questions?
  5. Patient Exit Survey (pdf file)

    preventiveservices.ahrq.gov/sites/default/files/wysiwyg/patient-safety/resources/diagnostic-toolkit/11a-pfe-patient-survey.pdf
    August 01, 2021 - I feel like the provider listened to me attentively. … Yes No Did the provider use medical jargon? Yes No Was the provider warm and friendly? … Yes No Did the provider listen to you? Yes No Did the provider interrupt when you were talking? … Yes No Did the provider urge you to tell your story? … Yes No Did the provider urge you to ask questions?
  6. Patient Exit Survey (pdf file)

    ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/patient-safety/resources/diagnostic-toolkit/11a-pfe-patient-survey.pdf
    August 01, 2021 - I feel like the provider listened to me attentively. … Yes No Did the provider use medical jargon? Yes No Was the provider warm and friendly? … Yes No Did the provider listen to you? Yes No Did the provider interrupt when you were talking? … Yes No Did the provider urge you to tell your story? … Yes No Did the provider urge you to ask questions?
  7. ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/cahps/surveys-guidance/item-sets/PCMH/adult-eng-cg30-pcmh.pdf
    October 30, 2020 - • References to “this provider” rather than “this doctor:” This survey uses “this provider” to refer … Name of provider label goes here Is that right? … named in Question 1 as “this provider.” … Using any number from 0 to 10, where 0 is the worst provider possible and 10 is the best provider possible … 0 Worst provider possible 1 2 3 4 5 6 7 8 9 10 Best provider possible 20.
  8. ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/cahps/surveys-guidance/item-sets/PCMH/adult-eng-cg30-pcmh-2352a.docx
    October 30, 2020 - . · References to “this provider” rather than “this doctor:” This survey uses “this provider” to refer … named in Question 1 as “this provider.” … How long have you been going to this provider? … Using any number from 0 to 10, where 0 is the worst provider possible and 10 is the best provider possible … |_| 0 Worst provider possible |_| 1 |_| 2 |_| 3 |_| 4 |_| 5 |_| 6 |_| 7 |_| 8 |_| 9 |_| 10 Best provider
  9. Nurse Only Visit (pdf file)

    digital.ahrq.gov/sites/default/files/docs/workflowtoolkit/NurseOnlyVisit.pdf
    December 02, 2010 - Has provider already placed orders? … Nonstanding Will nurse take a verbal order from provider? … and proceed Yes Place appropriate orders and make orders pending; exit encounter Notify provider … that you need an order signed Place appropriate orders; add cosigning provider Sign orders … with authorizing provider Nurse resumes encounter Yes No Provider opens encounter and
  10. Workflow Data (pdf file)

    digital.ahrq.gov/sites/default/files/docs/workflowtoolkit/Log-TimedOfficeVisit.pdf
    November 08, 2010 - Workflow Data Practice Name: ________________________ Observation Date: ________________ Provider … ___________ Activity Start Stop Start Stop Start Stop Check-in Nurse evaluation Provider … evaluation Check-out Procedure Labs X-ray Nurse follow-up Provider … Workflow Data Practice Name: ________________________ Observation Date: ________________ Provider … ___________ Activity Start Stop Start Stop Start Stop Check-in Nurse evaluation Provider
  11. teamstepps.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/cahps-patient-narrative-martino.pdf
    June 01, 2021 - The next questions ask you to describe the care you get from this provider in your own words. … What are the most important things that you look for in a healthcare provider and their staff? … Q5 Please describe how you and your provider relate to and interact with each other. … Q3 What went well with this provider and their staff during your most recent visit? … Q5 Please describe your interactions with this provider and how you got along.
  12. ahrqpubs.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/cahps-patient-narrative-martino.pdf
    June 01, 2021 - The next questions ask you to describe the care you get from this provider in your own words. … What are the most important things that you look for in a healthcare provider and their staff? … Q5 Please describe how you and your provider relate to and interact with each other. … Q3 What went well with this provider and their staff during your most recent visit? … Q5 Please describe your interactions with this provider and how you got along.
  13. talkingquality.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/cahps-patient-narrative-martino.pdf
    June 01, 2021 - The next questions ask you to describe the care you get from this provider in your own words. … What are the most important things that you look for in a healthcare provider and their staff? … Q5 Please describe how you and your provider relate to and interact with each other. … Q3 What went well with this provider and their staff during your most recent visit? … Q5 Please describe your interactions with this provider and how you got along.
  14. patientregistry.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/cahps-patient-narrative-martino.pdf
    June 01, 2021 - The next questions ask you to describe the care you get from this provider in your own words. … What are the most important things that you look for in a healthcare provider and their staff? … Q5 Please describe how you and your provider relate to and interact with each other. … Q3 What went well with this provider and their staff during your most recent visit? … Q5 Please describe your interactions with this provider and how you got along.
  15. monahrq.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/cahps-patient-narrative-martino.pdf
    June 01, 2021 - The next questions ask you to describe the care you get from this provider in your own words. … What are the most important things that you look for in a healthcare provider and their staff? … Q5 Please describe how you and your provider relate to and interact with each other. … Q3 What went well with this provider and their staff during your most recent visit? … Q5 Please describe your interactions with this provider and how you got along.
  16. healthcare411.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/cahps-patient-narrative-martino.pdf
    June 01, 2021 - The next questions ask you to describe the care you get from this provider in your own words. … What are the most important things that you look for in a healthcare provider and their staff? … Q5 Please describe how you and your provider relate to and interact with each other. … Q3 What went well with this provider and their staff during your most recent visit? … Q5 Please describe your interactions with this provider and how you got along.
  17. www.cpsi.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/cahps-patient-narrative-martino.pdf
    June 01, 2021 - The next questions ask you to describe the care you get from this provider in your own words. … What are the most important things that you look for in a healthcare provider and their staff? … Q5 Please describe how you and your provider relate to and interact with each other. … Q3 What went well with this provider and their staff during your most recent visit? … Q5 Please describe your interactions with this provider and how you got along.
  18. www.cahps.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/cahps-patient-narrative-martino.pdf
    June 01, 2021 - The next questions ask you to describe the care you get from this provider in your own words. … What are the most important things that you look for in a healthcare provider and their staff? … Q5 Please describe how you and your provider relate to and interact with each other. … Q3 What went well with this provider and their staff during your most recent visit? … Q5 Please describe your interactions with this provider and how you got along.
  19. pcmh.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/cahps-patient-narrative-martino.pdf
    June 01, 2021 - The next questions ask you to describe the care you get from this provider in your own words. … What are the most important things that you look for in a healthcare provider and their staff? … Q5 Please describe how you and your provider relate to and interact with each other. … Q3 What went well with this provider and their staff during your most recent visit? … Q5 Please describe your interactions with this provider and how you got along.
  20. pbrn.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/cahps-patient-narrative-martino.pdf
    June 01, 2021 - The next questions ask you to describe the care you get from this provider in your own words. … What are the most important things that you look for in a healthcare provider and their staff? … Q5 Please describe how you and your provider relate to and interact with each other. … Q3 What went well with this provider and their staff during your most recent visit? … Q5 Please describe your interactions with this provider and how you got along.

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