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81. Fact Sheet on Pediatric Quality Indicators (pdf file)
    pcmh.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/a1c_combo_pdifactsheet.pdf
    October 01, 2015 - This transition affected diagnosis and inpatient procedure coding across the United States.

82. 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 17 | 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-17
    March 01, 2013 - identify high-risk patients, design patient-centered care plans, provide care coordination and care transition

83. AHRQ Tools To Reduce Hospital-Acquired Conditions | Agency for Healthcare Research and Quality
    pcmh.ahrq.gov/hai/hac/tools.html
    March 01, 2024 - SHARE: More topics in this section Healthcare-Associated Infections Program Combating Antibiotic-Resistant Bacteria About the CUSP Method Decolonization – Universal and Targeted Tools Ambulatory Surgery Centers Toolkit CLABSI and …

84. Coordinating Care in the Medical Neighborhood: Critical Components and Available Mechanisms (pdf file)
    pcmh.ahrq.gov/sites/default/files/attachments/Coordinating%20Care%20in%20the%20Medical%20Neighborhood.pdf
    June 01, 2011 - • Continuity of needed medical care when patients transition between settings (e.g., when transferred … care case manager programs combined with pay-for-performance in selected states, as these programs transition … A high-performing medical neighborhood should incorporate the PCMH in these care transition efforts, … for hospitals with high readmission rates PCMH payment models with new care management fees Care transition … Past research has shown how certain tools—such as patient decision supports, care transition interventions

85. Coordinating Care in the Medical Neighborhood: Critical Components and Available Mechanisms (pdf file)
    pcmh.ahrq.gov/sites/default/files/attachments/coordinating-care-in-the-medical-neighborhood-white-paper.pdf
    June 01, 2011 - • Continuity of needed medical care when patients transition between settings (e.g., when transferred … care case manager programs combined with pay-for-performance in selected states, as these programs transition … A high-performing medical neighborhood should incorporate the PCMH in these care transition efforts, … for hospitals with high readmission rates PCMH payment models with new care management fees Care transition … Past research has shown how certain tools—such as patient decision supports, care transition interventions

86. Children/Adolescents | Agency for Healthcare Research and Quality
    pcmh.ahrq.gov/topics/childrenadolescents.html
    January 01, 2011 - SHARE: Filter the Results Topics Priority Populations About Priority Populations Children/Adolescents Elderly Low-Income Racial/Ethnic Minorities Rural/Inner-City Residents Special Healthcare Needs Women …

87. Strategy 4: IDEA Discharge Planning (Tool 3) (pdf file)
    pcmh.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy4/Strat4_Tool_3_Physician_HO_508.pdf
    January 01, 2010 - Strategy 4: IDEA Discharge Planning (Tool 3) Guide to Patient and Family Engagement :: 1 Improving Discharge Outcomes with Patients and Families Evidence for engaging patients and families in discharge planning Nearly 20 percent of patients experience an adverse event within 30 days of discharge.1,2 Re…

88. Fact Sheet on Inpatient Quality Indicators (pdf file)
    pcmh.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/a1a_combo_iqifactsheet.pdf
    October 01, 2015 - This transition affected diagnosis and inpatient procedure coding across the United States.

89. Ambulatory Care | Agency for Healthcare Research and Quality
    pcmh.ahrq.gov/patient-safety/settings/ambulatory/tools.html
    February 01, 2018 - SHARE: More topics in this section Patient Safety Patient Safety Research Summaries Patient Safety Resources by Setting Hospital Hospital Labor and Delivery Units Emergency Department Long Term Care Ambulatory Care Too…

90. Creating Patient-centered Team-based Primary Care (pdf file)
    pcmh.ahrq.gov/sites/default/files/attachments/creating-patient-centered-team-based-primary-care-white-paper.pdf
    March 01, 2016 - and more patient- centered primary care, perhaps none is more promising and more challenging than the transition … of care, as well as the satisfaction of patients and providers.2,4-8 To achieve this potential, the transition … primary care team, but additional information is needed to provide practices (and those who help them transition … Two primary areas of concern and inquiry have emerged in response to the transition to team- based primary … primary care practice to create and sustain effective teams; and (2) the potential effects of this transition

