Generated by All in One SEO v5.0.0.1, this is an llms.txt file, used by LLMs to index the site. # HIPxChange ## Sitemaps - [XML Sitemap](https://hipxchange.org/sitemap.xml): Contains all public & indexable URLs for this website. ## Posts - [Hello world!](https://hipxchange.org/hello-world/) - Welcome to Hip Sites Sites. This is your first post. Edit or delete it, then start writing! ## Pages - [HIPxChange Pausing New Applications](https://hipxchange.org/hipxchange-pausing-new-applications/) - HIPxChange will be pausing new applications for HIPxChange toolkits for the remainder of 2024. For questions, please email us at HIPxChange@hip.wisc.edu - [Who We Are](https://hipxchange.org/about/) - The goal of HIPxChange is to accelerate the translation of new and existing knowledge into clinical and community practice to improve healthcare delivery and health outcomes. HIPxChange is sponsored by the following programs at the University of Wisconsin–Madison to provide tools and materials for evidence-based health system and population health improvement. We welcome all questions, comments, and suggestions - [About the Wisconsin Network for Research Support](https://hipxchange.org/winrs/) - The Wisconsin Network for Research Support (WINRS) works at the intersections of health, equity, and community to facilitate the contribution of patient and community voice in health sciences research. We do this to shrink the distance between the research enterprise and community wisdom to accelerate progress toward a more just world. WINRS is an innovative - [Terms and Conditions](https://hipxchange.org/terms-and-conditions/) - The Health Innovation Program (HIP) maintains this Web site for your personal entertainment, information, education and communication. These Terms of Service ("Terms") govern your access to and use of the HIPxChange website. Your access to and use of the website is conditioned on your acceptance of and compliance with these Terms. These Terms apply to - [Privacy Statement](https://hipxchange.org/privacy/) - We respect the privacy of our users. This privacy statement is designed to help you understand what information we gather and what we do with the information. It applies solely to information collected by this website. Information We Collect The information we collect generally falls into two categories: information voluntarily supplied by visitors to our - [Contact Us](https://hipxchange.org/contact/) - We welcome all questions, comments, and suggestions from the growing number of people and organizations working to implement best practices for a safe and effective healthcare system. Health Innovation Program800 University Bay Drive, Suite 210Madison, WI 53705 Phone: (608) 262-1301 Email: hipxchange@hip.wisc.edu - [Planning a Toolkit](https://hipxchange.org/planning-a-toolkit/) - HIPxChange welcomes submissions of tools and materials for health system change to be posted on HIPxChange. If you have conducted an intervention and have materials that would potentially be useful for other healthcare systems that you are interested in sharing, we encourage you to get in touch with the Health Innovation Program (HIPxChange@hip.wisc.edu) about creating - [Log In or Create an Account](https://hipxchange.org/log-in/) - [My Account](https://hipxchange.org/my-account/) ## Toolkit - [Occupational Therapy Health Routines Screening Tool: A tool to identify and optimize patient lifestyle behaviors](https://hipxchange.org/toolkit/ot_health_routines_screening/) - Background Introduction: The Occupational Therapy Health Routines (OT-HR) Screening Tool is a tool that is intended (1) to identify lifestyle patterns that could be impairing patient health, and (2) to connect patients with occupational therapy services to create more optimal habits. Occupational therapists are healthcare providers that help patients improve their performance of daily activities. - [Health Experiences Catalyst Films: Medication for Opioid Use Disorder](https://hipxchange.org/toolkit/medicationforopioidusecatalyst/) - Background Millions of people in the US live with opioid use disorder (OUD). This chronic health crisis, deemed a public health emergency in 2017, has been increasing in prevalence in the US for the past several decades. OUD has become the leading cause of injury-related death, with a new record of 110,236 reported deaths in - [Dementia Friendly Toolkit](https://hipxchange.org/toolkit/dementiafriendly/) - Background In Wisconsin, the number of people living with dementia in the year 2040 is expected to be more than double the number from 2015. Some 70 percent of people with dementia are cared for in the community by family members and friends. Many people living with dementia go to stores, restaurants, banks, libraries, and - [Support for Older People with Intellectual Disability: Manager’s Guide](https://hipxchange.org/toolkit/older-people-id_manager/) - Background People with intellectual disability (ID) are living longer than ever before. Advances in medical technology, social support, and healthcare programs for people with ID have increased life expectancy. It is now common for people with ID to live well into old age. People with ID have higher rates of certain medical conditions than would - [Support for Older People with Intellectual Disability: A Manual for Promoting Health (United States edition)](https://hipxchange.org/toolkit/older-people-id_us/) - Background People with intellectual disability (ID) are living longer than ever before. Advances in medical technology, social support, and healthcare programs for people with ID have increased life expectancy. It is now common for people with ID to live well into old age. People with ID have higher rates of certain medical conditions than would - [Support for Older People with Intellectual Disability: A Manual for Promoting Health (Wisconsin edition)](https://hipxchange.org/toolkit/older-people-id_wi/) - Background People with intellectual disability (ID) are living longer than ever before. Advances in medical technology, social support, and healthcare programs for people with ID have increased life expectancy. It is now common for people with ID to live well into old age. People with ID have higher rates of certain medical conditions than would - [Support for Older People: a Manual for Promoting Health](https://hipxchange.org/toolkit/support-for-older-people_promoting-health/) - Background People are living longer than ever before. Advances in medical technology, social