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  1. www.cpsi.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/officebasedcare/impworkbook.pdf
    December 11, 2015 - by the change  Sponsors and visibly supports the Change Team  Creates the vision of the new system … organization as a whole  Leads the spread of specific changes throughout the organization or system … Identify system-wide potential benefits and negative effects. … patient safety requirements o DoD o Service o Accreditation  Consistent with current mission and system
  2. www.cpsi.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/implementation/implementation-guide/appendix-p-transcript.docx
    April 13, 2017 - to the particular product as it relates to the dispenser type and is it integrated with an ongoing system … , such as a monitoring system or a novel dispensing technology that would be of particular use in your … It's important to look at the integration of the product in an overall monitoring system, so many dispenser … purchasing the product, but also what’s the potential for maintenance costs of the dispenser and monitoring system
  3. www.cpsi.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Blegen.pdf
    January 01, 2004 - problems.10, 11, 12 • The attitudes and behaviors of the workers themselves as influenced by the system … Blame system not individual. e. Report and use safety data. f. Pharmacists. g. … They both also involve reporting and using event data as well as blaming the system. … To err is human: building a safer health system. … Pleasanton, CA: ValleyCare Health System. www.valleycare.com. (Accessed 2002 Jul 15.)
  4. www.cpsi.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/primary-care/tpc/tpc-profile-tai-seale.pdf
    April 01, 2015 - encouraging shared decisionmaking and family involvement in care; 6) coordination of care throughout the system … new methods of measuring and improving quality and safety (including a full electronic health record system
  5. www.cpsi.ahrq.gov/sites/default/files/wysiwyg/evidencenow/results/research/survey-codebook-demographics.pdf
    August 22, 2018 - Prac_own_clinician ……. 1 = yes 2 = no Hospital/Health system owned …………………………………………………………. … affiliated with a larger organization………….….prac_change_boughtover .….. 1 = yes 2 = no New billing system … patient self-reported and calculated using the Electronic Health Record (EHR) /Practice Management System … 2 = no Regional extension center…………...prac_qual_report_REC……………….,,..…. 1 = yes 2 = no Health system … in your practice receive additional revenue or payments from a health plan, public payer, or health system
  6. www.cpsi.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/pfeprimarycare/warm-handoff-design-guide-final508.pdf
    April 03, 2018 - Mapping and Redesigning Workflow (http://www.ahrq.gov/professionals/prevention-chronic-care/improve/ system … http://www.ahrq.gov/professionals/prevention-chronic-care/improve/system/pfhandbook/mod5.html http:// … www.ahrq.gov/professionals/prevention-chronic-care/improve/system/pfhandbook/mod5.html The Guide to
  7. www.cpsi.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/primary-care/tpc/tpc-synthesis-report.pdf
    July 22, 2015 - complex nature of PCMH transformation and the importance of weighing and evaluating the effect of system … For example, one study examined PCMH transformation efforts across a single integrated health care system … At Southcentral Foundation, a large primary care system in Alaska (PI: Driscoll), patients reported … 48,000 adult and pediatric patients in 2009 across system Southcentral Alaska Had a pre- … Nuka System of Care, a PCMH model developed with input from patients.
  8. www.cpsi.ahrq.gov/sites/default/files/wysiwyg/cahps/quality-improvement/improvement-guide/6-strategies-for-improving/access/cahps-strategy-6m.pdf
    October 01, 2017 - providers communicate can arise when people need more attention, support, and information from the health system … A frequent consequence is that these patients become “high utilizers” of the health care system, particularly … These visits occur in part because the system of care does not provide patients with the tools, support
  9. 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 System … Boothman, J.D., Executive Director, Clinical Safety and Chief Risk Officer, University of Michigan Health System
  10. www.cpsi.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/officebasedcare/handouts/evaluating.pdf
    December 09, 2015 - Your observations of the office suggest that it has yet to develop an effective system for managing
  11. www.cpsi.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/primary-care/tpc/tpc-profile-fetters.pdf
    April 01, 2015 - the e-Prescribing domain had two capabilities that required practices to have a full e- prescribing system … in place and in use by physician champions (capability 1), and expanding use of the system to all physicians
  12. www.cpsi.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/primary-care/tpc/tpc-profile-calman.pdf
    April 01, 2015 - network implemented a systemwide integrated electronic health record (EHR) and practice management system … screening, expanded access to mental health providers for primary care patients, and an “open access” system
  13. www.cpsi.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/teamwork/sensemaking/sensemaking.pptx
    May 01, 2017 - Sensemaking1,2,3 Concept CUSP Sensemaking Defect or failure identification Defects Human/active failure Latent/system … attributes of medical event-reporting systems: Experience with a prototype medical event-reporting system
  14. www.cpsi.ahrq.gov/sites/default/files/wysiwyg/cahps/cahps-database/2014_hp-chartbook.pdf
    January 01, 2014 - Chartbook are compiled from detailed data displays reported in the CAHPS Database Online Reporting System … Survey Database are provided access to a secure, password-protected area of the online reporting system … Medical Care October 2014 www.cahpsdatabase.ahrq.gov | 2 The CAHPS Database Online Reporting System … detailed results for each question item are available through the CAHPS Database Online Reporting System … CAHPS Database Online Reporting System The CAHPS Database Online Reporting System is a Web-based platform
  15. www.cpsi.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/primary-care/tpc/impact-ny-success-story.pdf
    January 01, 2018 - behavioral health and community health integration—is the foundation of a high-performing health system … in support of the PCMH, with nearly 45 percent of primary care providers in New York’s Medicaid system
  16. www.cpsi.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/rrs/rrsacknowledgments.pdf
    October 30, 2009 - contributed a great deal of their time and expertise to the development of the TeamSTEPPS Rapid Response System
  17. www.cpsi.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/medicaidreadmitguide/aspire_webinar1/aspire_webinar1.ppt
    January 01, 2011 - Reducing Medicaid Readmissions Project 2011-2012: Identify the factors at the patient, provider, and system … PA Baystate Medical Center, Springfield MA Olive View Medical Center, Sylmar CA University Health System
  18. www.cpsi.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/teamwork/engage/engagement.pptx
    May 01, 2017 - the hospital works and how to achieve results Are strangers in this environment Don’t understand the system … Adverse Event6 Investigation Continued communication with the patient and family Apology and remediation System … Partnering with Patients and Families to Design a Patient- and Family-Centered Health Care System: A
  19. www.cpsi.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/fallprevention-training/module5/module5_fall-prevention.docx
    June 30, 2017 - Explore this hospital’s incident reporting system. … You may have an electronic incident reporting system that will make it easier to count the number of … ASK: What system do you currently use for incident reporting? … First, count the number of falls that occurred during the month from your incident reporting system. … Post-fall huddles are useful techniques for understanding reasons for failures in the system.
  20. www.cpsi.ahrq.gov/sites/default/files/wysiwyg/ncepcr/tools/PCMH/pcpf-module-1-instructors-guide.pdf
    September 01, 2015 - For information from some care/improve/system/pfcasestudies/index.html exemplar online training programs … http://www.ahrq.gov/professionals/prevention-chronic- review the suggested exercises and care/improve/system … Always ask learners to test run a system prior to the day of the session in efforts to avoid any technical … pcpf-module-4-practice-management.pdf http://www.ahrq.gov/professionals/prevention-chronic-care/improve/system … http://www.ahrq.gov/professionals/prevention-chronic-care/improve/system/pfcasestudies/fillmore.html

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