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www.ahrq.gov/prevention/resources/vision/resources/vision4.html
October 01, 2002 - between characteristics of the individual and characteristics of the natural, built, cultural, and social … Interventions address the quality and quantity of social role functioning by increasing the patient's … This includes assessment and consideration of economic and cultural social context, family and social … Community-based : Community-based services have the advantage of providing social group support. … In addition, the literature indicates that eligibility for Social Security Administration (SSA) and Social
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/report/apvi.html
June 01, 2010 - Director of the Agency for Healthcare Research and Quality, shall consult with consumers, health and social … system for providing home and community-based services under the Medicaid program under title XIX of the Social
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www.ahrq.gov/talkingquality/resources/podcasts-webinars.html
December 01, 2022 - Presentations on Health Care Quality Reporting Topics
Plug-In & Multimedia Help
Podcasts
How Social … Lambiaso and Lauren Piccolo from Massachusetts Health Quality Partners (MHQP) talk about how MHQP uses social
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www.ahrq.gov/sdoh/data-analytics/sdoh-beta-database.html
July 01, 2022 - Social Determinants of Health Database (Beta Version) - Archived
This archived SDOH Database
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www.ahrq.gov/policy/index.html
July 01, 2025 - Social Media Standards and Policies Information on policies and standards for posting on AHRQ's social
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/medicaidreadmitguide/mcaidread_tool9_trans_care.docx
July 28, 2016 - Tool 9: Transitional Care Planning
Tool 9: Whole-Person Transitional Care Planning Tool
Purpose
The social … Prompt recognition of complex nonclinical (“social” needs), such as housing, transportation, and social … This task will often require going well beyond the brief “social history” that is contained in the physician … Lacks access to adequate amounts of food
· Lacks access to nutritious or medically appropriate diet
Social … service providers
· Obtain pharmacist consult
· Obtain social work consult
· Obtain pain management
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www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/CHIPRA204-Materials_IIIA.pdf
January 01, 2014 - Information
NCQA/CAHMI*
Rates of screening using standardized
screening tools for potential delays in
social … of Children’s
Health Care Quality Measures]
Numerator Statement: Number of children screened for social … developmental
screening using tools that focus on identifying risk for
developmental, behavioral and social … to global developmental
screening using tools that identify risk for developmental, behavioral and social … medical record of a developmental screening (screening for risk of
developmental, behavioral, and social
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www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/CHIPRA202-Materials_IIIA.pdf
January 01, 2014 - Information
NCQA/CAHMI*
Rates of screening using standardized
screening tools for potential delays in
social … of Children’s
Health Care Quality Measures]
Numerator Statement: Number of children screened for social … developmental
screening using tools that focus on identifying risk for
developmental, behavioral and social … to global developmental
screening using tools that identify risk for developmental, behavioral and social … medical record of a developmental screening (screening for risk of
developmental, behavioral, and social
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www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/CHIPRA205-Materials_IIIA.pdf
January 01, 2014 - Information
NCQA/CAHMI*
Rates of screening using standardized
screening tools for potential delays in
social … of Children’s
Health Care Quality Measures]
Numerator Statement: Number of children screened for social … developmental
screening using tools that focus on identifying risk for
developmental, behavioral and social … to global developmental
screening using tools that identify risk for developmental, behavioral and social … medical record of a developmental screening (screening for risk of
developmental, behavioral, and social
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www.ahrq.gov/news/blog/ahrqviews/patient-centered-care-dhr.html
September 01, 2022 - Our report also highlights emerging research in AHRQ’s priority areas, notably the role of social determinants … modeling—utilizing data elements from electronic health records, health information exchanges, and State social … service organizations—can identify and serve individuals with unmet social needs. … self-administered questionnaires and then to create a clinical decision support tool that generates referrals for social … “Social determinants of health and unmet needs are really what drive health and complicate care,” he
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/modules/spread/spreadnotes.docx
June 02, 2025 - Social system
A social system is an environment that is characterized by patterns of relationships and … For example, a social system within a unit could be senior-level staff members who have worked on the … Understandably, a social system in a unit affects both the rate and success of spread. … Measurement and feedback help the social system better understand new ideas and determine how easily … an idea can be accepted into the social system’s norms.
