Health care professionals from all care settings are encouraged to use the resources listed in this TMF Quality Innovation Network change package to help care for patients diagnosed with the flu. Note, you must log into this website to download this change package.

This report from the American College of Cardiology (ACC) and the American Heart Association (AHA) describes how the Task Force on Performance Measures (Task Force) revised the clinical performance and quality measures for cardiac rehabilitation (CR). The Task Force created a comprehensive list of measures that can be used for patients who are eligible to participate in CR. The list includes six new performance measures and three new quality measures.

The COVID-19 pandemic disrupted the traditional, facility-based cardiac rehabilitation model (CR). This expert analysis from the American College of Cardiology, however, finds that home-based cardiac rehabilitation is an effective alternative to traditional CR. The analysis further notes that, as the pandemic continues, using a home-based rehabilitation CR program can help protect patients while achieving cardiovascular outcomes.

The Institure for Healthcare Improvement uses the Model for Improvement as the framework to guide improvement work. This website explains the change process.

Download this two-page handout the TMF Quality Innovation Network created to help health care providers and practitioners find and implement quality improvement interventions to help patients take an active role in managing their diabetes and prediabetes.

The American Medical Association offers suggestions and guidance on how providers can use electronic health records (EHRs) and technology to improve care for patients with prediabetes.

In the Know Diabetes by Heart Pocket Guide, the American Heart Association and the ADA summarize key clinical recommendations for cardio-metabolic health management for people with type 2 diabetes.

Providers can give this handout to patients diagnosed with prediabetes or type 2 diabetes. This patient education tool from the Association of Diabetes Care & Education Specialists (ADCES7) is intended to help patients take an active role in keeping their hearts, kidneys and eyes healthy while they manage their diabetes.

Read how Tulane Medical Group used the Diabetes INSIDE (Inspiring System Improvement with Data-Driven Excellence) program to conduct a multiyear review of outpatient EHRs to improve outcomes of patients with adult type 2 diabetes. The goal: to decrease hemoglobin A1C (HbA1c) under-testing, reduce the number of patients with poor glycemic control and lower HbA1c levels.

The National Diabetes Prevention Program—or National DPP—was created in 2010 to address the increasing number of people diagnosed with prediabetes and type 2 diabetes in the United States. Health care professionals can refer their at-risk patients to a CDC-recognized lifestyle change program that focuses on changing certain habits and behaviors that contribute to poor health.

This quality improvement tool, created by the CDC, is intended for health care professionals in outpatient, inpatient and behavioral health settings that work with public health professionals who provide treatment to patients who use tobacco. The change package can help clinical teams increase the reach and effectiveness of tobacco cessation interventions and incorporate these interventions into the clinical workflow.

This quality improvement tool, created by the CDC, is intended for health care professionals in outpatient, inpatient and behavioral health settings that work with public health professionals who provide treatment to patients who use tobacco. The change package can help clinical teams increase the reach and effectiveness of tobacco cessation interventions and incorporate these interventions into the clinical workflow.

NAQC is an international, non-profit membership organization that promotes evidence-based quitline services across diverse communities in North America. More than 400 organizations and individuals make up NAQC’s membership. NACQ members help fund quitlines, conduct research around quitline-related topics, advance national cessation policies, and work in other areas of tobacco control. NAQC’s Quitline Map shows contact information and services offered in the United States and Canada.

NAQC’s Quitline Map shows contact information and services offered in the United States and Canada.

The Safety Net Medical Home Initiative produced this comprehensive guide to help medical practices, providers and care teams make a shift from caring for individual patients to managing the health of a defined population of patients. The guide focuses on the provider panel manager’s role and responsibilities in fostering proactive preventive and chronic illness care.

Risk stratification categorizes patients based on their health status and other factors and helps practices manage their patients according to their assigned risk level. This online article, published in FPM—an AAFP journal—describes how one practice uses a structured, algorithmic approach to determine its patients' risk levels and drive better care team support for its patients.

Patients who get outpatient CR after a cardiac-related event or procedure can reduce the risk of death and decrease hospital readmissions, while also improving their quality of life. Despite the benefits, participation in CR remains low. Download this change package, completed by the Centers for Disease Control and Prevention (CDC), to find out how you and you colleagues can become CR change agents for your practice.

Created by the Centers for Disease Control and Prevention (CDC), this update to its 2015 change package responds to new clinical guidelines and reflects advances in improving HTN control. Included in this change packagare are more self-measured blood pressure (SMBP)-focused content and tools to help providers identify patients who may have HTN.

Medical practices, providers and care teams use many referral patterns to ensure patients get outpatient CR. The TAKEheart Automatic Referral Implementation Guide, Module 5 (PDF) focuses on how to create an automatic referral system so patients can transition from the inpatient environment to outpatient CR.

Medical practices, providers and care teams use many referral patterns to ensure patients get outpatient CR. The TAKEheart Automatic Referral Implementation Guide, Module 5 (PDF) focuses on how to create an automatic referral system so patients can transition from the inpatient environment to outpatient CR. This guide provides a referral workflow a care team can follow.

