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NCEPCR Research Fellows | Agency for Healthcare Research and Quality

pcmh.ahrq.gov/ncepcr/about/researcher-fellows/index.html

April 01, 2024 - cascades and several years of experience as a healthcare clinician motivated me to pursue a career transition
Transitioning to the SOPS™ Hospital Survey Version 2.0: What’s Different and What To Expect, Part II: Appendixes (pdf file)

pcmh.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/hsops2-pt2_transition_apx.pdf

September 01, 2019 - Transitioning to the SOPS™ Hospital Survey Version 2.0: What’s Different and What To Expect, Part II: Appendixes Transitioning to the SOPS™ Hospital Survey Version 2.0: What’s Different and What To Expect Part II: Appendixes Appendix A – Differences in Scores Between HSOPS 2.0 and HSOPS 1.0 Appendix B – How T…
Care-Mgmt-Issue-Brief-No-15-0018-Ef (pdf file)

pcmh.ahrq.gov/sites/default/files/attachments/Care-Mgmt-Issue-Brief-No-15-0018-EF.pdf

April 01, 2015 - Becoming a patient-centered medical home: a 9-year transition for a network of federally qualified health
Health IT and Digital Health | Agency for Healthcare Research and Quality

pcmh.ahrq.gov/ncepcr/research/health-it/index.html

September 01, 2022 - SHARE: More topics in this section National Center for Excellence in Primary Care Research About the National Center Research Initiatives Behavioral Health and Substance Use Disorders Care Coordination Care Management Disseminatin…
Connecting for Health Common Framework Resources for Implementing Secure Health Information Exchange

pcmh.ahrq.gov/sites/default/files/wysiwyg/news/events/conference/2011/jack/jack.pptx

January 01, 2011 - Connecting for Health Common Framework Resources for Implementing Secure Health Information Exchange Project RED: The ReEngineered Discharge Care Transitions: Navigating the Health Care System AHRQ 2011 Annual Scientific Meeting Bethesda, Maryland September 19, 2011 Brian Jack MD Professor and Vice Chair Departme…
Strategy 4: IDEA Discharge Planning (Implementation Handbook) (doc file)

pcmh.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy4/Strat4_Implement_Hndbook_508_v2.docx

April 01, 2011 - Engaging patients and families in the discharge planning process helps make this transition in care safe … strategy The goal of the IDEAL Discharge Planning strategy is to engage patients and family members in the transition … Foundation and the Institute for Healthcare Improvement, developed the How-to Guide: Creating an Ideal Transition … discharge Coordinate home-based care and special equipment needs Prepare the patient and family for transition
Layout 1 (pdf file)

pcmh.ahrq.gov/sites/default/files/attachments/roles-of-pcmhs-and-acos-in-coordinating-patient-care-white-paper.pdf

December 01, 2010 - targeted form of care coordination to empower and inform patients and families during the period of transition
The Roles of Patient-Centered Medical Homes And Accountable Care Organizations in Coordinating Patient Care | PCMH Resource Center

pcmh.ahrq.gov/page/roles-patient-centered-medical-homes-and-accountable-care-organizations-coordinating-patient

December 01, 2010 - targeted form of care coordination to empower and inform patients and families during the period of transition
Layout 1 (pdf file)

pcmh.ahrq.gov/sites/default/files/attachments/Roles%20of%20PCMHs%20And%20ACOs%20in%20Coordinating%20Patient%20Care.pdf

December 01, 2010 - targeted form of care coordination to empower and inform patients and families during the period of transition
AHRQ Unveils Research Agenda to Transform Care for People with Multiple Chronic Conditions | Agency for Healthcare Research and Quality

pcmh.ahrq.gov/news/blog/ahrqviews/transform-care-mcc.html

November 01, 2021 - We need to transition from our current disease-focused system to person-centered care that takes into
The Medical Home: What Do We Know, What Do We Need to Know? A Review of the Earliest Evidence on the Effectiveness of the Patient-Centered Medical Home Model. Table 1 | PCMH Resource Center

pcmh.ahrq.gov/page/medical-home-what-do-we-know-what-do-we-need-know-review-earliest-evidence-effectiveness-of-the-patient-centered-medical-home-model-table-1