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/report/rep3.html
June 01, 2010 - Social role functioning extends the role of functioning to the social and community realm. … of families, social groups, workplaces, communities, and so forth. … One underlying construct we identified for all these dimensions of social role functioning was met or … However, AHRQ may want to consider the relationship between transportation and social role outcomes in … Others, however, saw a relationship between function in daily activities and in the social sphere and
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/medicaidreadmitguide/medread-tools.pdf
July 28, 2016 - The purpose is to
stimulate the development of
an extended set of contacts
Delegate to a social … Use this tool to inventory clinical, behavioral, and social service resources in the community
that … Prompt recognition of complex nonclinical (“social” needs), such as housing, transportation,
and social … Staff
Delegate to a social worker to complete with community providers and agencies. … Social workers are trained to understand the comprehensive landscape of social
services in a community
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www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/results/research/practice-survey-ny.pdf
June 02, 2025 - psychologists
(number of Psychologists)
Combined psychologists FTE
(combined Psychologists FTE)
Number of Social … Workers or Licensed Social Workers
(number of Social Workers)
Combined Social Workers or Licensed … Social Workers FTE
(combined Social Workers FTE)
Number of PharmD or Pharmacists
(number of PharmD … Combined FTE for office staff:
Number of psychologists:
Combined psychologists FTE:
Number of social … workers or licensed social workers:
Combined social workers or licensed social workers FTE:
Number
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www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/overview/background/measures-PHP-33.pdf
June 02, 2025 - Measure Name: Rates of screening using standardized screening tools for potential delays in social and … Numerator: Number of children screened for social and emotional development with a
standardized, documented … X Yes (specify): Social/Behavioral Health Screening No
N.
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www.ahrq.gov/prevention/resources/vision/resources/vision3.html
October 01, 2002 - Vision Rehabilitation: Care and Benefit Plan Models: Literature Review
Behavioral Modification and Social … Also unclear is whether these elements have the potential to affect any health or social outcomes. … Social worker.
Ophthalmic assistant. … In addition, psychologists and social workers provide necessary support services and implement family … They were originally developed to address both the acute and long-term medical and social needs of the
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www.ahrq.gov/patient-safety/settings/hospital/resource/guide/web6.html
December 01, 2017 - Slide 13: Social Work-based Transitional Care
"Bridge model." … Engage with patients with clinical, behavioral health and social needs. … Coordinate with clinical and social service providers. … Social worker.
2 Community Health Outreach Workers.
Program Manager.
Data Analyst. … The team is comprised of 3 teams of 1 social worker and 1 community health worker each.
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www.ahrq.gov/sites/default/files/2024-07/mitchell-report.pdf
January 01, 2024 - Project B study objectives were to identify social determinants of SDM and decision
implementation behavior … The aim of this
study was to characterize social determinants of SDM behaviors and implementation barriers … Results: Our findings from key informant interviews led us to develop a socioecological model
for the social … diabetes self-management and medical decision making, as
influenced by the medical, psychological, social … I have identified social
determinants of health service use, such as cardiac catheterization and hospital
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www.ahrq.gov/sitemap.html
August 11, 2025 - Financial Measures Database (HFMD)
Physician and Physician Practice Research Database (3P-RD)
Social … Extensions (NCEs)
Contracts
News
Newsroom
Press Releases
AHRQ Social … Improvement
Prevention
Priority Populations
Questions
Shared Decision Making
Social
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www.ahrq.gov/sites/default/files/wysiwyg/coronavirus/long-covid-care-network/emory-atlanta-grantee-profile.pdf
January 01, 2023 - collaborative, community-oriented, and evidence-based
Specific Aims
Each patient undergoes a social … needs assessment
conducted by the clinic’s social worker. … This assessment
will identify social risks and specific needs, enabling
services such as obtaining durable … The social worker also
conducts financial assessments for social security,
disability, Medicare, or Medicaid