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21. Using Patient Input to Improve Diagnostic Safety | Agency for Healthcare Research and Quality
    www.healthcare411.ahrq.gov/funding/grantee-profiles/grtprofile-bell.html
    March 01, 2022 - five patients reporting a perceived serious mistake following a review of their post-visit notes, as reported … Bell and her team developed and tested the framework for patient-reported diagnostic breakdowns that … After analyzing more than 2,000 patient-reported errors from 25,000 respondents, researchers identified … Among patients who reported a diagnostic error, the most common contributing factor patients reported … Drawing on data from the framework of patient-reported breakdowns, Dr.

22. Spotlight on South Carolina -- The National Evaluation of the CHIPRA Quality Demonstration Grant Program (pdf file)
    www.healthcare411.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/statesummaries/chipra-750-south-carolina-state-snapshot.pdf
    January 01, 2018 - Nearly all practices reported increases in their ability to initiate and sustain QI activities after … However, by the end of the learning collaborative, all 18 practices reported that they incorporated … In addition to the routine use of behavioral and mental health screening tools, clinicians reported … Demonstration staff reported that practices increased families’ access to care, provided oral health … However, some practices reported difficulty in aligning NCQA’s requirements with improved pediatric

23. NPSD Data Spotlight - Patient Safety and COVID-19: A Qualitative Analysis of Concerns During the Public Health Emergency (pdf file)
    www.healthcare411.ahrq.gov/sites/default/files/wysiwyg/npsd/data/spotlights/spotlight-ptsafety-and-covid-19.pdf
    November 01, 2021 - The report date, or the date that the event is reported into a system by a provider, indicated that … all 80 records with this limited information were reported between March 2020 and May 2020. … For incidents that involved a patient, the PSOs reported patient age and sex for 26 (8.6%) records, … with race and ethnicity not being reported for any records. … Many of the patient safety concerns reported where COVID-19 was identified in the description of the

24. CHIPRA 81: Pediatric Global Health-7 Measure Report (pdf file)
    www.healthcare411.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/outcomes/chipra-081-fullreport.pdf
    April 01, 2019 - In Use: Have measure results been reported at this level previously? No. … In Use: Have measure results been reported at this level previously? No. … In Use: Have measure results been reported at this level previously? No. … In Use: Have measure results been reported at this level previously? No. … In Use: Have measure results been reported at this level previously? No.

25. Hospital Survey on Patient Safety Culture Version 2.0: Composites and Items (pdf file)
    www.healthcare411.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/hospitalsurvey2-items.pdf
    August 01, 2019 - When an event is reported in this unit, it feels like the person is being written up, not the problem … When a mistake is caught and corrected before reaching the patient, how often is this reported? … When a mistake reaches the patient and could have harmed the patient, but did not, how often is this reported … Reliability of this composite measure—Cronbach’s alpha (3 items) = .72 Number of Events Reported … In the past 12 months, how many patient safety events have you reported?

26. How did CHIPRA quality demonstration States employ learning collaboratives to improve children's health quality? Evaluation Highlight #13 (pdf file)
    www.healthcare411.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/demoeval/what-we-learned/highlight13.pdf
    September 08, 2015 - These States implemented learning collaboratives and subsequently reported quantifiable improvements … We also report on quantitative improvements realized by practices by mid-2014 based on self-reported … Findings State and practice staff reported that a combination of strategies described below helped … Learning collaborative leaders and participants in all nine States reported that a combination of … Increase in reported immunization rates is statistically significant (p<0.05).

27. Attachment 9.1: Table 1. Questions About the Measure's Use at Different Levels of Aggregation for Quality Reporting (pdf file)
    www.healthcare411.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/chipra-145-materials-ix.pdf
    January 11, 2017 - In Use: Have measure results been reported at this level previously? … Validity: Is there published evidence about the reliability and validity of the measure when reported … In Use: Have measure results been reported at this level previously? … Validity: Is there published evidence about the reliability and validity of the measure when reported

28. Title of Presentation: (pdf file)
    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 - Annual Dental Visits ADV - Rate - Total 71.4 72.3 72.2 0.0420* Adolescent Well-Care Visits AWC - Reported … Rate 12.6 17.9 27.7 0.0000*** Developmental Screening -screened by 24 months of age DSC2 - Reported … Rate 9.4 16.3 31.8 0.0000*** Developmental Screening -screened by 36 months of age DSC3 - Reported … Rate 1.6 3.6 10.6 0.0000*** Total Eligible Who Received Preventive Dental Services PDS - Reported … measures annually to PA • Measures had to be reported directly from the provider organization’s EHR

29. Key Themes Across Grants | Agency for Healthcare Research and Quality
    www.healthcare411.ahrq.gov/ncepcr/reports/grants-transform/key-themes.html
    March 01, 2017 - Solberg reported that the Practice Advisory Group for 120 health care homes in Minnesota realized only … Of the 14 TPC grants, eight reported that all of the participating practices had already achieved PCMH … In addition, a number of financial incentives were reported as motivating transformation initiatives, … Donahue et al reported that a committed mid-level manager in addition to strategic or visionary leaders … Front-line staff at Palo Alto Medical Foundation reported feeling overwhelmed by the number of changes

30. Reporting of Supplemental CAHPS Data Regarding Availability of Treatment or Counseling Services for Children on Medicaid: Final Report (pdf file)
    www.healthcare411.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/availability/chipra-238-fullreport.pdf
    October 01, 2019 - In Use: Have measure results been reported at this level previously? No. … In Use: Have measure results been reported at this level previously? No. … In Use: Have measure results been reported at this level previously? … In Use: Have measure results been reported at this level previously? No. … In Use: Have measure results been reported at this level previously? No.