91. Overview of Patient Safety Learning Laboratory (PSLL) Projects | Agency for Healthcare Research and Quality
    pcmh.ahrq.gov/patient-safety/resources/learning-lab/index.html
    February 01, 2024 - The project aims were to: Improve patient safety at the time of transition through redesign of transfers … Mapping the care transition from hospital to skilled nursing facility . … In order for older adults to transition safely in their journey that begins in the ED, researchers propose … Re-engineering Postnatal Unit Care and the Transition Home to Reduce Perinatal Morbidity and Mortality … system for more effective mother-infant management during postnatal hospitalization and the discharge transition

92. Final Progress Report: Leveraging a Social Network of Elders and Families To Improve Medication Safety at Transitions of Care (pdf file)
    pcmh.ahrq.gov/sites/default/files/2024-01/quintana-report.pdf
    January 01, 2024 - Challenges of managing medications for older people at transition points of care. … Effect of a care transition intervention by pharmacists: an RCT. BMC Health Serv Res. 2014;14:406. … Impact of a transition-of-care pharmacist during hospital discharge.

93. Strategy 4: IDEA Discharge Planning (Tool 3) (doc file)
    pcmh.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy4/Strat4_Tool_3_Physician_HO_508.docx
    January 01, 2010 - Strategy 4: IDEA Discharge Planning (Tool 3) Strategy 4: IDEAL Discharge Planning (Tool 3) Improving Discharge Outcomes with Patients and Families Strategy 1: Working with Patients & Families as Advisors [Type text] [Type text] [Type text] Strategy 4: IDEAL Discharge Planning (Tool 3) O Guide to Patient and Family …

94. Coordinating Care in the Medical Neighborhood: Critical Components and Available Mechanisms | PCMH Resource Center
    pcmh.ahrq.gov/page/coordinating-care-medical-neighborhood-critical-components-and-available-mechanisms
    June 01, 2011 - Continuity of needed medical care when patients transition between settings (e.g., when transferred from … A high-performing medical neighborhood should incorporate the PCMH in these care transition efforts, … Past research has shown how certain tools—such as patient decision supports, care transition interventions … care case manager programs combined with pay-for-performance in selected states, as these programs transition

95. Hospital Resources | Agency for Healthcare Research and Quality
    pcmh.ahrq.gov/patient-safety/settings/hospital/resource/about.html
    December 01, 2017 - NICU Toolkit This toolkit includes resources for hospitals that wish to improve safety when newborns transition

96. Care Coordination | Agency for Healthcare Research and Quality
    pcmh.ahrq.gov/ncepcr/care/coordination.html
    August 01, 2018 - SHARE: More topics in this section National Center for Excellence in Primary Care Research About the National Center Research Initiatives Data Resources Tools and Resources Research Communities Reports and Other Publications …

97. Agency for Healthcare Research and Quality
    pcmh.ahrq.gov/research/publications/search.html
    January 01, 2024 - SHARE: Search Publications The Agency for Healthcare Research and Quality (AHRQ)'s publications offer practical information to help a variety of health care organizations, providers, and others make care safer in all health care settings. 1 - 10 of 187 Publications displayed …

98. Strategy 3: Nurse Bedside Shift Report | Agency for Healthcare Research and Quality
    pcmh.ahrq.gov/patient-safety/patients-families/engagingfamilies/strategy3/index.html
    December 01, 2017 - SHARE: More topics in this section Patient Safety Patient Safety Research Summaries Patient Safety Resources by Setting Quality Measures Reports Engaging Patients and Families Guide to Patient and Family Engagement in Hospital Qua…

99. PCMH Resources for Practices and Practice Facilitators | PCMH Resource Center
    pcmh.ahrq.gov/page/practices-and-practice-facilitators
    December 01, 2011 - What are strategies for supporting the transition to new models of primary care?

100. Hospital Survey on Patient Safety Culture | Agency for Healthcare Research and Quality
     pcmh.ahrq.gov/sops/surveys/hospital/index.html
     March 01, 2023 - SHARE: More topics in this section SOPS® About SOPS SOPS Surveys Hospital Medical Office Nursing Home Community Pharmacy Ambulatory Surgery Center Supplemental Item Sets SOPS Databases SOPS Additional R…