-
www.ahrq.gov/sites/default/files/wysiwyg/takeheart/training/module-8-slides.pdf
November 18, 2021 - processes and
activities designed and systematically
executed to help ensure eligible
patients get referred … productive use
29
Workflow Processes to Support Referrals to Phase II
GOAL: Eligible patients are referred … letter
Referring eligible patients to CR (automatic referral)
Informing external CR programs about referred … completion by underrepresented
patient groups – CR program overall
Percent of eligible patients referred
-
www.ahrq.gov/sites/default/files/wysiwyg/takeheart/training/module-6-slides.pdf
October 28, 2021 - Automatic
referral (AR) of
eligible patient
to CR
• AR + ordering
clinician
conversation
with referred … of CR
Automatic referral alone enrollment &
participation
Care coordination is needed to get referred … processes and
activities designed and systematically
executed to help ensure eligible
patients get referred … patients
Short length of stay: hours -> a few
days
Helps ensure clinician conversations
about CR w/ referred
-
psnet.ahrq.gov/issue/identification-poor-performance-national-medical-workforce-over-11-years-observational-study
August 12, 2014 - Approximately 5 per 1000 doctors are referred annually. … Physicians were more likely to be referred when they were men, in the late stages of their career, or
-
www.ahrq.gov/sites/default/files/wysiwyg/takeheart/training/module-7-implementation-guide.pdf
June 02, 2025 - • Training for CR staff coordinating the care of patients who have been referred on how to
use … Staff will need to know how to obtain information about each
patient who has been referred, including … service
# Of referred clients seen at referring service
# Of clients referred from initiating … o Institutional loss of patients referred to CR is revenue leakage. … The wrong
patients are
getting referred.
• ICD-10 codes used to build order set?
-
www.ahrq.gov/sites/default/files/wysiwyg/cahps/quality-improvement/improvement-guide/6-strategies-for-improving/access/cahps-strategy-6e.pdf
July 07, 2017 - “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 long the
expected wait will be.” … 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
-
www.ahrq.gov/prevention/resources/chronic-care/clinical-community-relationships-measures-atlas/ccrm-atlasapd4.html
March 01, 2013 - After you referred your patients and family caregivers to the ASCP, did you receive a treatment plan … (Circle your answer)
Yes, for all patients (even if only one patient referred).
-
digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/research/emery-j-et-al-2007
January 01, 2007 - Patients referred from GRAIDS practices had lower cancer worry scores at the point of referral (mean … Patients judged to have increased risk were referred to a Regional Genetics Clinic for further testing … But the Regional Genetics Clinic found an increased risk of cancer for the same proportion of referred
-
www.ahrq.gov/sops/surveys/supplemental-items.html
February 01, 2025 - The AHRQ Surveys on Patient Safety Culture® (SOPS®) surveys are composed of standardized questions—referred
-
www.uspreventiveservicestaskforce.org/home/getfilebytoken/UaT8AVUSVQwSduNs8TA-_e
June 09, 2020 - or adults who have a currently
diagnosed drug use disorder or are currently undergoing or have been referred … which services for accurate
diagnosis, effective treatment, and appropriate care can be offered or referred … unhealthy drug use or drug use disorders, effective treatment, and
appropriate care can be offered or referred … or adults who have a currently diagnosed drug
use disorder or are currently undergoing or have been referred … Patients with positive screen-
ing results may, therefore, need to be offered or referred for diag-
nostic
-
www.ahrq.gov/cahps/surveys-guidance/hospital/index.html
November 01, 2023 - CAHPS Hospital Survey
The CAHPS Hospital Survey (often referred to as HCAHPS or Hospital CAHPS
-
digital.ahrq.gov/sites/default/files/docs/page/2006Cebul_051211comp.pdf
June 16, 2021 - examine characteristics of PCP adopters
and non-adopters and their decisions
• To compare outcomes of referred … and similar
non-referred patients:
– Experimental group patients
• Alert or Solicitation provided … but not referred
– Control group patients (no decision support)
• Alert criteria met or same Priority
-
www.ahrq.gov/sites/default/files/wysiwyg/takeheart/training/user-guide.pdf
June 02, 2025 - describes the aims and proven benefits of
effective CC; provides guidance on improving CC processes for referred … after reviewing your data, you find your program has processes in place
to ensure CR enrollment of all referred … patients, but not all eligible patients are being
referred or referrals are being inequitably made across
-
www.ahrq.gov/prevention/resources/chronic-care/ccrm-atlas-suppl/ccrm-apptabA-3.html
October 01, 2013 - Measure 14: Patients referred to a community health educator referral liaison (CHERL)
A-18. … discussion of treatment plan with patients or family caregivers (ASCP Physician Survey)
14
Patients referred
-
www.ahrq.gov/prevention/resources/chronic-care/ccrm-atlas-suppl/ccrm-apptabA-12.html
October 01, 2013 - Measure 14: Patients referred to a community health educator referral liaison (CHERL)
A-18. … Medicine
Denominator:
Clinicians in the area who have at least six dementia patients and who referred
-
www.ahrq.gov/prevention/resources/chronic-care/ccrm-atlas-suppl/ccrm-apptabA-13.html
October 01, 2013 - Measure 14: Patients referred to a community health educator referral liaison (CHERL)
A-18. … Medicine
Denominator:
Clinicians in the area who have at least six dementia patients and who referred
-
www.ahrq.gov/prevention/resources/chronic-care/ccrm-atlas-suppl/ccrm-apptabA-16.html
October 01, 2013 - Measure 14: Patients referred to a community health educator referral liaison (CHERL)
A-18. … Medicine
Denominator:
Clinicians in the area who have at least six dementia patients and who referred
-
www.ahrq.gov/prevention/resources/chronic-care/ccrm-atlas-suppl/ccrm-apptabA-15.html
October 01, 2013 - Measure 14: Patients referred to a community health educator referral liaison (CHERL)
A-18. … Medicine
Denominator:
Clinicians in the area who have at least six dementia patients and who referred
-
www.ahrq.gov/ncepcr/tools/obesity-kit/obtoolkit4.html
March 01, 2014 - four practices in the AHRQ pilot project, results showed that only about 1 in 10 patients who were referred … The community representative was frustrated by the sheer volume of follow-up calls to referred patients
-
www.ahrq.gov/sites/default/files/wysiwyg/takeheart/training/module-1-slides.pdf
January 30, 2020 - referral
built into order set, default, opt-out
model where ALL patients with
qualifying diagnoses are referred … 17
PARTICIPANTSFOR PATIENTS
• Do not get referred to CR; lack of care coordination
for CR even if … referred … high, CR uptake is lower
• Individuals with multiple chronic conditions are also less
likely to be referred
-
www.ahrq.gov/patient-safety/quality-resources/tools/chtoolbx/why/index.html
June 01, 2020 - The unique characteristics of child health, often referred to as the "four D's," are:
Developmental … priority for child health programs is to assure that children with chronic health conditions, sometimes referred