Questionnaire/survey

QualityTools

Adherence Readiness Assessment 01/05/09

This assessment form is used to help a patient/client be more adherent to their HIV medications by identifying possible barriers and helping the client overcome them.

When it is determined that a patient/client needs to begin HIV medication based on their CD4 and viral load, the client and provider should complete this form in its entirety at the initial assessment visit. This readiness form is divided into the following assessments:

  • Mental health
  • ...
Team Development Measure 12/10/08

The Team Development Measure (TDM) is a measure of a clinical team’s development level and can be used as a performance measure to promote quality improvement in team-based health care. Levels are determined by measuring how firmly the following components are in place on a team.

These components include:

  • Cohesiveness
  • Communication
  • Role clarity
  • Goals-means clarity

This measure is grounded in the conceptual and applied...

Initial History and Physical Assessment Form for HIV Patients 12/09/08

This comprehensive form can be used by health care providers to collect information at the initial interview session for all new patients in an HIV program.

The form includes the following sections:

  • Demographics
  • HIV exposure risks
  • History of present illness
  • Past medical history
  • Physical exam
  • Assessment
  • Discharge planning
Free registration is required.

Mental Health Screening: A Quick Reference Guide for HIV Primary Care Clinicians 11/11/08

This reference card helps primary care clinicians conduct mental health screening assessments of HIV-infected patients. It includes sections on:

  • Mental health screening
  • Triggers that may exacerbate mental distress for people with HIV
  • Alcohol and substance abuse
  • Screening and managing suicidal or violent patients
  • When to refer to a mental health professional
  • Prescribing considerations
  • Resource
Treating Adolescents with HIV: Tools for Building Skills in Cultural Competence, Clinical Care, and Support 10/31/08

This interactive series of online training modules is designed for health care providers working with human immunodeficiency virus (HIV)-infected youth. The course is presented from the perspective of a culturally aware care provider. Throughout the course, practical tools are provided to assist with “operationalizing” culturally sensitive best practices in the clinic setting.

Modules include:

  • Fundamentals of adolescent care and cultural competence
  • Psychosocial...
The Cultural Competence Self-Assessment Protocol for Health Care Organizations and Systems 10/01/08

This tool can be used by health care providers, including hospitals and clinics, to conduct organizational assessments of their cultural competence. It is particularly useful for services involving racially and ethnically diverse populations. The protocol’s questions are organized according to the four cornerstones of cultural competence:

  • A health care organization’s relationship with its community
  • The administration and management’s relationship with staff...
Survey User's Guide: Nursing Home Survey on Patient Safety 09/26/08

This user's guide provides a general overview of the issues and major decisions involved in conducting the Nursing Home Survey on Patient Safety Culture and reporting the results.
 

  • Part One of the guide presents information about data collection and how to organize and plan a survey project.
  • Part Two includes the nursing home survey form, an overview of the survey items, and a sample page from the Microsoft PowerPoint ® Survey Feedback Template....
Establishing Partnerships Between Managed Care and Aging Service Organizations 09/22/08

Health care organizations are being challenged to care for the growing number of older adults with chronic health conditions. This manual describes how to establish partnerships between managed care and aging service organizations to assess and improve the quality of care provided to people with dementia. It is based on the experience of the Alzheimer’s Association-Kaiser Permanente Metropolitan Los Angeles Dementia Care Project.

The manual addresses the following topics:

...
The STAndards for BipoLar Excellence (STABLE) Resource Toolkit 09/22/08

The STABLE Resource Toolkit is part of the The STAndards for BipoLar Excellence (STABLE) Project. The toolkit provides quality improvement resources to assist clinicians in the identification and management of bipolar disorder. The resources in the kit include assessment instruments, documentation templates, flow charts, and checklists.

Topics covered include:

  • How to use the toolkit
  • Depression screening
  • Bipolar disorder screening
  • ...
Centers for Disease Control and Prevention Health-Related Quality-of-Life 14-Item Measure 09/16/08

This questionnaire measures an individual's or population's health-related quality of life. Physicians can use this to measure the effects of chronic illness in their patients to better understand how an illness interferes with a person's day-to-day life. It can also help public health providers identify subgroups with poor physical or mental health, and can help guide policies or interventions to improve their health.

The questionnaire includes the standard 4-item set of “...

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