Questionnaire/survey

QualityTools

Participant Experience Survey (Brain Injury) 12/17/07

This survey solicits feedback from program participants with brain injury about the services and supports they receive under the Medicaid Home and Community-Based Services waiver program. States can use these data to calculate performance indicators for monitoring quality within their waiver programs, to guide quality improvement projects, and to use in conjunction with other quality management strategies.

This survey addresses these priority areas:

  • Program supports
  • ...
Ideal Administrator - Long-Term Care Leadership Self-Assessment Tool 12/17/07
The Ideal Administrator is a free, Web-based, self-assessment tool for long-term care administrators. After answering a series of questions about their leadership practices, administrators receive a confidential report on their performance.

This tool addresses two aspects of leadership:

  • The mission, beliefs, and principles that drive a leader
  • The actual performance of the leader
National Institute on Alcohol Abuse and Alcoholism (NIAAA) Publications: Screening Tests 12/17/07

These screening instruments can aid clinicians and others in identifying patients with alcohol problems.

The following screening tools are presented:

  • CAGE: Can identify alcohol problems over the lifetime
  • T-ACE: Based on the CAGE, this tool is valuable for identifying a range of use, including lifetime use and prenatal use
  • Alcohol Use Disorders Identification Test (AUDIT): Can detect alcohol problems experienced in the last year
Checklist for Autism in Toddlers (CHAT) 12/17/07

The Checklist for Autism in Toddlers (CHAT) is a screening instrument that identifies children who are at risk for social-communication disorders. This tool is a short questionnaire that is completed by the parents and a primary health care worker at the child’s 18-month developmental checkup.

Chronic Dry Eye Toolkit 12/17/07

This toolkit presents information about chronic dry eye.

This tool addresses the following topics:

  • Job categories with workplace conditions most likely to aggravate dry eye
  • Chronic dry eye overview
    • What is chronic dry eye?
    • What factors contribute to dry eye?
    • How is chronic dry eye diagnosed?
    • How can dry eye be treated?
  • Fast facts
    • Chronic dry eye: What women should know
    • The...
Headache Impact Test 12/17/07

The Headache Impact Test (HIT) helps patients communicate the severity of their headache pain to their health care provider.

This test helps providers to:

  • Determine the impact headaches have on the patient’s life
  • Track the patient’s headache history and the effectiveness of therapy over time
  • Enhance communication between patient and provider

Registration is required to access the test.

Confusion Assessment Method (CAM) Training Manual and Coding Guide 12/17/07

This Confusion Assessment Method (CAM) training manual has been designed to assist with the administration and coding of the CAM, and to provide supplementary information for interested clinical investigators.

The CAM improves the identification and recognition of delirium in geriatric patients. CAM enables non-psychiatrically trained clinicians to identify delirium quickly and accurately in both clinical and research settings on the basis of an interview with the patient that...

Taking Care of Yourself with Arthritis 12/17/07

This questionnaire provides patients with information about managing their arthritis.

This tool addresses the following topics:

  • Getting the care you need
  • Talking to your doctor
  • Taking your medicine
  • Your body signs
  • Taking care of yourself
  • Dealing with stress
Participant Experience Survey: Elderly/Disabled (E/D) Version 12/17/07

This survey solicits feedback from elderly and disabled program participants about the services and supports they receive under the Medicaid Home and Community-Based Services waiver program. States can use these data to calculate performance indicators for monitoring quality within their waiver programs, to guide quality improvement projects, and to use in conjunction with other quality management strategies.

This survey addresses these priority areas:

  • Access to care
  • ...
Care Transitions Program Toolkit 11/29/07

Through this 4-week program, patients with complex care needs receive specific tools, are supported by a “transition coach,” and learn self-management skills to ensure their needs are met during the transition from hospital to home.

The tool kit includes the following:

  • Intervention tools
    • Protocol manual
    • Discharge preparation checklist
    • Personal health record
    • Sample transition coach charting form
    • Coach database
    • ...

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