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Integrating Chronic Care and Business Strategies in the Safety Net (Toolkit)

Reference List

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27. Adapted from Learning Session One: BTS Collaborative Training & Materials: Improving Chronic Illness Care [Web Page]. Available at: http://www.improvingchroniccare.org/index.php?p=Learning_Session_One&s=119. Accessed November 2011.

28. Adapted from Learning Session One: BTS Collaborative Training & Materials: Improving Chronic Illness Care [Web Page]. Available at http://www.improvingchroniccare.org/index.php?p=Learning_Session_One&s=119. Accessed November 2011.

29. Moore, LG and Safford, B. High functioning clinical teams are extremely efficient: how to get one and achieve advanced access. Created for Institute for Healthcare Improvement 2004. Available at http://www.improvingchroniccare.org/index.php?p=Critical_Tools&s=162. Accessed September 2008.

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31. Adapted from Assessing, Diagnosing and Treating Your Outpatient Primary Care Practice [Web Page]. Available at: Clinical Microsystems: http://dms.dartmouth.edu/cms/materials/workbooks/outpatient_primary_care.doc. (Word® File, Plugin Software Help) Accessed November 2011.

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33. Plan-Do-Study-Act (PDSA) worksheet [Web Page]. Available at: Institute for Healthcare Improvement. http://www.ihi.org/knowledge/Pages/Tools/PlanDoStudyActWorksheet.aspx. Accessed November 2011.

34. Learning Session One: BTS Collaborative Training & Materials: Improving Chronic Illness Care [Web Page] . Available at: http://www.improvingchroniccare.org/index.php?p=Learning_Session_One&s=119. Accessed November 2011.

35. Optimize the Care Team: Cross-Train Staff [Web Page]. Available at: Institute for Healthcare Improvement. http://www.ihi.org/knowledge/Pages/Changes/OptimizetheCareTeam.aspx. Accessed November 2011.

36. Mohr, Julie. Clinical Microsystem Assessment Tool. Adapted from Assessing, Diagnosing and Treating Your Outpatient Primary Care Practice [Web Page]. Available at: Clinical Microsystems. http://dms.dartmouth.edu/cms/materials/workbooks/outpatient_primary_care.doc. (Word® File, Plugin Software Help) Accessed November 2011.

37. Tantau & Associates. Understanding Panels in Primary Care [Web Page]. Available at: Institute for Healthcare Improvement. http://www.ihi.org/knowledge/Pages/Tools/UnderstandingPanelsinPrimaryCare.aspx. Accessed November 2011.

38. Batalden P, Godfrey M, and Nelson G. Institute for Healthcare Improvement: Practice Supply Worksheet [Web Page]. Available at: http://www.ihi.org/knowledge/Pages/Tools/PracticeSupplyWorksheet.aspx. Accessed March 2007.

39. Daily demand [Web Page]. Available at: Institute for Healthcare Improvement. http://www.ihi.org/knowledge/Pages/Measures/DailyDemand.aspx. Accessed November 2011.

40. Shared care plan [Web site]. Available at: Whatcom Health Information Network. https://www.sharedcareplan.org/HomePage.aspx. Accessed November 2011.

41. Weiss BD. Health Literacy and Patient Safety: Manual for Clinicians [Web Page]. Available at: American Medical Association Foundation and American Medical Association. http://www.ama-assn.org/ama1/pub/upload/mm/367/healthlitclinicians.pdf [PDF File, Plugin Software Help]. Accessed November 2011.

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43. Depression management toolkit (PHQ-9, Appendix I, p. 17). MacArthur Initiative on Depression & Primary Care [Web Page]. Available at: http://www.depression-primarycare.org/clinicians/toolkits/. Accessed November 2011.

44. Patient Health Questionnaire PHQ-9 for Depression (Spanish). MacArthur Initiative on Depression & Primary Care [Web Page]. Available at: http://www.depressionprimarycare.org/clinicians/toolkits/materials/forms.... Accessed November 2011.

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48. Open Access—Open Office. Sample Open Access Mailer. St. Peter Family Medicine. Olympia, WA. Available at: http://www.improvingchroniccare.org/index.php?p=Critical_Tools&s=162. Accessed September 2008.

49. Shared Care Plan. Available at: Whatcom Health Information Network (Web site). https://www.sharedcareplan.org/HomePage.aspx. Accessed November 2011.

50. Front Desk Collections Flow Chart.

51. Batalden P, Godfrey M, and Nelson G. Institute for Healthcare Improvement: Huddle Sheet [Web Page]. Available at: http://www.ihi.org/knowledge/Pages/Tools/Huddles.aspx. Accessed September 2008.

52. Getting Paid: Maximizing Collections. RedeFin II; 2005 April 13.

53. Group Visit Starter Kit. Seattle: Group Health Cooperative; 2001 [Web Page]. Available at: Improving Chronic Illness Care. http://www.improvingchroniccare.org/index.php?p=Toolkits_&_Manuals&s=162. Accessed November 2011.

