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Showing results for "referred".

1. Practice Improvement | Agency for Healthcare Research and Quality
   www.ahrq.gov/topics/practice-improvement.html
   Practice facilitation, sometimes also referred to as quality improvement coaching, is an approach to

2. Lee Health TAKEheart Profile | Agency for Healthcare Research and Quality
   www.ahrq.gov/takeheart/about/initiative/partner-hospitals/lee-health.html
   November 01, 2022 - TAKEheart's workflow mapping exercise helped our team discover that patients were not consistently being referred … (1) the failure of some physicians to make referrals to CR and (2) the problem of patients who were referred … To improve enrollment of referred patients, Harris-Barter's team realized the importance of maximizing

3. A-17. Measure 14: Patients referred to a community health educator referral liaison (CHERL) | Agency for Healthcare Research and Quality
   www.ahrq.gov/prevention/resources/chronic-care/ccrm-atlas-suppl/ccrm-apptabA-17.html
   October 01, 2013 - Measure 14: Patients referred to a community health educator referral liaison (CHERL) Previous … Measure 14: Patients referred to a community health educator referral liaison (CHERL) A-18. … CCRM Atlas Measure 14: Patients referred to a community health educator referral liaison (CHERL)

4. Getting Started Laying the Groundwork Coordination for Implementing Automatic Referral & Effective Care
   www.ahrq.gov/sites/default/files/wysiwyg/takeheart/training/getting-started-slides.pptx
   December 31, 2022 - lack of coordination even if they are referred. … - Which patients currently referred? - Are some diagnoses missing? … - Who decides which patients are referred? … Who is referred to cardiac rehabilitation and why? … Who decides which patients are referred?

5. Module-4-Slides (pdf file)
   www.ahrq.gov/sites/default/files/wysiwyg/takeheart/training/module-4-slides.pdf
   August 19, 2021 - participation Aggregate Data: population specific • # of patients eligible for CR • # of patients referred … patients who enroll or don’t enroll Patient -level Shows which specific patients were (or were not) referred … eligible patients at discharge Provides information about the pool of potential patients Patients referred … Monthly to start Enrollment Measure 21 PARTICIPANTS REFERRAL MEASURE Numerator: Number of referred … HF participation is low, accounting for only 2% of your Phase II volume • HF patients are primarily referred

6. Module-7-Slides (pdf file)
   www.ahrq.gov/sites/default/files/wysiwyg/takeheart/training/module-7-slides.pdf
   November 18, 2021 - to CR are identified - All patients with exclusion criteria are not being referred - Referrals are … Indicator Name Description Numerator/Denominator Referral Initiation Proportion of clients referred … from initiating service # of clients referred from initiating service __________________________ … that complete referral at receiving service # of referred clients seen at referring service ___ … _________________________________ # of clients referred from initiating service

7. Module-5-Slides (pdf file)
   www.ahrq.gov/sites/default/files/wysiwyg/takeheart/training/module-5-slides.pdf
   December 31, 2022 - Referral built into an order set Default, “opt-out” model All patients with qualifying diagnosis are referred … why bother  Uncertainty about who is responsible for making the referral or if someone has already referred … order set Uncertainty about who is responsible for making the referral or if someone has already referred … 2) Example Aim Statement: We aim to increase the number of patients with MI, PCI and CABG who are referred … to CR are identified - All patients with exclusion criteria are not being referred - Referrals are going

8. Module-6-Implementation-Guide (pdf file)
   www.ahrq.gov/sites/default/files/wysiwyg/takeheart/training/module-6-implementation-guide.pdf
   June 02, 2025 - Automatic referral is designed to ensure that all eligible patients are identified and referred to CR … Why this Misconception Matters: If you ignore the needs of patients before they are referred, you will … Care coordination on behalf of patients before they are referred includes working with physicians and … processes and activities designed and systematically executed to help ensure eligible patients get referred … • Knowing which subpopulations of eligible patients are not being referred.

9. Module-4-Implementation-Guide (pdf file)
   www.ahrq.gov/sites/default/files/wysiwyg/takeheart/training/module-4-implementation-guide.pdf
   September 01, 2021 - • Process: reflects the specific action(s) taken, for example, providing each referred patient a letter … AR implementation and outreach to cardiologists has increased the number of referred patients. … You may not have even spoken to people that were just referred at the end of the month. … You may be tracking the percent of eligible patients that were referred to CR. … If this happens, your numerator may leave out patients that actually were referred.

