Chronic care

QualityTools

Practice Facilitation Handbook: Training Modules for New Facilitators and Their Trainers 09/30/13

The Practice Facilitation Handbook is designed to assist in the training of new practice facilitators as they begin to develop the knowledge and skills needed to support meaningful improvement in primary care practices. It evolved from the Agency for Healthcare Research and Quality's Integrating Chronic Care and Business Strategies in the Safety Net toolkit. That toolkit was developed to aid safety net practices in implementing the Chronic Care Model, now commonly referred to as the...

Low-Income Households and Asthma 09/10/13

The Low Income Households and Asthma fact sheet provides statistics on low-income households and asthma rates. The fact sheet also provides 10 key tips for controlling and managing asthma.

Diabetes Education Toolkit 09/10/13

This toolkit, for people with psychiatric disabilities and their physicians and caregivers, provides information to help them understand and manage their diabetes or prediabetic condition. The toolkit includes an extensive library of materials and podcasts covering the basics of diabetes, building and maintaining a healthy lifestyle, managing hypertension, and managing the risks of diabetes. Also included is a chart of American Diabetes Association standards of care with related educational...

Sharing Specialty Services: A Business Guide and Toolkit for Community Clinics 06/18/13

This business planning guide is designed to assist community clinics and health centers (CCHCs) and clinic consortia as they consider developing networks to share specialty services. The guide walks the reader through the relevant planning questions and assists in evaluating and implementing each step. At the guide’s core is a series of examples, worksheets, checklists, and sample documents that provide practical information to support the planning process. It is designed to be of use both...

Constructing an Adaptive Care Model for the Management of Disease-Related Symptoms Throughout the Course of Multiple Sclerosis 04/16/13

This toolkit provides strategies and templates to help multiple sclerosis (MS) centers and their clinicians implement a performance improvement project. The goal of this project is to help clinicians accurately and appropriately manage MS symptoms in their patients.

The toolkit includes the following components:

  • Introduction
  • Algorithm and instructions for toolkit implementation
  • Sample data collection form and performance measures/calculation...
Coordinated-Transitional Care Toolkit 03/26/13

Coordinated-Transitional Care (C-TraC) is a low-resource, telephone-based, protocol-driven program designed to reduce 30-day rehospitalizations and to improve care transitions during the early posthospital period. The goal of this toolkit is to help hospital systems that serve populations with high rates of patient dispersion, cognitive impairment, and vulnerability improve care coordination and postdischarge outcomes such as reduced medication discrepancies.

This toolkit is...

HIV Care Coordination Tools 03/20/13

The HIV Care Coordination Tools resource page offers information, tools, and other educational materials for HIV-related health care, housing, and supportive service providers.

Resources include the following:

  • Care coordination protocol and tools
  • Brochures
  • Posters
  • Provider pocket guide
  • Patient workbook
  • Fact sheet
  • Client journal wallet card

Select materials are also available in Spanish.

...
Beacon Patient-Reported Outcome Quality-of-Life Tool 03/06/13

This assessment tool helps in identifying and addressing diabetes patients' biggest quality-of-life concerns. Completed just before each visit, the tool asks patients to identify their biggest concern, complete a checklist that helps define specific aspects of that concern, and rank various aspects of their perceived well-being. Based on the patient's responses, the tool generates a list of interventions that could help the patient, including treatment modifications and referrals to locally...

Diabetes Self-Management: Resource Toolkit for African Americans With Diabetes 12/04/12

This toolkit provides information and links to resources that support African Americans with diabetes in managing their diabetes. The resources include booklets, tip sheets, podcasts, and a video.

Expecting Success Toolkit 12/03/12

The Expecting Success Toolkit provides tips for hospitals on improving the quality of care and reducing disparities.

The toolkit is divided into the following sections:

  • You Can Live With Heart Failure: Includes the Living With Heart Failure Health Calendar (also available in Spanish)
  • Instructions for inserting your logo into the Heart Failure Calendar
  • Thinking About Disparities : Includes readiness to survey, promotional wall...

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