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Integrating Care for Populations and Communities (ICPC). CFMC. Web Site. Http://www.cfmc.org/integratingcare/ . 2013. Accessed July 24, 2014. Integrating Care for Populations and Communities (ICPC) is a strategic Aim where Quality Improvement Organizations (QIOs) are bringing together hospitals, nursing homes, patient advocacy organizations, and other stakeholders in community coalitions. The Centers for Medicare & Medicaid Services (CMS) looks to QIOs to implement community-based projects that effect process improvements to address issues in medication management, post-discharge follow-up, and plans of care for patients who move across health care settings.

August 8, 2019

Integrating Care for Populations and Communities

Integrating Care for Populations and Communities (ICPC). CFMC. Web Site. Http://www.cfmc.org/integratingcare/ . 2013. Accessed July 24, 2014. Integrating Care for Populations and Communities (ICPC) is a strategic Aim where Quality Improvement Organizations (QIOs) are bringing together hospitals, nursing homes, patient advocacy organizations, and other stakeholders in community coalitions. The Centers […]
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Integrating Care for Populations and Communities (ICPC). CFMC. Web Site. Http://www.cfmc.org/integratingcare/ . 2013. Accessed July 24, 2014. Integrating Care for Populations and Communities (ICPC) is a strategic Aim where Quality Improvement Organizations (QIOs) are bringing together hospitals, nursing homes, patient advocacy organizations, and other stakeholders in community coalitions. The Centers for Medicare & Medicaid Services (CMS) looks to QIOs to implement community-based projects that effect process improvements to address issues in medication management, post-discharge follow-up, and plans of care for patients who move across health care settings.
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http://www.cfmc.org/integratingcare/

August 8, 2019

Transitions of Care Performance Measures: Paper by the NTOCC Measures Work Group, 2008

The NTOCC Measures Work Group. Transitions of Care Measures. http://www.ntocc.org/Portals/0/PDF/Resources/TransitionsOfCare_Measures.pdf. 2008. Accessed July 24, 2014. The Case Management Society of America (CMSA) convenes the National Transitions of Care Coalition (NTOCC) to develop recommendations on actions that all participants in the health care delivery system can take to improve the quality […]
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The NTOCC Measures Work Group. Transitions of Care Measures. http://www.ntocc.org/Portals/0/PDF/Resources/TransitionsOfCare_Measures.pdf. 2008. Accessed July 24, 2014. The Case Management Society of America (CMSA) convenes the National Transitions of Care Coalition (NTOCC) to develop recommendations on actions that all participants in the health care delivery system can take to improve the quality of care transitions. The multi-disciplinary members of NTOCC work collaboratively to develop policies, tools, and resources as well as recommend actions and protocols to guide and support providers and patients in achieving safe and effective transitions of care.
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http://www.ntocc.org/Portals/0/TransitionsOfCare_Measures.pdf

August 8, 2019

Medication Therapy Management in Community Pharmacy Practice: Core Elements of an MTM Service Model. Version 2

American Pharmacists Association and the National Association of Chain Drug Stores Foundation. Medication Therapy Management in Community Pharmacy Practice: Core Elements of an MTM Service Model. Version 2. http://www.accp.com/docs/positions/misc/CoreElements.pdf. 2008. Accessed April 26, 2013. Eleven national pharmacy organizations achieved consensus on a definition of medication therapy management (MTM) in July […]
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American Pharmacists Association and the National Association of Chain Drug Stores Foundation. Medication Therapy Management in Community Pharmacy Practice: Core Elements of an MTM Service Model. Version 2. http://www.accp.com/docs/positions/misc/CoreElements.pdf. 2008. Accessed April 26, 2013. Eleven national pharmacy organizations achieved consensus on a definition of medication therapy management (MTM) in July 2004 (Appendix A). Building on the consensus definition, the American Pharmacists Association and the National Association of Chain Drug Stores Foundation developed a model framework for implementing effective MTM services in a community pharmacy setting by publishing Medication Therapy Management in Community Pharmacy Practice: Core Elements of an MTM Service Version 1.0. The original version 1.0 document described the foundational or core elements of MTM services that could be provided by pharmacists across the spectrum of community pharmacy. Medication Therapy Management in Pharmacy Practice: Core Elements of an MTM Service Model Version 2.0 is an evolutionary document that focuses on the provision of MTM services in settings where patients* or their caregivers can be actively involved in managing their medications. This service model was developed with the input of an advisory panel of pharmacy leaders representing diverse pharmacy practice settings (listed in Addendum). While adoption of this model is voluntary, it is important to note that this model is crafted to maximize both effectiveness and efficiency of MTM service delivery across pharmacy practice settings in an effort to improve continuity of care and patient outcomes. *In this document, the term patient refers to the patient, the caregiver, or other persons involved in the care of the patient.
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http://www.accp.com/docs/positions/misc/CoreElements.pdf

August 8, 2019

Institute for Healthcare Improvement

The Institute for Healthcare Improvement. http://www.ihi.org/Pages/default.aspx. Updated 2014. Accessed 7/8/14. The Institute for Healthcare Improvement (IHI) is an independent not-for-profit organization helping to lead the improvement of health care throughout the world. Founded in 1991 and based in Cambridge, Massachusetts, IHI works to accelerate improvement by building the will for […]
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The Institute for Healthcare Improvement. http://www.ihi.org/Pages/default.aspx. Updated 2014. Accessed 7/8/14. The Institute for Healthcare Improvement (IHI) is an independent not-for-profit organization helping to lead the improvement of health care throughout the world. Founded in 1991 and based in Cambridge, Massachusetts, IHI works to accelerate improvement by building the will for change, cultivating promising concepts for improving patient care, and helping health care systems put those ideas into action.
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http://www.ihi.org