support, and health care programs have increased life expectancy. Consequently, it is now common for people to live well into old age. As people age, they usually remain in their home as long as they are able, often with support from health - [Dementia Friendly Hospital Toolkit](https://hipxchange.org/toolkit/dementia-friendly-hospital-toolkit/) - Background The number of people living with dementia is increasing as communities grow older. Many people living with dementia do not have a formal diagnosis. Most healthcare professionals do not receive specialized training on dementia. In the hospital, people living with dementia are at greater risk of developing delirium, infections, and other complications. They are - [Implementing Change in Long-Term Care Toolkit](https://hipxchange.org/toolkit/culturechangeinltc/) - Background For quite some time now, state and federal legislation have been targeted at improving the quality of care in U.S. nursing homes. Some examples include: 1) mandating quality assurance and performance improvement efforts; 2) linking reimbursement to nursing home performance; and 3) mandating training hours and content for some nursing home staff. Long term - [Dashboarding for Machine Learning-based Clinical Decision Support Implementation and Monitoring Toolkit](https://hipxchange.org/toolkit/cdsdashboard/) - Background Machine learning-based clinical decision support (ML-CDS) tools hold enormous promise to simultaneously improve clinical care and reduce clinician burden. ML-CDSs can distill the abundance of data in modern electronic health records (EHRs) into an actionable recommendation to providers to inform medical decision making, and they can do so without the provider needing to perform - [Health Disparities Improvement Toolkit](https://hipxchange.org/toolkit/health-disparities-improvement-toolkit/) - Background Wisconsin has led the way nationally in improving health care quality. However, there are widespread disparities in health outcomes and care. The Centers for Disease Control defines health disparities as “preventable differences in the burden of disease, injury, violence, or opportunities to achieve optimal health that are experienced by socials disadvantaged populations.”1 There is - [Health Innovation Program (HIP) Claims Data Processing Standards](https://hipxchange.org/toolkit/claimsdata/) - Background Healthcare claims data are an important source of information for activities to improve the quality and value of healthcare. Because there is wide variation in how claims are submitted by different providers and stored by different health insurers, converting claims into consistent information for analysis presents challenges. The Health Innovation Program (HIP) has developed internal standards - [Health Innovation Program DRG Categories](https://hipxchange.org/toolkit/drg/) - Background Patients discharged to a SNF from an inpatient stay experience high readmission rates. Because these patients have varying causes for the inpatient stay, they inevitably have different readmission rates. The HIP Diagnosis-Related Group (DRG) Categories Tool groups patients into DRG clusters based on joint likelihood of readmission and discharge to a SNF. The DRG - [Case Management Benefit Scoring System](https://hipxchange.org/toolkit/benefitscore/) - Background Caring for high-need, high-cost patients is an urgent concern within American health care delivery. Case management programs to improve quality and reduce costs for patients with complex needs are now being implemented across health systems. Yet multiple challenges exist in identifying the right patients to enroll in these programs. Faculty from the University of - [Predictive Models: A Toolkit to Guide Implementation in Health Systems](https://hipxchange.org/toolkit/implementpredictivemodels/) - Background Predictive analytics has the potential to transform the health care system by using existing data to predict and prevent poor clinical outcomes, provide targeted care, and lower costs. A challenge for health systems is selecting and implementing predictive models within clinical and operational workflows. To guide health systems through the process of selecting and - [Wisconsin Health Disparities Report Appendices](https://hipxchange.org/toolkit/wchqdisparities/) - WCHQ Disparities Reports Overview Widespread disparities exist in health outcomes and care in Wisconsin. Although Wisconsin ranks high in overall health care nationally, the state performs poorly with respect to disparities. The Wisconsin Collaborative for Healthcare Quality (WCHQ), in collaboration with the University of Wisconsin Health Innovation Program, developed the 2019 Wisconsin Health Disparities Report and the 2020 Wisconsin Health - [HIP Model and Tools for Research with Learning Health Systems](https://hipxchange.org/toolkit/hipmodel/) - Background There are major barriers to embedding researchers in health systems to support learning health system activities. To make progress, practical models and tools are required to operationalize existing frameworks for learning health systems. The HIP model defines specific steps for projects to create sustainable change based on research conducted within the health system. The - [Developing Dissemination and Implementation Capacity within a CTSA: A Toolkit](https://hipxchange.org/toolkit/developdi/) - Background The NIH Clinical and Translational Science Award (CTSA) Program exists to help turn research from the lab, clinic, and community into interventions that improve the health of individuals and the public at large. The field of dissemination and implementation (D&I) has essentially the same goal. Building the D&I capacity of CTSA grantees can substantially further a - [Rapidly Integrating Telemedicine Visits into Primary Care Toolkit](https://hipxchange.org/toolkit/telemedicine/) - Background With the onset of COVID-19, primary care systems across the country are rapidly changing clinical operations to limit in-person ambulatory visits for infection-control reasons. At our institution, we quickly redesigned primary care to introduce telemedicine visits as a practical alternative to provide needed care remotely. Our innovation was the rapid development and implementation of - [Risk from Delayed or Missed Care](https://hipxchange.org/toolkit/delayedmissedcare/) - Background During the COVID-19 pandemic, patients may be avoiding medical attention for their conditions for fear of catching the