31. MEASURE SUMMARY (CHIPRA Core Set Candidate Measures) - Control #: PHP-6 (pdf file)
    www.healthcare411.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/overview/background/measures-PHP-6.pdf
    December 14, 2010 - During 2004, a total of 25,827 cases of pertussis were reported in the U.S. and 8,897 of those (34%) … Yes No x NR Not Reported. … Yes No x NR Not Reported.

32. TeamSTEPPS® Teamwork Attitudes Questionnaire Manual (pdf file)
    www.healthcare411.ahrq.gov/sites/default/files/wysiwyg/teamstepps/instructor/reference/teamattitudesmanual.pdf
    October 01, 2008 - Of these, n=175 or 44.3 percent reported they deliver inpatient care, n=89 or 22.5 percent reported … reported they work as registered nurses and 27 as advanced practice nurses. … Respondents reported working predominantly in intensive care: 260 respondents reported working in some … Due to this issue, valid percentages are not reported. 4 (n=242 or 54.3 percent) reported they … Poor communication is the most common cause of reported errors. 27.

33. TeamSTEPPS® Teamwork Attitudes Questionnaire Manual | Agency for Healthcare Research and Quality
    www.healthcare411.ahrq.gov/teamstepps/instructor/reference/teamattitudesmanual.html
    April 01, 2017 - Of these, n=175 or 44.3 percent reported they deliver inpatient care, n=89 or 22.5 percent reported they … reported they work as registered nurses and 27 as advanced practice nurses. … Respondents reported working predominantly in intensive care: 260 respondents reported working in some … An additional seven respondents reported working specifically in a neonatal ICU. … Due to this issue, valid percentages are not reported. iii.

34. CHIPRA 155: Section 7.B, Special Health Care Needs Table (pdf file)
    www.healthcare411.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/duration/chipra-155-section-7-b-table.pdf
    June 30, 2009 - 0.8291 (0.8279,0.8303) 198293 *Note Coverage PI includes Medicaid, M-CHIP, and S-CHIP (when reported … Among the states above, New York alone does not report enrollment for all programs; NY S-CHIP is not reported

35. Spotlight on Maine -- The National Evaluation of the CHIPRA Quality Demonstration Grant Program (pdf file)
    www.healthcare411.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/statesummaries/chipra-750-maine-state-snapshot.pdf
    January 01, 2018 - Care Quality Measures for Medicaid and CHIP (Child Core Set).1 Using demonstration funds, Maine— • Reported … Following the improvements, Maine reported that at least 40 out of 156 pediatric and family practices … In a 2014 Statewide survey of pediatric and family practices (N=156), 80 percent of practices reported … Practices reported most frequently using measures related to immunizations, well-child visits, and … Maine also reported that practices participating in other learning collaboratives improved performance

36. MEASURE SUMMARY (CHIPRA Core Set Candidate Measures) - Control #: CC-5 (pdf file)
    www.healthcare411.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/overview/background/measures-CC-5.pdf
    December 17, 2010 - Measure Definition – 2 rates reported 1) 7-day Follow-up a. … associated with decreased re-admission in adults – No data presented for children; Data typically not reported … types currently using measure: Medicaid MMCs (Health plans reporting to HEDIS: 55, of which 31% reported

37. Hospital Survey on Patient Safety (pdf file)
    www.healthcare411.ahrq.gov/sites/default/files/wysiwyg/sops/quality-patient-safety/patientsafetyculture/hospitalscanform.pdf
    December 22, 2017 - When an event is reported, it feels like the person is being written up, not the problem ......... … 1 2 3 4 5 SECTION D: Frequency of Events Reported In your hospital work area/unit, when the … following mistakes happen, how often are they reported? … When a mistake is made, but has no potential to harm the patient, how often is this reported? ..... … When a mistake is made that could harm the patient, but does not, how often is this reported? .....

38. Hospital Survey on Patient Safety (pdf file)
    www.healthcare411.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patientsafetyculture/hospital/resources/hospscanform.pdf
    March 22, 2017 - When an event is reported, it feels like the person is being written up, not the problem ......... … 1 2 3 4 5 SECTION D: Frequency of Events Reported In your hospital work area/unit, when the … following mistakes happen, how often are they reported? … When a mistake is made, but has no potential to harm the patient, how often is this reported? ..... … When a mistake is made that could harm the patient, but does not, how often is this reported? .....

39. Hospital Survey on Patient Safety (doc file)
    www.healthcare411.ahrq.gov/sites/default/files/wysiwyg/sops/quality-patient-safety/patientsafetyculture/hospitalscanform.doc
    June 09, 2016 - When an event is reported, it feels like the person is being written up, not the problem (1 (2 (3 … questions when something does not seem right (1 (2 (3 (4 (5 SECTION D: Frequency of Events Reported … In your hospital work area/unit, when the following mistakes happen, how often are they reported? … When a mistake is made, but has no potential to harm the patient, how often is this reported? … When a mistake is made that could harm the patient, but does not, how often is this reported?

40. Section 7.B, Appendix 8, Special Health Care Needs Table (pdf file)
    www.healthcare411.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/duration/chipra-153-section-7b-appendix-8.pdf
    June 30, 2009 - 0.6194 (0.6178,0.6210) 251601 *Note Informed Coverage includes Medicaid, M-CHIP, and S-CHIP (when reported … the states above, New York alone does not report enrollment for all programs; NY S-CHIP is not reported