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www.ahrq.gov/practiceimprovement/delivery-initiative/casalino/index.html
December 01, 2017 - Sign up: Quality Measure Tools Email updates
Slide 1
Identifying Key Areas For Delivery System … Research
The Challenge and Promise of Delivery System Research: A Meeting of AHRQ Grantees, Experts … Criteria for selecting key areas for delivery system research. … Slide 3
Why study the delivery system? … Slide 4
What is delivery system research?
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www.ahrq.gov/news/blog/ahrqviews/lhs-scientist-training.html
January 01, 2024 - the Patient-Centered Outcomes Research Institute (PCORI) are partnering to advance learning health system … In evolving our joint efforts, we have developed the Learning Health System Embedded Scientist Training … A learning health system is one in which internal data and experience are systematically integrated … They will work alongside clinical, health system, and community leaders to produce evidence that can … AHRQ and PCORI first invested in building a corps of learning health system scientists in 2018.
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www.ahrq.gov/patient-safety/patients-families/consumer-exp/reporting/chapter2.html
August 01, 2022 - According to the IDEALS concept, a recommended system evolves through three stages:
A theoretical … system capturing a vision of what an ideal system would be (even if it is realistically unobtainable … An ultimate ideal system that is built on the theoretical ideal system, but contains achievable operational … A technologically workable ideal system (TWIS). … The result of this process is a recommended system that is specified in terms of currently available
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www.ahrq.gov/chsp/data-resources/compendium/technical-documentation.html
December 01, 2023 - In 2015, the Agency for Healthcare Research and Quality (AHRQ) created the Comparative Health System … working collaboratively with AHRQ and the CoEs to facilitate synthesis of findings on comparative health system … This list consolidates information from several data sources, indicating system ownership and provider … affiliations with systems and highlighting key system attributes.
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www.ahrq.gov/chsp/about-chsp/centers-of-excellence/nber.html
September 01, 2016 - characteristics, as well as the effects of system organization on outcomes. … The goal is to learn which delivery system features influence the diffusion of evidence-based care, to … The aims of the NBER Center of Excellence are to:
Characterize the current delivery system and track … changes in delivery system structure across space and over time. … The study will examine system features at the organization and market levels.
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www.ahrq.gov/patient-safety/resources/consumer-exp/reporting/summary.html
October 01, 2014 - evolves through three stages:
A theoretical system capturing a vision of what an ideal system would … An ultimate ideal system that is built on the theoretical ideal system, but contains achievable operational … A technologically workable ideal system (TWIS). … The system will allow anonymous reporting, but the system should be designed to discourage anonymous … The TEP described two system models with respect to level of operations.
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www.ahrq.gov/patient-safety/resources/consumer-exp/reporting/chapter4.html
October 01, 2014 - of system pilot testing at different levels and in multiple localities. … system implementation. … The Pennsylvania system was used an example of a State-based system. … How should a consumer reporting system for patient safety events be financed? … The system will allow anonymous reporting, but the system should be designed to discourage anonymous
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www.ahrq.gov/healthsystemsresearch/hspc-research-study/appendix-d.html
June 01, 2020 - Organization of Care
Care Delivery Process
The impact of the changing health care system … on care
There needs to be a better understanding of how changes to the health care system, … Organization of Care
Quality of Care
The impact of the complexity of the health care system on … patient outcome
The health care system is complex, and new models and reforms are making it … There needs to be more attention paid to how the complexity of the health care system impacts patient
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/system/delivery-system-initiative/leanprimarycarewebinar/webinar_lean_redesigns-slides.pptx
March 01, 2017 - Medicaid
- 5% Self-pay or Other
Multispecialty, not-for-profit ambulatory care delivery system … Contextual Frameworks for Research on the Implementation of Complex System Interventions. … Expenses
Clinical Quality
Patient Satisfaction
Physician and Staff Satisfaction
Impact of Lean on System … Observed values after Lean redesigns were implemented in all clinics across the system
19
Phased … Scaling Lean in Primary Care: Impacts on System Performance.