August 7, 2019

Evercare Care Model

Evercare Care Model is a primary care team model in which nurse practitioners provide intensive primary and preventive care to individuals with long-term conditions or disabilities.
Evercare Care Model is a primary care team model in which nurse practitioners provide intensive primary and preventive care to individuals with long-term conditions or disabilities.
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http://www.innovativecaremodels.com/care_models/17

August 7, 2019

AARP: Advance Directives: Planning for the Future

AARP: Advance Directives: Planning for the Future. [Web site]. http://assets.aarp.org/external_sites/caregiving/multimedia/EG_AdvanceDirectives.html . Accessed July 31, 2015. Do you know what your loved one’s health care wishes are at the end of life? Find out how advance directives can help.
AARP: Advance Directives: Planning for the Future. [Web site]. http://assets.aarp.org/external_sites/caregiving/multimedia/EG_AdvanceDirectives.html . Accessed July 31, 2015. Do you know what your loved one's health care wishes are at the end of life? Find out how advance directives can help.
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http://assets.aarp.org/external_sites/caregiving/multimedia/EG_AdvanceDirectives.html

August 7, 2019

AARP: Talking About Your Final Wishes

AARP: Talking About Your Final Wishes. [Web site]. Published October 1, 2003. Accessed July 31, 2014. Making decisions about how you want to spend your final days is not simple. There are many factors and options available today that may influence your care at the end of life. Where do […]
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AARP: Talking About Your Final Wishes. [Web site]. Published October 1, 2003. Accessed July 31, 2014. Making decisions about how you want to spend your final days is not simple. There are many factors and options available today that may influence your care at the end of life. Where do I want to die? Who will take care of me? What do I have to do to achieve a "good death?" These questions raise just a few of the issues to be considered in deciding your care at the end of life.
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http://www.aarp.org/relationships/grief-loss/info-2003/endoflife-finalwishes.html

August 7, 2019

Health Literacy and Patient Safety: Help Patients Understand, Manual for Clinicians

Weiss B. Health Literacy and Patient Safety: Help Patients Understand, Manual for Clinicians. [Booklet]. Http://med.fsu.edu/userFiles/file/ahec_health_clinicians_manual.pdf Published May 2007. Accessed July 25, 2014. In the pages that follow, this manual reviews the problem of health literacy, its consequences for the health care system, and the likelihood that a clinician’s practice includes […]
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Weiss B. Health Literacy and Patient Safety: Help Patients Understand, Manual for Clinicians. [Booklet]. Http://med.fsu.edu/userFiles/file/ahec_health_clinicians_manual.pdf Published May 2007. Accessed July 25, 2014. In the pages that follow, this manual reviews the problem of health literacy, its consequences for the health care system, and the likelihood that a clinician’s practice includes patients with limited literacy. The manual then provides practical tips for clinicians to use in making their office practices more “user friendly” to patients with limited literacy, and gives suggestions for improving interpersonal communication between clinicians and patients. Finally, the manual concludes with several “case discussions” based on vignettes in the accompanying instructional video.
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http://med.fsu.edu/userFiles/file/ahec_health_clinicians_manual.pdf

August 7, 2019

Next Step In Care

United Hospital Fund. Next Step in Care. Family Caregivers & Health Care Professionals Working Together. [Web site]. http://www.nextstepincare.org/ Updated 2013. Accessed July 30, 2014. This website provides easy-to-use guides to help family caregivers and health care providers work closely together to plan safe and smooth transitions for chronically or seriusly […]
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United Hospital Fund. Next Step in Care. Family Caregivers & Health Care Professionals Working Together. [Web site]. http://www.nextstepincare.org/ Updated 2013. Accessed July 30, 2014. This website provides easy-to-use guides to help family caregivers and health care providers work closely together to plan safe and smooth transitions for chronically or seriusly ill patients. Transitions are moves between care settings, for example, from hospital to home or rehab facility, or the start or end of home care agency services. Because transitions are often rushed, miscommunication and errors can occur.
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http://www.nextstepincare.org/

August 7, 2019

AHRQ. Questions To Ask Your Doctor.

Agency for Healthcare Research and Quality. Questions To Ask Your Doctor. [Web Site] Updated September 2012. Accessed July 30, 2014. http://www.ahrq.gov/patients-consumers/patient-involvement/ask-your-doctor/index.html . Asking questions and providing information to your doctor and other care providers can improve your care. Talking with your doctor builds trust and leads to better results, quality, […]
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Agency for Healthcare Research and Quality. Questions To Ask Your Doctor. [Web Site] Updated September 2012. Accessed July 30, 2014. http://www.ahrq.gov/patients-consumers/patient-involvement/ask-your-doctor/index.html . Asking questions and providing information to your doctor and other care providers can improve your care. Talking with your doctor builds trust and leads to better results, quality, safety, and satisfaction. Quality health care is a team effort. You play an important role. One of the best ways to communicate with your doctor and health care team is by asking questions. Because time is limited during medical appointments, you will feel less rushed if you prepare your questions before your appointment.
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http://www.ahrq.gov/patients-consumers/patient-involvement/ask-your-doctor/index.html