-
www.cpsi.ahrq.gov/teamstepps/instructor/essentials/implguide2.html
November 01, 2018 - Then mark with an "X" the risk points in the process where things could go wrong and lead to a recurrence … identify with arrows where in the process team strategies and tools might eliminate or mitigate the risk … Have other groups successfully used specific team tools to reduce similar process risk points? … Benefits outweigh risks
Evidence-based
Measurable
Desired result can be measured with objective … Incorporates redundancy and back-up systems to minimize risk of patient harm in event of error or process
-
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.
-
www.cpsi.ahrq.gov/cahps/quality-improvement/improvement-guide/6-strategies-for-improving/access/strategy6d-internet.html
April 01, 2023 - Opportunity Guidance
AHRQ Grants Policy Notices
AHRQ Informed Consent & Authorization Toolkit for Minimal Risk … They can also research health conditions, take personal health assessments (e.g., disease risks, healthy
-
www.cpsi.ahrq.gov/evidencenow/projects/heart-health/about/cooperatives/north-carolina.html
March 01, 2021 - they need to help their patients adopt the ABCS of cardiovascular disease prevention: Aspirin in high-risk … and almost one-third of deaths are caused by CVD (the CVD mortality rate is 251 per 100,000). 2 CVD risk … Over 90 percent of practices have access to CVD risk stratification tools. … ASCVD Risk Estimator Update 2014. … http://tools.acc.org/ASCVD-Risk-Estimator/#page_about
http://www.implementationscience.com/content/
-
www.cpsi.ahrq.gov/patient-safety/settings/hospital/resource/pressureulcer/tool/pu7a.html
August 01, 2017 - Do you use either the Norton or Braden pressure ulcer risk assessment tool?
If Yes, STOP . … Foam dressing may be used on areas at risk for shear injury.
28. … Hot water and soap may dry the skin and increase the risk for pressure injury/ulcers. … A specialty bed should be used for all patients at high risk for pressure injury/ulcers.
… Foam dressing may be used on areas at risk for shear injury.
True
28.
-
www.cpsi.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/medicaidmgmt/mm3a.html
October 01, 2014 - Many States provide more intense care management services to the most high-risk or high-cost members. … medium-, and low-risk categories. … after the stratification model identifies them as a high risk. … that list individual high-risk members. … Provide "actuarial" risk information to inform financial decisions.
-
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?
-
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
-
www.cpsi.ahrq.gov/evidencenow/practice-facilitation/lessons/index.html
November 01, 2022 - Opportunity Guidance
AHRQ Grants Policy Notices
AHRQ Informed Consent & Authorization Toolkit for Minimal Risk … tools can effectively promote implementation of evidence-based guidelines to reduce cardiovascular risk … A controlled trial of dissemination and implementation of a cardiovascular risk reduction strategy in … 019-05350-7
Lesson: Increasing the impact of practice facilitation programs that target multiple risk … A randomized trial of external practice support to improve cardiovascular risk factors in primary care
-
www.cpsi.ahrq.gov/funding/grantee-profiles/grtprofile-dykes.html
September 01, 2022 - Opportunity Guidance
AHRQ Grants Policy Notices
AHRQ Informed Consent & Authorization Toolkit for Minimal Risk … To use it, clinicians determine a hospital patient’s risk of falling and develop a tailored falls prevention … Then hospital staff talk to patients as part of routine care at the bedside about their risk for falling … the most feasible falls prevention strategies for a community-based patient using three individual risk … factors: mobility limitations; medications that can increase the risk of falling; and osteoporosis.
-
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
-
www.cpsi.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/primary-care/workforce-financing/case_example_4.pdf
October 01, 2016 - in by providers for point-of-care service (see QI section for risk segmentation). … QI section for risk
stratification description and Appendix for risk stratification tool). … Care and transition
management of high-
risk patients
Care managers work with high-risk patients, … • Monthly high-risk team meetings to review lists of high-risk patients (e.g., who were in the
hospital … goals for hypertension screening, and
▌pg. 10
checking coding to assure documentation of risks
-
www.cpsi.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/pressureulcertoolkit/putoolssect7.pdf
January 01, 2004 - knowledge of pressure ulcer prevention, analyze patient care processes to identify where there
are risks … Project Background (keep this brief)
General aims
Initial Risks
Expected Outcomes … Generally, a score of 18 or less indicates at-risk status. … factors and 1-3 for the last risk factor. … Documentation of risk assessment daily
9.
-
www.cpsi.ahrq.gov/sites/default/files/wysiwyg/evidencenow/results/research/intervention-tracking-worksheet-mw.pdf
May 19, 2016 - lipid panel (or cholesterol) in diabetes mellitus
Alert for a lipid panel in general population (low risk … to order a statin in pts with LDL ≥190
Alert to order statin in general population with increased risk … (based on a risk
calculator)
Reminder to order aspirin for primary prevention in appropriate patients … statin prescription
Outreach to tobacco users or smokers
Outreach to patients with increased CVD risk
-
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?
-
www.cpsi.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/officebasedcare/module8/8_ts_office_teach.pptx
January 20, 2006 - It helps us catch possible risks before they turn into actual issues.
-
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
-
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
-
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
-
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