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www.cpsi.ahrq.gov/news/blog/ahrqviews/delivery-primary-care.html
November 01, 2022 - Opportunity Guidance
AHRQ Grants Policy Notices
AHRQ Informed Consent & Authorization Toolkit for Minimal Risk … improved the delivery of heart healthcare in four important areas:
Counseling on aspirin use among high-risk … support provided to mostly small, rural practices in North Carolina reduced 10-year cardiovascular risk … for patients at high risk of a stroke or heart attack by using a risk-stratified, population management
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www.cpsi.ahrq.gov/sites/default/files/wysiwyg/evidencenow/results/research/staff-survey-6mon-post-intervention-sw.pdf
April 03, 2017 - strategies to
the more standard approaches to practice transformation for reducing cardiovascular risks … Possible discomforts or risks include a minimal risk of loss of confidentiality. … There may be risks
the researchers have not thought of.
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www.cpsi.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/pressure_ulcer_prevention/module5/module5_pressureinjury-msmt_slides.pptx
July 02, 2008 - At least one or two care processes, such as skin assessment and pressure injury risk assessment. … Ensure the known risk factors for pressure injuries are assessed. … Tool 5D
39
Assessment of Care Planning
All the risk factors identified in the pressure injury risk … Tailor your approach to each patient, based on the patient’s risk factors. … Pressure injury risk factor assessment is performed accurately within 24 hours of admission.
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www.cpsi.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/nicu_toolkit/nicupacket-apb-neurodevt.pdf
December 13, 2013 - NICU Family Information Packet, Appendix B, Neurodevelopment
Neurodevelopment
Risk Factors for Poor … ■ BPD, even in the absence of overt brain injury, is a risk factor for neurodevelopmental delay. … birth weight who live in an underprivileged (i.e., low socioeconomic)
environment have the greatest risk … Behavioral Issues
■ Infants <1500g have an increased risk of behavioral, social, and emotional problems … – Emotional: increased risk of developing ADHD.
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www.cpsi.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/candor-acknowledgments.pdf
September 14, 2017 - Boothman, J.D., Executive Director, Clinical Safety and Chief Risk Officer,
University of Michigan Health … ARM, formerly with the University of Illinois-Chicago and
now Director, Office of Patient Safety and Risk … Scott, Ph.D., R.N., Manager of Patient Safety and Risk Management, University of
Missouri
- Kelly … Driver, J.D., M.B.A., CEO of The Risk Authority Stanford and Chief Risk Officer of
Stanford Health … Hickson, M.D., Senior Vice President for Quality, Safety and Risk Prevention,
Assistant Vice Chancellor
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www.cpsi.ahrq.gov/patient-safety/settings/index.html
July 01, 2023 - Opportunity Guidance
AHRQ Grants Policy Notices
AHRQ Informed Consent & Authorization Toolkit for Minimal Risk … Setting
AHRQ has developed a wealth of materials focused on a wide range of patient safety risks
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www.cpsi.ahrq.gov/evidencenow/projects/heart-health/about/cooperatives/nyc.html
March 01, 2021 - Opportunity Guidance
AHRQ Grants Policy Notices
AHRQ Informed Consent & Authorization Toolkit for Minimal Risk … need to help their patients adopt the ABCS of cardiovascular disease prevention: A spirin in high-risk … Heart disease is the primary cause of death in the city, and prevalence of cardiovascular disease (CVD) risk … support ABCS-driven care
Three expert webinars on topics related to evidence-based management of CVD risk … care practices [AcademyHealth, 2017]
Using Practice Facilitation in primary care settings to reduce risk
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www.cpsi.ahrq.gov/hai/quality/tools/cauti-ltc/modules/implementation/long-term-modules/module1/mod1-slides.html
March 01, 2017 - Slide 18: Understanding Risk and Human Behavior 1
Human Error:
Inadvertently completing the wrong … At-Risk Behavior:
Choosing to behave in a way that increases risk where risk is not recognized, or … Reckless Behavior:
Choosing to consciously disregard a substantial and unjustifiable risk.
1. … Slide 19: Managing Error and Risk 1
Human Error
At-Risk Behavior
Reckless Behavior … believed insignificant or justified
Manage through:
Removal of incentives for at-risk behaviors
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www.cpsi.ahrq.gov/patient-safety/settings/hospital/candor/modules/guide4/apd.html
August 01, 2022 - Opportunity Guidance
AHRQ Grants Policy Notices
AHRQ Informed Consent & Authorization Toolkit for Minimal Risk … CULTURE
Have leaders established methods to identify risks and provide employees opportunities to … FUTURE RISKS
Are there other areas in the organization where this could happen?
… FUTURE RISKS
Are there opportunities to improve trainings, competencies and orientation sessions
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www.cpsi.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/medicaidreadmitguide/aspire_webinar3/aspire_webinar3.pptx
December 01, 2014 - providers may offer services and supports hospital staff are unaware of
Health plans may offer high risk … patients flagged
IT: Use CRISP for notifications
What’s needed next:
Care coordination model for high risk … Which high-risk populations are not being served? … Medicaid adults
Behavioral health
Social support needs
High utilizers
High risk diagnoses based on your … Medicaid MCO at-risk contracts? DSRIP goals?