Created by the Centers for Disease Control and Prevention (CDC), this update to its 2015 change package responds to new clinical guidelines and reflects advances in improving HTN control. Download this change package for more self-measured blood pressure (SMBP)-focused content and tools to help providers identify patients who may have HTN.

According to the American Heart Association, which created the Target: BP website, patients who engage in SMBP may also seek to improve their health in other ways. This site explains how SMBP works and offers guidance in launching an SMBP program.

Patients who get outpatient CR after a cardiac-related event or procedure can reduce the risk of death and decrease hospital readmissions, while also improving their quality of life. Despite the benefits, participation in CR remains low. See this change package, completed by the Centers for Disease Control and Prevention (CDC), to find out how you and you colleagues can become CR change agents for your practice.

Risk stratification categorizes patients based on their health status and other factors and helps practices manage their patients according to their assigned risk level. This online article, published in FPM—an AAFP journal—describes how one practice uses a structured, algorithmic approach to determine its patients' risk levels and drive better care team support for its patients.

The CDC created this workflow template that practices can modify to better work with patients to control their HTN.

Health care professionals from all care settings are encouraged to use the resources listed in this TMF Quality Innovation Network change package to help care for patients diagnosed with COVID-19. Note, you must log into this website to download this change package.

The TMF Quality Innovation Network, under contract with the Centers for Medicare & Medicaid Services, designed this change package to provide strategies to address adverse drug events in all community settings.

The TMF Quality Innovation Network, under contract with the Centers for Medicare & Medicaid Services, designed this change package to provide strategies to improve the quality of care transitions.

The TMF Quality Innovation Network, under contract with the Centers for Medicare & Medicaid Services, designed this change package to provide strategies to address and prevent the progression of chronic kidney disease to end-stage renal disease.

The TMF Quality Innovation Network, under contract with the Centers for Medicare & Medicaid Services, designed this change package to provide strategies to address diabetes prevention, self-management and care.

The TMF Quality Innovation Network, under contract with the Centers for Medicare & Medicaid Services, designed this change package to provide strategies to address the prevention of cardiovascular disease events by improving blood pressure control and cholesterol management.

The TMF Quality Innovation Network developed this document to assist health care professionals to increase patient safety by reducing C. diff rates and improving antibiotic stewardship in health care facilities serving high-risk fee-for-service Medicare beneficiaries.

This TMF Quality Innovation Network change package provides a menu of options from which you can select specific interventions to develop an action plan that improves opioid-related outcomes and increases access to behavioral health services.

TMF Quality Innovation Network, en virtud del contrato con CMS, preparó este paquete para facilitar el cambio y proporcionar a las comunidades estrategias para combatir el abuso, el uso inapropiado y las sobredosis de opioides y aumentar el acceso a los servicios de salud del comportamiento.

Se recomienda a los profesionales médicos de todos los entornos de atención que usen los recursos enumerados en este Paquete para facilitar el cambio como ayuda para brindar atención a los pacientes diagnosticados con pulmonía.

Se recomienda a los profesionales de atención médica que usen los recursos enumerados en este paquete para facilitar el cambio como ayuda para brindar atención a los pacientes diagnosticados con el COVID-19.

Se recomienda a los profesionales de atención médica que usen los recursos enumerados en este paquete para facilitar el cambio como ayuda para brindar atención a los pacientes diagnosticados con influenza.

La Red de Innovación de la Calidad de TMF, bajo contrato con los Centros de Servicios de Medicare y Medicaid, diseñó este paquete de cambios para proporcionar las estrategias para abordar los eventos adversos de medicamentos.

TMF Quality Innovation Network diseñó este documento para ayudar a los profesionales de atención médica a aumentar la seguridad de los pacientes al reducir las tasas de infección con C. diff y mejorar el uso responsable de los antibióticos en las facilidades de atención médica que dan servicio a beneficiarios de pago por servicios de Medicare en alto riesgo.

TMF Quality Innovation Network, según el contrato con los Centros de Servicios de Medicare y Medicaid, diseñó este paquete para facilitar el cambio a fin de proporcionar estrategias para abordar la prevención de eventos relacionados con las enfermedades cardiovasculares al mejorar el control de la presión arterial y del colesterol.

TMF Quality Innovation Network, según el contrato con los Centros de Servicios de Medicare y Medicaid, diseñó este paquete para facilitar el cambio a fin de proporcionar estrategias para abordar y prevenir la progresión de la insuficiencia renal a insuficiencia renal terminal.

TMF Quality Innovation Network, según el contrato con los Centros de Servicios de Medicare y Medicaid, diseñó este paquete para facilitar el cambio a fin de proporcionar estrategias para mejorar la calidad de las transiciones de atención.

TMF Quality Innovation Network, según el contrato con los Centros de Servicios de Medicare y Medicaid, diseñó este paquete para facilitar el cambio a fin de proporcionar estrategias para abordar la prevención, el automanejo y la atención de la diabetes.