virus or because they are sheltering at home. Health systems have also rapidly transformed care delivery by delaying elective care and shifting to telehealth. There is concern that some patients, particularly those with multiple chronic conditions, - [ZIP Codes by Rural and Urban Groupings](https://hipxchange.org/toolkit/ruralurbangroups/) - Where people live, and the health-related characteristics of their communities, has a significant impact on the health and health outcomes of residents. Differences in health care quality and outcomes for rural and urban populations has been a focus of national priority and attention. These differences can be attributed to a number of factors, including socioeconomic - [Catalyst Films about Health Experiences: Long COVID in Primary Care](https://hipxchange.org/toolkit/longcovidcatalystfilms/) - Background The devastating impact of the COVID-19 pandemic in the U.S. continues to grow as additional variants yield new waves of infection. An estimated 1 in 5 people who have had COVID-19 will experience “long COVID” – persistent symptoms of acute SARS-CoV-2 infection lasting beyond three weeks (post-acute) or three months (chronic) after acute infection - [Health Experiences Catalyst Films: Smoking, Cancer, and Tobacco Cessation](https://hipxchange.org/toolkit/smokingcatalystfilms/) - Background Tobacco cessation among people living with cancer is a vexing challenge in cancer care, despite strong evidence that quitting improves survival, treatment response, and quality of life (Toll et al., 2013; Shields et al., 2015; Ditre et al., 2011). Half of patients who smoke continue to do so through cancer treatment, and many who - [Dashboard for Emergency Medicine Resident Learning Metrics Toolkit](https://hipxchange.org/toolkit/emresidentdashboard/) - Background The Accreditation Council for Graduate Medical Education mandates that programs provide residents with at least semi-annual evaluations of their progress and performance in residency. To create these assessments, residency programs convene Clinical Competency Committees: a group of dedicated faculty who synthesize resident data to assess individual resident strengths and weaknesses that are discussed in - [Skilled Nursing Facility (SNF) Capacity and Services Factors](https://hipxchange.org/toolkit/snf/) - Toolkit coming soon! - [Supporting Interhospital Transfer Decisions (SITe) Toolkit](https://hipxchange.org/toolkit/sitetoolkit/) - Background Interhospital transfers for emergency general surgery (EGS) conditions have increased in recent years in the United States (US). Older patients with EGS diagnoses are more likely to be transferred between hospitals and experience worse outcomes than younger patients. A contributing factor to these worse outcomes is that care coordination suffers during interhospital transfers. Provider - [Transfer Call Toolkit](https://hipxchange.org/toolkit/transfercalltoolkit/) - Background Interhospital transfers, the movement of patients between acute care facilities, play an increasingly critical role in the United States healthcare system. Although interhospital transfers are necessary, transferred patients experience more morbidity and mortality than directly admitted patients, even after adjusting for severity of illness. Effective and efficient communication between healthcare providers is crucial during - [Quit Connect: A Protocol To Improve Tobacco Quit Line Referrals](https://hipxchange.org/toolkit/quitconnect/) - A specialty staff protocol to improve referrals to tobacco quit lines The Clinical Problem Smoking is a known risk factor for developing chronic conditions such as rheumatoid arthritis (RA), hypertension, and lung disease and is a leading preventable cause of early mortality. Additionally, smoking can exacerbate chronic conditions and cause premature cardiovascular disease. For example, - [WIRED-RT COVID-19 Simulation Curriculum Toolkit](https://hipxchange.org/toolkit/wired-rt-cases/) - Background The COVID-19 pandemic has put new constraints on the care of patients. Concerns about viral transmission, limiting exposure, proper PPE utilization, and evolving best practices in caring for patients with a novel viral disease has led to healthcare workers feeling high levels of uncertainty and has left healthcare systems scrambling to prepare their staff - [Type 1 Diabetes Self-Management Resources Toolkit (T1D-SMART)](https://hipxchange.org/toolkit/t1dsmart/) - What is T1D-SMART? The Type 1 Diabetes Self-Management Resources Toolkit (T1D-SMART) is a resource to help clinicians and healthcare organizations improve health outcomes and quality of life for youth with type 1 diabetes (T1D) and their families. The toolkit contains materials to deliver group-based family-centered self-management support by tailoring self-management resources to the needs and preferences - [Toolkit for Improving Chronic Conditions, Hypertension & Diabetes: Care & Outcomes](https://hipxchange.org/toolkit/wchq-chronic-conditions/) - A Call to Action Hypertension, or high blood pressure, is a major risk factor for heart disease and stroke, two leading causes of premature death in Americans (CDC - High Blood Pressure). In fact, heart disease is the leading cause of death in Wisconsin (Wisconsin Department of Health Services - Heart Disease). One in about - [Thyroid Cancer Treatment Choice Toolkit](https://hipxchange.org/toolkit/thyroidcancertreatmentchoice/) - Background With the release of the 2015 American Thyroid Association (ATA) Management Guidelines for Adults with Differentiated Thyroid Cancer, treatment decisions for low-risk thyroid cancer became more complicated. Although the guidelines were meant to supplement shared patient-healthcare provider decision-making, the patient-provider deliberation often fails to meet the informational standards for patients and can often exclude - [Sustaining Engagement of Blended Stakeholder Boards](https://hipxchange.org/toolkit/sustainingengagement/) - About the Toolkit Stakeholders can provide invaluable feedback in all stages of the patient-centered outcomes research process. Stakeholder engagement can occur at any stage of the research trajectory and can take a variety of forms. Blended stakeholder boards include the diverse perspectives of patients and other populations (which can include hard-to-reach populations like minorities and - [Surgical Question Prompt List Intervention](https://hipxchange.org/toolkit/surgicalqpl/) - About the Surgical Question