10. Chipra205-Materials Ii (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/CHIPRA205-Materials_II.pdf
    June 02, 2025 - families do not follow through with referrals, families often do not understand where they are being referred … more children are being identified and linked to services as feedback on eligibility status of the referred … a child's ability to function in many settings, it is important that children who fail screens are referred … using "Speech/Language Pathologist User Defined QDM Value Set (1.1.1.1)" "Patient Care Experience: Referred … for follow-up services but did not continue care in the medical home where diagnosed" using "Referred

11. Module-5-Implementation-Guide (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/takeheart/training/module-5-implementation-guide.pdf
    June 02, 2025 - order set in such a way that all patients with a qualifying diagnosis for cardiac rehabilitation are referred … CR referral process measures require a verbal conversation between the ordering clinician and the referred … Patients to include All patients with an agreed-upon set of codes should be automatically referred/opted … • Ensure that all eligible patients are referred unless the clinical provider takes action to stop … You will need to decide whether any such patients should be referred or whether they should be flagged

12. Patient-Community Resource Relationships | Agency for Healthcare Research and Quality
    www.ahrq.gov/prevention/resources/chronic-care/ccrm-atlas-suppl/ccrm-atlas3-6.html
    October 01, 2013 - Measure 14: Patients referred to a community health educator referral liaison (CHERL) A-18. … Potential Measure UU Item Description Title Percentage of clients referred to a community … received appropriate preventive services Description This measure assesses whether clients referred … This measure should focus on the delivery of preventive services for which the patients were referred … This measure will be assessing community resource proactivity in working with clients who have been referred

13. 87. Treatment Recommendations: Counseling (Continued) | Agency for Healthcare Research and Quality
    www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide87.html
    October 01, 2014 - Every tobacco user should be offered at least a minimal intervention whether or not he or she is referred

14. A-20. Measure 17: Referral rate for intensive counseling from a community program | Agency for Healthcare Research and Quality
    www.ahrq.gov/prevention/resources/chronic-care/ccrm-atlas-suppl/ccrm-apptabA-20.html
    October 01, 2013 - Measure 14: Patients referred to a community health educator referral liaison (CHERL) A-18. … This measure calculated the proportion of all patients with risk factors referred for intensive counseling … behavior and engaged to address the unhealthy behavior (A1-A3) Numerator: Number of patients referred

15. Module-3-Implementation-Guide (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/takeheart/training/module-3-implementation-guide.pdf
    June 02, 2025 -  Develop a standard process for informing an external CR program of a referred patient. … Which patients are currently referred for cardiac rehabilitation, i.e., what diagnoses? … Who decides which patients are referred? What is the patient referral process? … The example fishbone diagram captures common causes eligible patients fail to be referred into CR. … If your program does not know a patient is eligible then they will not be referred.

16. Strategy 6E: Rapid Referral Programs | Agency for Healthcare Research and Quality
    www.ahrq.gov/cahps/quality-improvement/improvement-guide/6-strategies-for-improving/access/strategy6g-rapid-referral.html
    April 01, 2023 - confidence, and dissatisfaction with their PCP. 1 "Patients are often informed that they will be 'referred … ' but have little or no influence on the process or knowledge about who they will be referred to or how … guidelines is to identify which clinical conditions the PCPs should manage themselves and which should be referred … them are more obvious: more effective care for patients, higher relative value units (RVUs), and more referred

17. Implementing PCOR To Increase Referral, Enrollment, and Retention in Cardiac Rehabilitation Through Automatic Referral With Care Coordination | Agency for Healthcare Research and Quality
    www.ahrq.gov/takeheart/assessing/summary/index.html
    August 01, 2023 - Trust (HRET) of the American Hospital Association (AHA) and Crosby Marketing Communications, further referred

18. Getting Started Resource Guide (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/takeheart/training/getting-started-resource-guide.pdf
    March 01, 2023 - • Which patients are currently referred for cardiac rehabilitation, i.e., what diagnoses? … • Who decides which patients are referred? • What is the patient referral process? … The example fishbone diagram captures common reasons why eligible patients fail to be referred into … Number of patients referred to CR Dividing the number of patients who enroll by the number referred … Number of patients enrolled in CR Dividing the number of patients who enroll by the number referred

19. Tool 12. Sample Punch Card | Agency for Healthcare Research and Quality
    www.ahrq.gov/ncepcr/tools/obesity/obpcp-tool12.html
    May 01, 2014 - Clinic Name] This is how many times I visited: ___________________________________________ (referred

20. Table 5. Other EHR-based Care Coordination Measures | Agency for Healthcare Research and Quality
    www.ahrq.gov/ncepcr/care/coordination/atlas/chapter4tab5.html
    June 01, 2014 - specifications available: No PCP communicates to patient the reason for referral l Number of referred … family) eMeasure specifications available: No PCP review of Specialist Report l Number of referred … caregiver(s) were provided with education on dementia disease management and health behavior changes AND referred