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www.cpsi.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/fallprevention-training/module5/module5_tools.docx
August 03, 2017 - Medication affecting risk of falls
Sedative and psychotropic medication, or medication with drowsiness … ”*:
Number of higher risk patients:
8
Chart: full medication review requested? … For any of the 20 patients who are “higher risk”*:
Number of higher risk patients:
Chart: full medication … * In some wards all patients are counted as high risk, for other wards only some. … Completion Date for Plan
Fall risk factor assessment is performed within 24 hours of admission
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www.cpsi.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/pressure_ulcer_prevention/module5/module5_pu_measurement.docx
January 01, 2016 - Performance of care planning that addresses each risk factor identified during risk factor assessment … Slide 38
SAY: Risk assessment is the cornerstone of prevention. … Calculate the percentage of patients who have a completed risk score. … Slide 40
SAY: For a risk factor assessment to make a difference, all the risk factors identified in … Ensure that the care plan addresses all areas of risk.
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www.cpsi.ahrq.gov/sites/default/files/wysiwyg/evidencenow/building-capacity/EvidenceNOW-BSC-AL-profile.pdf
September 01, 2021 - Consortium for Southeast
Healthcare Quality
Project Period:
2021-2023
Supporting cardiovascular risk … improvement (QI) capacity and improve cardiovascular health through
implementation of evidence-based, risk … The project seeks to
coordinate cardiovascular risk reduction efforts across the state to create efficiency … care practices and non-traditional
providers of primary care across the state in a Cardiovascular
Risk … The evaluation will assess the creation and utility
of the Cardiovascular Risk Reduction Network of
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www.cpsi.ahrq.gov/research/findings/nhqrdr/chartbooks/carecoordination/measure1.html
June 01, 2018 - Median hospital 30-day risk-standardized readmission rate. … Overall Rate: The median 30-day risk-standardized readmission rate in 2013 was 21.2% among patients … Trends: From July-December 2010 to January-June 2013, the median 30-day risk-standardized readmission … The risk-standardized readmission rate is calculated as the number of "predicted" readmissions divided … The risk-standardized readmission rate is calculated as the number of "predicted" readmissions divided
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www.cpsi.ahrq.gov/patient-safety/patients-families/index.html
June 01, 2023 - Opportunity Guidance
AHRQ Grants Policy Notices
AHRQ Informed Consent & Authorization Toolkit for Minimal Risk … five-step process for shared decisionmaking that includes exploring and comparing the benefits, harms, and risks … The Toolkit to Engage High-Risk Patients in Safe Transitions Across Ambulatory Settings
This toolkit … Research Summaries for Consumers
These free research summaries discuss the benefits and risks of different
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www.cpsi.ahrq.gov/patient-safety/settings/hospital/resource/guide/web3.html
December 01, 2017 - Enhance Services for High-Risk Patients. … Health plans may offer high risk patients transitional care and/or care management. … What’s needed next:
Care coordination model for high risk patients. … Which high-risk populations are not being served? … Medicaid MCO at-risk contracts? DSRIP goals?
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www.cpsi.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/teamwork/learn-about-cusp-slides.html
July 01, 2023 - At-risk behavior entails choosing to behave in a way that increases risk where risk isn't recognized, … Reckless behavior is a choice to consciously disregard a substantial and unjustifiable risk. … Console
At-Risk Behavior
A choice: risk believed insignificant or justified . … Manage through:
Removal of incentives for at-risk behaviors. … Coach
Reckless Behavior
Conscious disregard of substantial and unjustifiable risk .
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www.cpsi.ahrq.gov/patient-safety/settings/hospital/resource/pressureulcer/tool/intro.html
October 01, 2014 - Opportunity Guidance
AHRQ Grants Policy Notices
AHRQ Informed Consent & Authorization Toolkit for Minimal Risk … These skin lesions bring pain, associated risk for serious infection, and increased health care utilization … pressure ulcer prevention care are highly routinized, but care must also be tailored to the specific risk … 3.3 How should a standardized pressure ulcer risk assessment be conducted?
… 3.4 How should pressure ulcer care planning based on identified risk be used?
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www.cpsi.ahrq.gov/opioids/health-systems-research.html
July 01, 2021 - Opportunity Guidance
AHRQ Grants Policy Notices
AHRQ Informed Consent & Authorization Toolkit for Minimal Risk … approaches to improve the use of screening for unhealthy alcohol use, brief intervention for those at risk … opioids and other substance use disorders
Toward Safer Opioid Prescribing for Chronic Pain in High Risk … Risk of Acute Asthma Associated With the Pediatric Use of Opioids. … Prescription Opioid Use Trajectories and Risk Factors Associated with Opioid-Related Hospitalizations
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www.cpsi.ahrq.gov/patient-safety/settings/hospital/candor/modules/guide4.html
August 01, 2022 - Individual is not educated about potential risk and sees no value in established policies to prevent … Manage by:
Removing incentives for at-risk behaviors. … Educate about potential risks.
Redesign of system factors. … Risk management. … J Healthc Risk Manag. 2013;33(2):11-20.
What are the Outputs from the Solutions Meeting?