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www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/3-2023hcbs-survey-webcast-brown.pdf
April 01, 2024 - Measures Alignment
and HCBS CAHPS® Survey
Melanie Brown, PhD, Technical Director
Division of Community Systems … address gaps in federal and state measurement,
reporting, and monitoring requirements, activities, and systems … through the CMS
Testing Experience and
Functional Tools (TEFT)
Demonstration
Applies across Delivery Systems … Survey
Focuses on the Person
Includes Reliable and Valid Survey Measures
Applies across Delivery Systems
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www.ahrq.gov/funding/training-grants/pcor/pcortf-di.html
January 01, 2016 - Outcomes Research
Disseminating Patient Centered Outcomes Research to Improve Health Care Delivery Systems … Top of Page
Disseminating Patient Centered Outcomes Research to Improve Health Care Delivery Systems … , how these systems affect physician practice, and what types of physicians work outside of systems. … of high-performing systems, and identify what system characteristics are associated with more rapid … , and to help guide reforms of systems to improve patient-centered outcomes.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/medicaidreadmitguide/mcaidread_tool10_dc_checklist.docx
November 01, 2015 - Tool 10: Discharge Process Checklist
Tool 10: Discharge PROCESS Checklist
Purpose
Provide updated guidance to readmission reduction teams for updating discharge processes, based on Centers for Medicare & Medicaid Services (CMS) documents.
Description
This tool, adapted from the CMS Conditions of Participation (CO…
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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, economic, and geographic conditions in which individuals live have a profound impact on individuals’ health status. Efforts to reduce readmissions by optimizing self-management or long-term health status will …
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/medicaidreadmitguide/mcaidread_tool8_cop_handout.docx
November 01, 2015 - Tool 8: Conditions of Participation Handout
Tool 8: Conditions of Participation Handout
Purpose
In November 2015, the Centers for Medicare & Medicaid Services (CMS) issued a proposed revision to the Conditions of Participation (COPs). CMS specified new and unique elements that are particularly germane to reducing M…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/medicaidreadmitguide/mcaidread_tool13_ed_care_plan.docx
May 01, 2015 - Tool 13: ED Care Plan
Tool 13: ED Care Plan
Purpose
The purpose of the emergency department (ED) care plan is to create institutional memory across numerous providers; make easily visible prior recurrent presentations and related testing; identify a patient’s existing clinical, behavioral, and social services; and …
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/nicu_toolkit/nicupacket.pdf
December 01, 2013 - monitors are rarely indicated for the detection of apnea, because infants with immature
respiratory systems
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/edenvironmentalscan/edenvironmentalscan.pdf
December 01, 2014 - Integrated systems to improve care for very high intensity users of
hospital emergency department and … Available at: http://www.ahrq.gov/professionals/systems/hospital/red/index.html. … Emergency Department Discharge Process Environmental Scan Report 37
http://www.ahrq.gov/professionals/systems
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www.ahrq.gov/professionals/systems/primary-care/pcp-costs/vargas-bustamante-costs.html
May 01, 2015 - Examining the Costs of a Medical Home Transformation for Seniors
AHRQ Estimating the Costs of Supporting Primary Care Transformation Grants
Principal Investigator: Arturo Vargas-Bustamante, PhD, MPP, MA
Institution: University of California, Los Angeles
AHRQ Grant Number: R03 HS22634
Over…
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www.ahrq.gov/sites/default/files/2024-05/kobayashi-report.pdf
January 01, 2024 - to better understand the alarm fatigue resulting from existing bedside patient monitoring telemetry
systems … To better understand the alarm fatigue resulting from existing bedside patient monitoring
telemetry systems … through the following metrics: 1) RN subject response to existing
and experimental monitor systems' … Systems testing using simulation. Academic Emergency Medicine Consensus Conference. … Catalyzing system change through healthcare simulation: systems, competency, and outcomes.
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www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/webinars/specific-pt-populations-slides.pdf
May 01, 2025 - understand
and address gaps in healthcare outcomes.