Prompt List intervention To improve patient engagement in surgical decision making, we need to bridge the gap between patients’ need to make the consequences of surgery relevant to their lives and the surgeon’s goal of setting realistic expectations. Question prompt lists have proven efficacy in other settings and aim to empower - [Substance Use and Misuse Calculators](https://hipxchange.org/toolkit/substanceabuse/) - About the Substance Use and Misuse Calculators Two tools for substance use and misuse research are currently available: Conversion factors for determining morphine- and lorazepam-equivalent doses Urine toxicology testing - Method, reporting, and detection cut-off chart These resources were developed by researchers and clinicians (Principal Investigator: Aleksandra Zgierska, MD, PhD) at the University of Wisconsin-Madison - [Social Network Analysis in Health Lecture Series](https://hipxchange.org/toolkit/socialnetworkanalysis/) - About the lecture series Social networks are ubiquitous in our social and health behavior. They play a central role in the transmission of health information and risky health behaviors. Social networks are defined as ‘the patterns of friendship, advice, communication, and support that exist among members of a system.’ This lecture series, led by Marlon - [Shared Values and Tools for Implementing Collaborative Care](https://hipxchange.org/toolkit/collaborativecare/) - Background In United States primary care, helping patients with depression is a daily crisis. Over the past decade, Collaborative Care has emerged as the new standard for depression treatment in primary care. Recommended by the United States Preventive Services Task Force, this model speeds improvement through increased engagement, symptom monitoring and rapid treatment adjustment. While - [Shared Decision Making Repository](https://hipxchange.org/toolkit/shareddecisionmakingrepository/) - Background This tool compiles and catalogs over 70 qualitative and quantitative instruments that measure shared decision making. It allows researchers to easily locate and sort through a large collection of current literature on shared decision making measurements, and avoid performing redundant literature searches. Who should use this toolkit? The shared decision making repository is - [Rural Wisconsin Chronic Disease Toolkit](https://hipxchange.org/toolkit/ruralchronicdisease/) - About the Rural Wisconsin Chronic Disease Toolkit This toolkit was developed by the Wisconsin Collaborative for Healthcare Quality (WCHQ) and the Rural Wisconsin Health Cooperative (RWHC) to provide healthcare organizations providing primary care to rural populations with an up-to-date compendium of rurally relevant best practices that have been shown to be effective in improving chronic disease outcomes. - [Retrofitting Clinics for Self-Rooming](https://hipxchange.org/toolkit/selfrooming/) - Background Self-rooming is a relatively new process where patients direct themselves to an assigned exam room immediately after checking in, bypassing the traditional waiting room experience where a staff member would escort them from the waiting room to the exam room. Self-rooming decreases waiting time for patients and decreases staff time and cost while increasing - [RA Disease Activity & Monitoring Flowsheet](https://hipxchange.org/toolkit/ra/) - About the Rheumatoid Arthritis Disease Activity & Monitoring Toolkit The goal of the Rheumatoid Arthritis (RA) Disease Activity & Monitoring Toolkit centers around a flowsheet built in the electronic health record that allows clinicians to dynamically assess RA activity consistent with national RA quality indicators advocating disease activity monitoring. The flowsheet longitudinally displays pertinent lab - [Question Coding Schema: A Toolkit to Count and Categorize Questions During Surgical Consultation](https://hipxchange.org/toolkit/questioncoding/) - Background There is increasing interest in Shared Decision Making (SDM) as a way to empower patients to meaningfully participate in the treatment decision making process alongside physicians. Patient activation is seen as a key component of SDM and includes encouraging patients to ask more questions of their care providers. Although questions play an important role - [Publishing Quality Improvement Work](https://hipxchange.org/toolkit/qi_publish/) - This site contains several resources to help clinicians publish the results of their quality improvement work within healthcare organizations. UW Health and the Health Innovation Program partnered to create the site based on the SQUIRE (Standards for Quality Improvement Reporting Excellence) Guidelines, Maintenance of Certification requirements, and A3 guidelines for conducting quality improvement projects. The - [Problem Recognition in Illness Self-Management (PRISM) Survey](https://hipxchange.org/toolkit/prism/) - About PRISM: A survey for adolescents and parents to identify diabetes self-management barriers It is estimated that over 165,000 children under age 20 have type 1 diabetes, and the number of cases has been increasing over time. Due to the multi-faceted approach that is typically needed to manage diabetes, it is difficult for children and - [Preventing Opioid Rx Theft & Ensuring Secure PHI Transfer](https://hipxchange.org/toolkit/protectphi/) - Preventing Opioid Prescription Theft and Ensuring Secure Transfer of PHI during Transitions from Hospital to Nursing Homes The goal of this toolkit is to help hospital systems that serve vulnerable populations to improve care coordination and post-discharge outcomes when patients transition from the hospital and into a nursing home setting. Despite the well-documented negative outcomes - [Positive Pathways to Chart Completion](https://hipxchange.org/toolkit/chartcompletion/) - A Self-Help Worksheet For Lower Anxiety and Fewer Chart Fines (By someone who has been there, done that. For real.) No doubt that this will not work for everyone – stages of readiness for change and all that – but there were definitely a few things that I learned on my journey that might be - [Planning and Prioritizing COVID-19 Vaccine Outreach and Communications](https://hipxchange.org/toolkit/covid-19vaccineoutreach/) - Background COVID-19 vaccination may be off to a slow start, but soon supply levels will rise and processes will be streamlined. Thoughtfully designed outreach with well-crafted messages will be of the utmost importance to ensure enough people are vaccinated to put