Care management processes

QualityTools

Connecting Those at Risk to Care: The Quick Start Guide to Developing Community Care Coordination Pathways 03/03/16

This quick start guide complements the Pathways Community HUB Manual: A Guide To Identify and Address Risk Factors, Reduce Costs, and Improve Outcomes, published in 2016 by the Agency for Healthcare Research and Quality (AHRQ). That manual provides beginning tools and strategies for ensuring that individuals most at risk of poor health outcomes are served in a timely, coordinated manner.

The quick start guide is a reference and resource for public and private stakeholders engaged in...

Patient and Family Engagement Resource Compendium 02/23/16

The Health Research & Educational Trust (HRET) developed this compendium to link patient and family engagement concepts and strategies to available resources. The compendium resources are designed to support hospital efforts to partner with patients and families to improve health care quality. 

The compendium includes the following sections:

  • Leadership
  • Organizational assessments
  • Patient and family advisory council/committee: resources for...
Family-Centered Rounds Toolkit 02/12/15

The Family-Centered Rounds Toolkit is designed to encourage, assist, and improve family engagement during family-centered rounds (FCR). Family-centered rounds encourage patient and family learning and involvement in health care decisionmaking. The toolkit includes an FCR checklist, associated curriculums for clinicians and staff, and forms for monitoring and troubleshooting implementation and maintenance of the checklist to support best practices for FCR.

Free registration is required...

Mobile Health Roadmap 07/16/14

The Mobile Health Roadmap provides guidance to professionals, organizations, corporations, and health systems on the adoption of mobile and mHealth (mobile health) devices. Mobile devices are becoming increasingly present in the health community for providers and patients alike. The roadmap gives background information on each topic, followed by the current state of adoption and possible future improvements.

This roadmap has the following sections:

  • New care models
  • ...
Safety Net Medical Home Initiative: Resources and Tools 06/16/14

This library of publicly available resources and tools can help safety net providers understand and implement the patient-centered medical home (PCMH) model of care. Users can navigate these free resources by type or topic or by the registry of tools and resources, which includes all resources and tools hosted on the Web site and those hyperlinked within documents on the site.

Resource types include the following:

  • PCMH assessment
  • Change concept resources:...
Strategies for Managing Alarm Fatigue 06/05/14

Strategies for Managing Alarm Fatigue is a clinical toolkit that provides evidence-based strategies, resources, best practices, and change implementation tools for reducing the impact of environmental alarms, thereby improving patient safety and increasing workplace effectiveness.

Alarm fatigue materials include the following:

  • Managing Alarm Fatigue: New Approaches and Best Practices
  • American Association of Critical-Care Nurses practice alert: Alarm...
IMPaCT™ Model Tool Kit 06/04/14

The IMPaCT ™ model is an evidence-based system for community health worker (CHW) recruitment, training, and care. In the IMPaCT model, CHWs provide tailored support to help high-risk patients achieve individualized health goals. This toolkit is designed to help other organizations adapt and implement this model.

The toolkit includes the following resources:

  • Director manual
  • Participatory action research manual
  • Manager manual
  • IMPaCT...
Prehospital Medical Information System 05/21/14

The Prehospital Medical Information System (PreMIS) is a State-mandated, Internet-based emergency medical services (EMS) information system that collects data on each EMS call report made within the States of Mississippi, North Carolina, South Carolina, and West Virginia. Submitted data provide hospitals and EMS administrators the capability to evaluate EMS patient care and system performance.

The PreMIS Web page includes video instructions and patient handoff forms. Although...

Advancing Effective Communication, Cultural Competence, and Patient- and Family-Centered Care: A Roadmap for Hospitals 04/24/14

The Roadmap for Hospitals was developed by The Joint Commission to inspire hospitals to integrate concepts from the communication, cultural competence, and patient- and family-centered care fields into their organizations. This guide provides recommendations to help hospitals address unique patient needs, meet patient-centered communication standards, and comply with related Joint Commission requirements.

Roadmap chapters address the following components of the care continuum:...

Community Connections: Linking Primary Care Patients to Local Resources for Better Management of Obesity 04/08/14

This toolkit is intended to help primary care practices link to community resources for improving the care of patients struggling with obesity. It can help practices learn what resources are available and establish productive partnerships with community organizations. The toolkit also provides guidance on improving patient flow, developing a bidirectional referral process, and increasing patient engagement.

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