PFE Provider Change Package Resources

This list of resources provides strategies, interventions and links to help with your patient engagement improvement initiatives. These documents and patient-facing tools will help you and your staff best connect with your patients and help them feel empowered to take charge of their health.

Hospital PFE Assessment ToolHospital PFE Action PlanPR Spanish Hospital PFE Assessment ToolHospital PFE Action Plan PR SpanishPFE Action Plan Template

Healthy Behaviors Self-Management

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Chronic Disease Indicators
The chronic disease indicators (CDI) are a set of surveillance indicators developed by consensus among the Centers for Disease Control and Prevention (CDC), the Council of State and Territorial Epidemiologists (CSTE), and the National Association of Chronic Disease Directors (NACDD). CDI enables public health professionals and policymakers to retrieve uniformly defined state-level data for chronic diseases and risk factors that have a substantial impact on public health.
Web link    Date Added: 03/25/2022    Date Last Modified: Mar 25 2022 9:15AM  
Chronic Conditions Among Medicare Beneficiaries Chartbook and Charts
This report was prepared by the Centers for Medicare & Medicaid Services (CMS) and created to provide an overview of chronic conditions among Medicare beneficiaries. The chartbook highlights the prevalence of chronic conditions among Medicare beneficiaries and the impact of chronic conditions on Medicare service utilization and spending.
Web link    Date Added: 03/25/2022    Date Last Modified: Mar 25 2022 9:11AM  
Partnering in Self-Management Support: A Toolkit for Clinicians
The concepts and tools in this toolkit from the Institute for Healthcare Improvement are intended to give busy clinical practices an introduction to a set of activities and changes that support patients and families in the day-to-day management of chronic conditions.
Adobe PDF    Date Added: 03/25/2022    Date Last Modified: Mar 25 2022 9:22AM  
Evidence-Based Chronic Disease Self-Management Education Programs
Around 80% of older adults live with at least one chronic disease, and many struggle to manage them. This webpage maintained by the National Council on Aging provides resources for managing chronic conditions and improving quality of life.
Web link    Date Added: 03/25/2022    Date Last Modified: Mar 25 2022 9:29AM  
Coaching Patients for Successful Self-Management
This video from the California Health Care Foundation features coaching techniques for providers to effectively educate and motivate patients to take charge of their health.
Video    Date Added: 03/24/2022    Date Last Modified: Mar 24 2022 10:28PM  
National Center for Chronic Disease Prevention and Health Promotion
Chronic diseases are the leading causes of death and disability in America, and they are also a leading driver of health care costs. These resources from the CDC’s National Center for Chronic Disease Prevention and Health Promotion helps people and communities prevent chronic diseases and promotes health and wellness for all.
Web link    Date Added: 03/24/2022    Date Last Modified: Mar 24 2022 10:23PM  
Chronic Care Model: Self-Management Support
The Chronic Care Model by the Accelerating Care Transformation (ACT) Center identifies the essential elements of a health care system that encourage high-quality chronic disease care. These elements are the community, the health system, self-management support, delivery system design, decision support and clinical information systems
Adobe PDF    Date Added: 03/24/2022    Date Last Modified: Mar 24 2022 10:54PM  
My Emergency Plan (English)
Internists/primary care physicians and nurses: Provide this document to your patients, which includes more information to help them ascertain when to call your office for help or when to go to the emergency room for a range of conditions, including shortness of breath, heart failure, complications with diabetes and more. Patients: Use this document to help determine when to call your physician for help or when to go to the emergency department for assistance.
Adobe PDF    Date Added: 02/03/2015    Date Last Modified: Apr 14 2022 4:01PM  
My Emergency Plan (Spanish)
Internists/primary care physicians and nurses: Provide this document to your patients, which includes more information to help them ascertain when to call your office for help or when to go to the emergency room for a range of conditions, including shortness of breath, heart failure, complications with diabetes and more. Patients: Use this document to help determine when to call your physician for help or when to go to the emergency department for assistance.
Adobe PDF    Date Added: 02/03/2015    Date Last Modified: Apr 14 2022 4:02PM