10
Background
11
Data source: © 2025 Epic Systems … Findings
17
Data source: © 2025 Epic Systems Corporation. … Findings
18
Data source: © 2025 Epic Systems Corporation. … Findings
19
Data source: © 2025 Epic Systems Corporation. … • Future users may include primary care clinics, QI professionals,
and health systems aiming to co-design
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Layde.pdf
January 01, 2003 - While the IOM report primarily emphasized error reporting systems, focusing on
the injuries or adverse … National systems are voluntary and most focus on
relatively few types of reportable events, such as … Twenty states have developed mandatory patient safety
reporting systems, but these systems vary widely … Most of the
reports made to these systems are not investigated or analyzed in detail. … Therefore, surveillance
systems that use information collected for other purposes tend to provide a
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www.ahrq.gov/healthsystemsresearch/hspc-research-study/summary.html
July 01, 2021 - Understanding how HSR and PCR can and have had impact on these systems is important for assessing the … HSR and PCR: (1) scientific impact, (2) professional knowledge and practice impact, (3) health care systems … Social Factors
Role of health care systems in addressing social determinants of health. a
Effect … that support more rapid, engaged research approaches, such as embedded research and learning health systems … identify potential overlap in
agency HSR portfolios
Establish a review process and data systems
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www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-reimagining-healthcare-teams-6.html
July 01, 2023 - In a tridirectional exchange, patients and clinicians receive information from AI systems, AI systems … Technology recently proposed the HTI-1 rule, which would require users of clinical decision support systems … Thus, prospective studies are needed that demonstrate AI systems’ reliability, validity, and positive … For example, patients may communicate with AI systems by speaking; entering text, photos, or other types … Ultimately, we imagine systems in which feedback can also be provided directly to the AI systems as it
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www.ahrq.gov/hai/cusp/clabsi-hpwpreport/clabsi-hpwpap.html
August 01, 2015 - mechanisms such as quality circles, process project teams, management/town hall meetings, and/or suggestion systems … category also includes strategic practices such as workforce planning and evaluation of recruiting systems … They include policies supporting freedom from repercussion for speaking up about systems issues/concerns … High-performance work systems in health care management, part 1: development of an evidence-informed
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www.ahrq.gov/news/newsroom/case-studies/cquips0802.html
October 01, 2014 - patients present with such complex medical challenges, rarely benefited from the medication review systems … gain the support of hospital leaders and staff, to get their programs up and running, and to establish systems … quality measures for medication use or help staff understand and use computerized physician order entry systems … Other participants belong to multi-hospital systems, where they can promote their program to other hospitals
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/system/delivery-system-initiative/bozicstudysnapshot/bozicstudysnapshot.pdf
February 01, 2015 - Hussey
Background
Traditional fee-for-service (FFS) payment systems create little or no incentive to … incentive to make the substantial and
costly changes needed (e.g., clinical
redesign, automated payment systems … f Inadequate infrastructure for claims processing: Health plans’ existing
automated claims systems could … Takeaway Points
■ Use automated solutions to administer
payments: Automated systems for
administering … The cost of automated
systems will likely come down as
product offerings proliferate and higher
case
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www.ahrq.gov/sites/default/files/publications/files/bozicstudysnapshot.pdf
February 01, 2015 - Hussey
Background
Traditional fee-for-service (FFS) payment systems create little or no incentive to … incentive to make the substantial and
costly changes needed (e.g., clinical
redesign, automated payment systems … f Inadequate infrastructure for claims processing: Health plans’ existing
automated claims systems could … Takeaway Points
■ Use automated solutions to administer
payments: Automated systems for
administering … The cost of automated
systems will likely come down as
product offerings proliferate and higher
case
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/module4/module4-event-reporting-investigation-analysis.pptx
September 10, 2015 - Many health care systems reinforce a focus on individual behaviors designed to prevent mistakes and fail … to recognize the impact of faulty systems, processes, and conditions that lead people to make mistakes … Approaches that focus on punishing individuals instead of changing systems provide strong incentives … The rationale for a systems approach to Event Investigation and Analysis is that managing individual … A systems approach includes, as part of the event investigation, an analysis of how the system failed
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www.ahrq.gov/diagnostic-safety/resources/issue-briefs/education-dx-outcomes-2.html
March 01, 2022 - Thus, it is imperative that health systems science be taught in parallel with traditional diagnosis-related … The corollary is true as well: educational programs that focus on health systems science and as detailed … below, healthcare administration programs, must include specific content regarding the impact of health systems … performance and ensure these leaders can engage as partners in building highly reliable diagnostic systems