March 01, 2013 - identify high-risk patients, design patient-centered care plans, provide care coordination and care transition
Hospital Discharge | Agency for Healthcare Research and Quality

pcmh.ahrq.gov/topics/hospital-discharge.html

SHARE: Filter the Results Topics Priority Populations Information in Spanish Topic: Hospital Discharge AHRQ has research, tools and resources for clinicians to improve the hospital discharge process, including the Re-Engineered Disc…
Strategy 4: IDEA Discharge Planning (Implementation Handbook) (pdf file)

pcmh.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy4/Strat4_Implement_Hndbook_508_v2.pdf

April 01, 2011 - Engaging patients and families in the discharge planning process helps make this transition in care … The goal of the IDEAL Discharge Planning strategy is to engage patients and family members in the transition … Foundation and the Institute for Healthcare Improvement, developed the How-to Guide: Creating an Ideal Transition … discharge • Coordinate home-based care and special equipment needs • Prepare the patient and family for transition
AHRQ Grants Policy Notices | Agency for Healthcare Research and Quality

pcmh.ahrq.gov/funding/policies/polnotice/index.html

April 01, 2024 - consortia located at foreign institutions Notice Number: NOT-HS-18-006 2/20/18 Advance Notice of Transition … Component and Peer Review Requests Notice Number: NOT-OD-16-008 10/13/15 NIH & AHRQ Announce Transition … Report (RPPR) for AHRQ Fellowship Grantees Notice Number: NOT-HS-14-003 11/5/13 AHRQ Awards to Transition
Tool 11: Community Resource Guide (doc file)

pcmh.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/medicaidreadmitguide/mcaidread_tool11_comm_resource.docx

September 12, 2016 - hours 24/7 Services: Temporary housing for adults (18+) with diagnosed mental illness during their transition
Comparison Tables for Making Healthcare Safer Reports | Agency for Healthcare Research and Quality

pcmh.ahrq.gov/research/findings/making-healthcare-safer/comparison.html

September 01, 2022 - Adults Through Safe Transitions (Not reviewed) (Not reviewed) Summary of Evidence CTI: Care Transition
AHRQ Views Blog: At the American Society of Health Economists Conference, AHRQ Highlights Its Deep Dive Into COVID-19 | Agency for Healthcare Research and Quality

pcmh.ahrq.gov/news/newsletters/e-newsletter/868.html

June 01, 2023 - SHARE: More topics in this section News Newsroom Blog Newsletter AHRQ News Now Events AHRQ Views Blog: At the American Society of Health Economists Conference, AHRQ Highlights Its Deep Dive Into COVID-19 …
Implementation and Impact of Medicare’s Voluntary Ambulatory Care Quality Reporting Program (pdf file)

pcmh.ahrq.gov/sites/default/files/publications/files/dowdstudysnapshot.pdf

November 01, 2015 - bonuses may be necessary early on to gain acceptance of a voluntary reporting program, a timely transition
Module 6: An Overview of the Facilitation Process (pdf file)

pcmh.ahrq.gov/sites/default/files/attachments/pcpf-module-6-pf-process.pdf

September 01, 2015 - ....................................................................... 6 Stage 6: Completion and Transition … Stage 6: Completion and Transition to Maintenance While most active facilitation interventions last … Finally, you will work with the practice to transition from active facilitation to maintenance where
Prospects For Care Coord. Using Elect Data Sources 3-16-12 (pdf file)

pcmh.ahrq.gov/sites/default/files/attachments/Prospects+for+Care+Coord.+Using+Elect+Data+Sources+3-16-12.pdf

June 01, 2012 - provides a summary of care record for >50% of transitions of care and referrals Patients undergoing transition … of the kinds of outside information of interest, such as discharge summaries, clinical summaries, transition … should accompany the patient during all transitions of care and should be appropriate to the type of transition … and accessible throughout the transition. … Communication skills; • Patient and caregiver priorities for care; • Preferences relevant to the transition