us on the path to population immunity and long-term protection from the disease. As - [Peer-to-Peer Breast Cancer Advocacy Program](https://hipxchange.org/toolkit/canceradvocacyprogram/) - About the Peer-to-Peer Breast Cancer Survivor Advocacy Toolkit Cancer support programs for patients recently diagnosed with cancer have been in place for several decades, and can provide important psychosocial and educational support to patients. Many types of programs have been implemented in a wide variety of settings, including one-on-one interactions with peers, peer support groups - [Patient Partner Engagement in Research](https://hipxchange.org/toolkit/topper/) - What is the Toolkit on Patient Partner Engagement in Research (TOPPER)? TOPPER is a comprehensive set of orientation materials that were created for the patient partners on the PCORI-funded study “Family-Centered Tailoring of Pediatric Diabetes Self-Management Resources” (Principal Investigator: Elizabeth Cox, MD, PhD). In this project, the patient partners are parents of youths and teens - [Patient Engagement in Redesigning Care](https://hipxchange.org/toolkit/patientengagement/) - About the Patient Engagement in Redesigning Care Toolkit, Version 2.0 Engaging patients in healthcare quality improvement and system redesign has become increasingly recognized as a key component of redesigning the US health care system to support patient-centered, high-quality primary care. There is growing recognition that patients play an integral role in the improvement of quality - [Patient Advisor Toolkit 1: Orientation for Patient Advisory Committees (PAT-1)](https://hipxchange.org/toolkit/pat-1/) - What is the Patient Advisor Toolkit 1 (PAT-1)? PAT-1 is comprehensive set of modifiable resources for conducting an orientation with patient advisors. The toolkit provides a complete, step-by-step guide to preparing patient advisors to work effectively with researchers. PAT-2 (in development) will be a complementary resource to help researchers plan and facilitate regular meetings with - [Partnering with Parents of Hospitalized Children Using an Inpatient Portal](https://hipxchange.org/toolkit/inpatientportal/) - [Number Needed to Treat Thresholding Toolkit](https://hipxchange.org/toolkit/nnt/) - Background Recently, healthcare has seen a sharp rise in the implementation of machine learning derived algorithms for predicting risk across a broad range of clinical scenarios. Often, performance of these algorithms is evaluated by comparing the area under a receiver operating characteristic (ROC) curve. AUC as a single number may do a poor job of - [MyHEART: Information & Resources for Young Adults with Hypertension](https://hipxchange.org/toolkit/myheart/) - Background Young adults have the lowest rates of blood pressure control compared to older adult age groups. In the United States, over 10 million young adults (1 in 5 men; 1 in 6 women) have hypertension, increasing their risk of heart failure, stroke, and chronic kidney disease. Young adults with hypertension have a higher lifetime - [IRB QI Self-Certification Decision Tool](https://hipxchange.org/toolkit/irb/) - About the IRB QI Self-Certification Decision Tool The IRB QI Self-Certification Decision Tool is a mechanism that allows study teams to make the decision about whether their project constitutes human subjects research or whether it is quality improvement (QI) or program evaluation (PE), such that IRB review and oversight is not required. Allowing institutions and - [Integrating Primary Care and Consulting Psychiatry](https://hipxchange.org/toolkit/access/) - About the Access Integrated Primary Care Consulting Psychiatry Toolkit An ever-increasing number of patients with mental health needs has resulted in primary care being referred to as the de facto mental health system in the United States. In instances where patients are referred elsewhere for mental health treatment, less than one-third of the referrals are - [Improving Colorectal Cancer Screening Rates](https://hipxchange.org/toolkit/crcscreening/) - About the Toolkit for Improving Colorectal Cancer Screening Rates This toolkit is in the process of being updated. Please check back soon for the latest version. Colorectal cancer is both the nation’s second-leading cause of cancer mortality and one of its most preventable cancers. Screening tests can identify colorectal cancer early, when treatment is most - [Implementing Universal Medication Schedule Directions For Use When E-Prescribing: A Toolkit for Health Systems](https://hipxchange.org/toolkit/universalmedscheduledirections/) - Background In 2008 the Institute of Medicine (now known as the National Academy of Medicine) recognized prescription medication labels as a vital tool to prevent adverse drug events, yet approximately half of patients across all literacy levels misunderstand dosage instructions (Institute of Medicine, 2008). The 2003 National Assessment of Adult Literacy found that just 52% - [Identifying Patients with Multiple Chronic Conditions](https://hipxchange.org/toolkit/comorbidities/) - About the Algorithm for Identifying Patients with Multiple Chronic Conditions (Multimorbidity) Patients with multiple chronic conditions comprise almost a third of the United States population, and account for 71% of healthcare spending. Suboptimal health outcomes and rising healthcare expenditures for those with multiple chronic conditions have been identified by the US Department of Health and - [Identifying High Risk Operations for Older Patients](https://hipxchange.org/toolkit/highrisksurgery/) - About the List of High Risk Operations for Patients Over Age 65 Previous studies have resulted in a lack of consensus regarding high-risk surgical procedures in older adults. In a recent study using claims data and a modified Delphi procedure, the authors of this toolkit created an inclusive, precise definition of high-risk surgeries that can - [Healthy Aging in Rural Towns (HeART) Toolkit](https://hipxchange.org/toolkit/healthyagingruraltowns/) - Background The Healthy Aging in Rural Towns (HeART) Toolkit contains guidelines and resources for conducting a needs-and-assets assessment and for choosing strategies to strengthen your community's support network and help older adults thrive. Tips and anecdotes have been added by the authors based on their experiences from projects conducted in 2018–2019 in three rural Wisconsin - [Guide for Staff Interactive Participatory Audit - Feedback](https://hipxchange.org/toolkit/auditfeedback/) - Audit and feedback (A&F) is an established implementation strategy to improve uptake of evidence-based practices. A&F can promote guideline-concordant care by improving how staff follow clinical practice protocols. While most healthcare literature has focused on A&F for clinicians, we sought to develop processes to support frontline clinic staff like medical assistants (MAs). We developed theory-based - [Guide for Collecting and Submitting Disparity Indicators](https://hipxchange.org/toolkit/disparityindicators/) - Background Nationally and within Wisconsin, disparities in healthcare exist across multiple determinants of health including race and ethnicity, socioeconomic status, health insurance coverage, and geography (rural and urban). Public reporting on disparities in the quality of care is an important step to achieving accountability for reducing disparities over time and has been associated with improvements - [Geriatric Simulations Toolkit](https://hipxchange.org/toolkit/geriatricsimulations/) - Background In 2017, older adults accounted for more than one-third of hospital stays and 15 percent of emergency room visits. These numbers will rise as the 65-plus population grows, intensifying the need for more nurses with experience in geriatric care. Yet undergraduate nursing students receive little clinical experience focused on caring for older adults across - [Engaging Veterans in Research Toolkit](https://hipxchange.org/toolkit/engagingveterans/) - Background Veteran engagement refers to the meaningful, bi-directional involvement of Veterans in the research process. In this context, Veteran engagement does not refer to Veteran participation as subjects of a research study or as a member of a focus group. Instead, they are engaged as active stakeholders who contribute feedback on the direction of the - [Engaging Research Participants in Disseminating Health Experiences Research](https://hipxchange.org/toolkit/healthexperiencesresearch/) - Background This action-oriented toolkit is designed to share lessons learned from collaborating with former research participants as “Patient Experience Ambassadors” to disseminate health experiences research. The materials and lessons learned in this toolkit are from the dissemination efforts for the first HealthExperiencesUSA module, which features Young Adults’ Experiences of Depression in the U.S., but we believe the - [Encouraging the Scale-up of Proven Interventions: A Toolkit](https://hipxchange.org/toolkit/evidence-to-implementation-award/) - Background Most research universities have technology transfer infrastructure in place to help researchers apply for patents and spread the use of inventions such as drugs and devices. Yet most research universities lack similar infrastructure to help investigators scale up the use of non-patentable innovations such as novel healthcare models, behavioral or other heath interventions, and - [Depression Screening and Treatment Toolkit](https://hipxchange.org/toolkit/depressionscreentreat/) - Background About 1.45 million individuals in Wisconsin, or 18.75%, have some mental or behavioral health issues, and the percentage of major depressive episodes for adults aged 18 and over is 6.56%.1,2 The economic impact of poor mental health in Wisconsin adds up to $9 billion annually, with depression alone costing Wisconsin $800 million annually.1 The mental health - [Decision-framing to Incorporate Stakeholder Perspectives in Implementation Toolkit](https://hipxchange.org/toolkit/implementationdecisionmaking/) - Background It takes an average of 17 years for an evidence-based practice (EBP) to be adopted into clinical practice—and most EBPs are never widely adopted. The decision-framing approach described below makes it easy to identify the values that different stakeholders have about implementing a possible change, potentially speeding the adoption and improving the effectiveness of - [COVID-19 Vaccine Prioritization Tool](https://hipxchange.org/toolkit/covidvaccine/) - Background Since its discovery, COVID-19 has affected families, economies, and communities. Scientists and researchers have worked nonstop since the beginning of the pandemic to develop vaccinations to fight against the novel coronavirus. Upon approval, vaccination supplies will need to be distributed to adults, and the Center for Disease Control and Prevention’s (CDC) has published a - [Coordinated-Transitional Care Program (C-TraC)](https://hipxchange.org/toolkit/c-trac/) - About the C-TraC Program The Coordinated-Transitional Care (C-TraC) program is a low-resource, registered nurse telephone-based initiative that was developed and tested in the William S. Middleton Memorial Veterans Hospital in response to the Affordable Care Act’s call to disseminate effective and cost-efficient transitional care programs that improve patient safety and post-discharge outcomes. C-TraC aims to - [Chlorhexidine Bathing Treatments: A Toolkit to Guide Implementation](https://hipxchange.org/toolkit/chgbathing/) - Background This toolkit addresses healthcare-associated infections (HAIs), an issue of a public health importance. Approximately 722,000 people are afflicted by an HAI every year (1 in 25 hospitalized patients) and 75,000 people with HAIs die. Prevention of HAIs is now a national priority in the United States. Daily bathing treatments with chlorhexidine gluconate (CHG) for - [Children's Hospital Safety Climate Questionnaire](https://hipxchange.org/toolkit/chscq/) - About the Children’s Hospital Safety Climate (CHSC) Questionnaire Engaging families in care has the potential to improve safety for hospitalized children given that parents often have the responsibility of communicating on their children’s behalf and can play a role in reducing medical error. As such, understanding the patient safety climate of hospitals from the perspective - [Catalyst Films about Health Experiences Guidebook](https://hipxchange.org/toolkit/catalystfilms/) - Background Catalyst films are short films made of narratives - interviews of people discussing their health experiences and experiences receiving health care - designed to ensure that an improvement, co-design or educational process includes health experiences and to catalyze meaningful and active participation of patients in activities. They are both a patient engagement/co-design method and a participatory - [Building Community Engaged Research Capacity within a CTSA](https://hipxchange.org/toolkit/buildingacercore/) - Background