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www.ahrq.gov/patient-safety/resources/consumer-exp/reporting/chapter6.html
October 01, 2014 - How will the efficiency, costs, and benefits of a system be demonstrated? … What sorts of outcomes are needed from a system (or a pilot test of a system) to demonstrate that it … Training will be needed for system personnel, particularly regarding making submitted data uniform. … Decisions regarding system functions/activities that occur at the "system hub" versus those that occur … features do not need to be present or fully specified at initial system implementation.
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www.ahrq.gov/sites/default/files/publications/files/casalino_idkeydsr.pdf
February 01, 2014 - Identifying Key Areas for Delivery System Research
Identifying Key Areas for Delivery System Research … What Is Delivery System Research? … Suggested Key Areas for Delivery System Research
The paper suggests four key areas for delivery system … What Is Delivery System Research? … Available at:
http://www.ahrq.gov/professionals/systems/system/delivery-system-initiative/alexander
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Campbell_94.pdf
March 30, 2008 - Christiana Care Health System: Safety Mentor Program
Christiana Care Health System: Safety
Mentor … This health care
system was not perceived as a learning organization. … This allows for specific population and aggregate system
level reporting. … Improved near-miss reporting at Christiana Care Health System. … To err is
human: Building a safer health system.
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www.ahrq.gov/patient-safety/patients-families/consumer-exp/reporting/exh2.html
August 01, 2022 - [D] Text Description:
A flowchart shows the structure of the consumer reporting system … The report is prepared and input into the system. … Health care facilities and providers also add information about the event to reporting system records
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www.ahrq.gov/learning-health-systems/resources.html
June 01, 2023 - Learning Health System Resources
Links to AHRQ resources for Learning Health Systems. … Research on the Learning Health System
Harrison MI, Borsky AE. … How alignment between health systems and their embedded research units contributes to system learning … Learning Health System Programs in Delivery Systems: Contributions & Limitations of Externally-Funded … Learning Health System Research Programs Within Delivery Systems—What Factors Affect Program Contributions
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www.ahrq.gov/sites/default/files/wysiwyg/chsp/compendium/techdocrpt-appb.pdf
January 01, 2019 - system name
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system
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www.ahrq.gov/patient-safety/resources/consumer-exp/reporting/exh2.html
October 01, 2014 - [D] Text Description:
A flowchart shows the structure of the consumer reporting system … The report is prepared and input into the system. … Health care facilities and providers also add information about the event to reporting system records
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www.ahrq.gov/sites/default/files/wysiwyg/chsp/compendium/techdocrpt-appc.pdf
January 01, 2019 - System,Inc HSI00000126 Bon Secours Kentucky Health System Ashland KY
COMPENDIUM OF U.S. … ,Inc HSI00000127 Bon Secours Richmond Health System Richmond VA
HSI00000125 Bon Secours Health System … System HSI00000035 Anmed Health System Anderson SC
HSI00000173 Carolinas HealthCare System HSI00000120 … System Cleveland Shelby NC
HSI00000173 Carolinas HealthCare System HSI00000263 Cone Health Greensboro … Harlingen TX
HSI00001078 The Cleveland Clinic Health System HSI00000017 Akron General Health System
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Karsh.pdf
April 22, 2004 - Work System Analysis: The Key to Understanding Health Care Systems
337
Work System Analysis: The … in a system
interact. … • System attribute: System attributes are the perceived characteristics
of the system. … ”
• System boundary: System boundaries are zones between one system
and another. … • System input: A system input is anything necessary to energize the
system.
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www.ahrq.gov/sites/default/files/wysiwyg/chsp/compendium/techdocrpt-appe.pdf
January 01, 2019 - system. … HEALTH SYSTEMS
102
Health System
ID Health System Name
Health
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Health
System
State … HEALTH SYSTEMS
103
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ID Health System Name
Health
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ID Health System Name
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105
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ID Health System Name
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System
State
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www.ahrq.gov/sites/default/files/wysiwyg/learning-health-systems/harrison-borsky-lhs-research-progams.pdf
October 13, 2021 - Learning Health System Research Programs Within Delivery Systems
Learning health system research … the systems
in which they are embedded enable these
programs to make positive contributions to
system … employs people engaged in embedded research
► The system has been engaged in embedded research for … we studied (#4) maintain
close contacts with top delivery system leaders &
review annual program … has strong commitment to evidence- system operates ACO.