54. Group Visit Financials. Created by Providence Health System. Washington. Available at: http://www.improvingchroniccare.org/index.php?p=Critical_Tools&s=162. Accessed September 2008.

55. Bodenheimer T, MacGregor K, Sharifi C. Helping Patients Manage Their Chronic Conditions. Oakland: California Healthcare Foundation; 2005 [Web Page]. Available at: http://www.chcf.org/publications/2005/06/helping-patients-manage-their-chronic-conditions. Accessed November 2011.

56. Adapted from Lorig K, Sobel D, Gonzalez V, et al. Living a Healthy Life With Chronic Conditions: Self-Management of Heart Disease, Arthritis, Diabetes, Asthma, Bronchitis, Emphysema, and Others. Third Edition. Boulder, CO: Bull Publishing Company, 2006. Available at http://www.improvingchroniccare.org/index.php?p=Critical_Tools&s=162. Accessed September 2008.

57. Action plan [Web Page]. Available at: New Health Partnerships. http://www.collaborativeselfmanagement.org/ChangeTool.aspx. Accessed November 2011.

58. Agenda Setting Tool: Bubble Diagram. Author unknown. Available at: http://www.improvingchroniccare.org/index.php?p=Critical_Tools&s=162. Accessed September 2008.

59. Health & Literacy Special Collection. Available at: http://healthliteracy.worlded.org/. Accessed November 2011.

60. Diabetes Initiative [Web site]. http://www.diabetesinitiative.org/. Accessed November 2011.

61. 5 A's Behavior Change Model Adapted for Self-Management Support Improvement [Web Page]. Available at Institute for Healthcare Improvement: http://www.ihi.org/knowledge/Pages/Publications/5AsBibliography.aspx. Accessed November 2011.

62. Wagner, EH. Change Flow Chart. Improving Chronic Illness Care 2007. Available at: http://www.improvingchroniccare.org/index.php?p=Critical_Tools&s=162. Accessed September 2008.

63. Adapted from Assessing, Diagnosing and Treating Your Outpatient Primary Care Practice [Web Page]. Available at: Clinical Microsystems: http://dms.dartmouth.edu/cms/materials/workbooks/outpatient_primary_care.doc. (Word® File, Plugin Software Help) Accessed November 2011.

64. Plan-Do-Study-Act (PDSA) worksheet [Web Page]. Available at: Institute for Healthcare Improvement. http://www.ihi.org/knowledge/Pages/Tools/PlanDoStudyActWorksheet.aspx. Accessed November 2011.

65. How Hot Are Your Improvement Action Plans: Critical Tools [Web Page]. Available at Improving Chronic Illness Care: http://www.improvingchroniccare.org/index.php?p=Critical_Tools&s=162. Accessed November 2011.

66. Kelly-Flis P. Community.

67. Pay For Performance: An Introduction.

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71. St. Andre C. Redesign and Finance Change Package. Rockville, MD: Health Disparities Collaborative; 2005.

72. Renders CM, Valk GD, Griffin S, et al. Interventions to improve the management of diabetes mellitus in primary care, outpatient and community settings (Cochrane Review). Cochrane Database Syst Rev 2002;1:CD001481.

73. Tsai AC, Morton SC, Mangione CM, et al. A meta-analysis of interventions to improve care for chronic illnesses. Am J Manag Care 2005 Aug;11(8):478-88.

74. Fleming B, Silver A, Ocepek-Welikson K, et al. The relationship between organizational systems and clinical quality in diabetes care. Am J Manag Care 2004 Dec;10(12):934-44.

75. Feifer C, Ornstein SM, Nietert PJ, et al. System supports for chronic illness care and their relationship to clinical outcomes. Top Health Inf Manage 2001 Nov;22(2):65-72.

76. Lozano P, Finkelstein JA, Carey VJ, et al. A multisite randomized trial of the effects of physician education and organizational change in chronic-asthma care: health outcomes of the Pediatric Asthma Care Patient Outcomes Research Team II Study. Arch Pediatr Adolesc Med 2004 Sep;158.(9):875-83.

77. Piatt GA, Orchard TJ, Emerson S, et al. Translating the chronic care model into the community: results from a randomized controlled trial of a multifaceted diabetes care intervention. Diabetes Care 2006 Apr;29(4):811-7.

78. Daniel DM, Norman J, Davis C, et al. A state-level application of the chronic illness breakthrough series: results from two collaboratives on diabetes in Washington State. Jt Comm J Qual Saf 2004 Feb;30(2):69-79.

79. Huang ES, Zhang Q, Brown SES, Drum ML, Meltzer DO, Chin MH. The Cost-Effectiveness of Improving Diabetes Care in U.S. Federally Qualified Community Health Centers. HSR. 2007 2007 Dec;42((6 Pt 1)):2174-93 discussion 294-323.

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Page last reviewed October 2014
Page originally created August 2008

The information on this page is archived and provided for reference purposes only.

 

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