The University of Wisconsin - Madison Institute for Clinical and Translational Research (ICTR) Community–Academic Partnerships component (ICTR-CAP) supports statewide multi-disciplinary, community-partnered research to solve problems in translating knowledge into improvements in clinical practice, community health programs, and health policy with the goal of improving human health and reducing health disparities. UW ICTR-CAP is organized - [Breast Cancer Screening Shared Decision Making Toolkit](https://hipxchange.org/toolkit/screeningmammo/) - The clinical issue Breast cancer screening, such as getting a mammogram, plays an important public health role in improving health outcomes for women, and has contributed substantially to the national and statewide declines in breast cancer mortality over the past 30 years. Increasingly, organizations like the United States Preventive Services Task Force (USPSTF) are recommending - [BP Connect: Improving Follow-up After High Blood Pressures](https://hipxchange.org/toolkit/bpconnect/) - A specialty staff protocol to improve follow-up after high blood pressures The Clinical Problem High blood pressures are one of the most prevalent and reversible cardiovascular disease risk factors among adults with chronic conditions, who are often vulnerable to gaps between specialty and primary care. Increasing preventive services to address hypertension could prevent more early - [BESt: Breastfeeding and Employment Study Survey](https://hipxchange.org/toolkit/breastfeedingandemployment/) - Employee, Manager, and Organization Surveys on Breastfeeding Support in the Workplace Issues faced by breastfeeding mothers in the U.S. Despite the many health benefits that breastfeeding offers to both infants and mothers, the rate of mothers who continue to breastfeed their infants for the recommended 12 to 24 months remains low in the United States. - [Best Case/Worst Case: High-Stakes Surgical Decisions](https://hipxchange.org/toolkit/bcwc/) - Background Many frail older adults receive burdensome treatments near the end of life that may be inconsistent with their values and goals. We believe improved communication and partnership between surgeons, patients and families can help patients make treatment decisions based on what is important to them. To promote shared decision making in high-stakes decisions, researchers - [Best Case/Worst Case: ICU, with special content for patients with COVID-19](https://hipxchange.org/toolkit/bcwc_covid-19/) - Background Because of the COVID-19 pandemic, critically ill patients have been hospitalized and isolated from their families and loved ones. In many hospitals, the palliative care team has been charged with maintaining communication between the critical care team and their patients’ families. The Best Case/Worst Case: ICU (COVID-19) communication toolkit is designed to assist separated - [Area Deprivation Index Datasets](https://hipxchange.org/toolkit/adi/) - Area Deprivation Index Available at Neighborhood Atlas The US Area Deprivation Index (ADI), including both datasets and a customized mapping interface, is now available without cost through the University of Wisconsin’s new Neighborhood Atlas website. The ADI is based on a measure created by the Health Resources & Services Administration and has been refined, adapted, and - [Academic Learning Health System Toolkit](https://hipxchange.org/toolkit/learninghealthsystem/) - About the Academic Learning Health System Toolkit The Institute of Medicine defines a learning health system as “one in which knowledge generation is so embedded into the core of the practice of medicine that it is a natural outgrowth and product of the healthcare delivery process and leads to continual improvement in care.” On its - [A Guide to Implementation for Sustained Impact in Teleophthalmology (I-SITE)](https://hipxchange.org/toolkit/i-site/) - Background Diabetic eye disease is the leading cause of blindness among working-age U.S. adults. Early detection and treatment can reduce the risk of blindness by over 90%, but fewer than half of adults with diabetes obtain yearly recommended eye screening. Teleophthalmology makes it easier for patients to obtain diabetic eye screening by providing convenient access - [Best Case/Worst Case for Nephrologists](https://hipxchange.org/toolkit/bcwc_nephrology/) - This toolkit is currently under development. Please check back at a future date. - [School-Based Asthma, Allergies and Anaphylaxis Management Program](https://hipxchange.org/toolkit/sampro/) - About SA3MPROTM Childhood asthma is a common, chronic pediatric condition, affecting 6.3 million children. Morbidity from childhood asthma adversely affects school performance, with 1 in 2 children reporting school absences due to asthma each year. These asthma related absences influence academic achievement, leading to decreased levels of reading proficiency and increased risk of learning disabilities. - [Practice-Based Research Network Research Good Practices](https://hipxchange.org/toolkit/practice-based-research-network-research-good-practices/) - Background ... Who should use this toolkit? This toolkit is intended for... What does the toolkit contain? This toolkit contains... How should these tools be used? The materials in this toolkit can be used to: ... ... ... Development of this toolkit ... References ... Toolkit Citation ... - [Physician Referral for Pharmacist MTM Services](https://hipxchange.org/toolkit/physician-referral-pharmacist-mtm-services/) - Background ... Who should use this toolkit? This toolkit is intended for... What does the toolkit contain? This toolkit contains... How should these tools be used? The materials in this toolkit can be used to: ... ... ... Development of this toolkit ... References ... Toolkit Citation ... - [Patient Engagement Workbook for Researchers](https://hipxchange.org/toolkit/hcsrnengagementworkbook/) - About the Patient Engagement Workbook Engaging patients and other stakeholders brings patient’s ideas and concerns to the forefront of research and has been identified as a critical component in the quest to improve health and healthcare. As such, the patient role in health and healthcare research has undergone a transformative shift in recent years. While - [Informed Consent Templates and Model Language](https://hipxchange.org/toolkit/informedconsent/) - Background ... Who should use this toolkit? This toolkit is intended for... What does the toolkit contain? This toolkit contains... How should these tools be used? The materials in this toolkit can be used to: ... ... ... Development of this toolkit ... References ... Toolkit Citation ... - [How to Approach Recruiting and Retaining Patient Stakeholders: An Engagement Guide (HARPS)](https://hipxchange.org/toolkit/harps/) - What is HARPS? How to Approach Recruiting and Retaining Patient Stakeholders: An Engagement Guide (HARPS) is a set of planning materials for researchers and others who want to engage patient stakeholders as advisors on research projects, including patient-centered outcomes research (PCOR). HARPS contains the following materials: The roadmap, a fillable workbook that uses 10 guiding - [Estimating Differential Treatment Effects Using the 'personalized' R Package](https://hipxchange.org/toolkit/personalizedrpackage/) - The ‘personalized’ package is an R software package designed for the analysis of data where the effect of a treatment or intervention may vary for different patients. The package allows you to construct models that estimate the differential treatment effects and then use these estimates to make treatment or intervention recommendations for patients. The recommendations - [Enhancing Opioid Stewardship in Rural Wisconsin Health Systems: A Toolkit for Pharmacists](https://hipxchange.org/toolkit/enhancing-opioid-stewardship-rural-wisconsin-health-systems-toolkit-pharmacists/) - Background In response to the opioid crisis, Wisconsin health systems serving rural communities are developing opioid stewardship programs to facilitate appropriate opioid prescribing, opioid disposal, diversion prevention, management of the effects of the use of opioids, treatment of opioid use disorder and reducing opioid overdoses. Health system pharmacists often lead these efforts and have many - [Deeply Engaging Patients with a Mix & Match of Methods](https://hipxchange.org/toolkit/deeplyengagingpatients/) - About the training The Patient-Centered Outcomes Research Institute (PCORI) defines "engagement in research" as: “The meaningful involvement of patients, caregivers, clinicians, and other healthcare stakeholders throughout the research process—from topic selection through design and conduct of research to dissemination of results. PCORI believes that such engagement can influence research to be more patient centered, useful, - [Community Guidelines for Engaging with Researchers and Evaluators](https://hipxchange.org/toolkit/community-guidelines-engaging-researchers-and-evaluators/) - Background ... Who should use this toolkit? This toolkit is intended for... What does the toolkit contain? This toolkit contains... How should these tools be used? The materials in this toolkit can be used to: ... ... ... Development of this toolkit ... References ... Toolkit Citation ... - [Agefully Tool for Family Caregivers](https://hipxchange.org/toolkit/agefullytool/) - [WCHQDisparities2020](https://hipxchange.org/toolkit/wchqdisparities2020/) - Background ... Who should use this toolkit? This toolkit is intended for... What does the toolkit contain? This toolkit contains... How should these tools be used? The materials in this toolkit can be used to: ... ... ... Development of this toolkit ... References ... Toolkit Citation ... - [Mammography Outcomes Policy (Mammo OUTPuT) Tool](https://hipxchange.org/toolkit/portfolio-mammography-outcomes-policy-mammo-output-tool/) - About the Mammo OUTPuT tool The optimal age to initiate breast cancer screening is a source of substantial debate in health care policy, which can lead to uncertainty for healthcare administrators and clinicians seeking to create policies for their organizations. Part of the current dilemma is that the guidelines from major organizations on breast - [Interrater Reliability Report SAS Macro](https://hipxchange.org/toolkit/kappa-report-macro-registration/) - Background ... Who should use this toolkit? What does the toolkit contain? This toolkit contains... How should these tools be used? The materials in this toolkit can be used to: ... ... ... Development of this toolkit ... References ... Toolkit Citation ... - [Family Centered Rounds Toolkit for Clinicians](https://hipxchange.org/toolkit/familyroundsclinicians/) - About this Toolkit The Family-Centered Rounds (FCR) checklist toolkit for clinicians is a collection of materials supporting the implementation of a feasible and sustainable intervention to operationalize optimal practices for engaging patients and families in FCR. The intervention includes the FCR checklist (Figure 1 and Appendix A) and associated implementation materials, including: Training curriculum for - [Family-Centered Rounds Toolkit for Researchers](https://hipxchange.org/toolkit/familyroundsresearchers/) - Each item under the "Content" menu corresponds to a key step in implementing the Family-Centered Rounds Toolkit in your organization. Each step has several corresponding files. These appear underneath the step's heading in the Content menu. You can either download each file individually from the menu, or to simplify the download process, you can download - [C-TraC Only](https://hipxchange.org/toolkit/c-trac-only/) - Background ... Who should use this toolkit? This toolkit is intended for... What does the toolkit contain? This toolkit contains... How should these tools be used? The materials in this toolkit can be used to: ... ... ... Development of this toolkit ... References ... Toolkit Citation ... - [The Family-Centered Rounds Toolkit](https://hipxchange.org/toolkit/familyrounds/) - [COMPASS](https://hipxchange.org/toolkit/compass/) - Background ... Who should use this toolkit? This toolkit is intended for... What does the toolkit contain? This toolkit contains... How should these tools be used? The materials in this toolkit can be used to: ... ... ... Development of this toolkit ... References ... Toolkit Citation ... - [Bringing Patients' Voices to American Health Care](https://hipxchange.org/toolkit/bringing-patients-voices-to-american-health-care/) - [UW Health COVID-19 Guideline](https://hipxchange.org/toolkit/uw-health-covid-19-guideline/) - Background ... Who should use this toolkit? This toolkit is intended for... What does the toolkit contain? This toolkit contains... How should these tools be used? The materials in this toolkit can be used to: ... ... ... Development of this toolkit ... References ... Toolkit Citation ... ## Categories - [Uncategorized](https://hipxchange.org/category/uncategorized/)