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digital.ahrq.gov/sites/default/files/docs/survey/document-workflow-assessment-guide-hospital.pdf
January 26, 2009 - Discharge Summaries and Surgical Reports
Approximately how many discharge summaries and surgical reports … Discharge Summaries:
Quantity Timeframe
Surgical Reports:
Quantity Timeframe … Describe your process for delivering discharge summaries and surgical reports to the ordering provider … From x to y Turn around time
Date of surgery to report delivered
Date of discharge … Document title: Document Workflow Assessment Guide - Hospital
Lab results
Radiology results
Discharge
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digital.ahrq.gov/ahrq-funded-projects/e-coaching-interactive-voice-response-ivr-enhanced-care-transition-support/annual-summary/2011
January 01, 2011 - CTI), for which nurses conduct home visits, telephone follow-up, and provide assistance at and after discharge … on patient outcomes, including 90-day rehospitalizations, successful community tenure at home after discharge … Of these, 248 received usual hospital discharge care, and 234 received the e-Coach intervention. … Data collection occurred at 1-week, 1-month, and 3-month intervals following discharge.
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digital.ahrq.gov/sites/default/files/docs/2010-02-24%20Transitions%20In%20Care%20(4).pdf
January 01, 2010 - Patient Experience
•
Discharge‐related elements get terrible scores
on patient surveys. … Four Goals:
At discharge:
1. … •
Hospital discharge is not‐standardized and marked with poor quality
“Perfect Storm" of Patient … Post‐discharge services
6.
Written discharge plan
7.
What to do if problem arises
8. … Call your Doctor, Chris Manasseh: (617) 825-3400
Call Your Discharge Advocate, RN – Lynn, Michael
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digital.ahrq.gov/sites/default/files/docs/coordination-patients-complex-needs-slides-022014.pdf
February 20, 2014 - ► Faxed, e-mailed
• Nursing: Housewide discharge process (Lean Six
Sigma)
► EHR tool
► Discharge … Follow-Up Visits Over Time
19
30-Day Readmissions by Post-Hospital
Discharge Follow-Up Visits … 30-Day Medical
Visit (n=545)
No Visit within 30
Days of
Discharge (n=256)
Odds
Ratio … Process
Provider Satisfaction with Discharge Process: Response Always or Usually (n = 150) … Customer: Patients from rural Montana
communities
• Value: Improved discharge process
► Example:
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digital.ahrq.gov/program-overview/research-stories/identifying-patients-high-need-during-care-transitions-improve-care-and-meet-social-needs
January 01, 2023 - medical and behavioral health providers but may also need access to social services at the time of discharge … used health information exchange (HIE) data to alert primary care providers of high-risk patients’ discharge … primary care followup, social needs assessment, and collaborative cross-sector care planning for post-discharge … The enhanced CTI will send providers real-time discharge alerts generated by a robust algorithm that
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digital.ahrq.gov/principal-investigator/kent-k-craig
January 01, 2023 - Surveillance Using Current Technology
Current use of telemedicine for post-discharge … Current use of telemedicine for post-discharge surgical care: a systematic review. … Using Current Technology
Predictors of surgical site infection after hospital discharge … Predictors of surgical site infection after hospital discharge in patients undergoing major vascular
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digital.ahrq.gov/ahrq-funded-projects/improving-post-hospital-medication-management-older-adults-health-information/annual-summary/2010
January 01, 2010 - The project’s health IT intervention begins with medication reconciliation at the time of hospital discharge … steps in the transition of care from the hospital to home, including: 1) expediting and facilitating discharge … automated scheduling alerts on the rate of followup to an outpatient provider within 14 days of hospital discharge … health IT-based transitional care intervention on the incidence of ADEs within 45 days of hospital discharge … intervention on the rate of hospital readmissions and emergency department visits within 30 days of discharge
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digital.ahrq.gov/ahrq-funded-projects/evaluation-effectiveness-health-information-technology-based-care-transition/annual-summary/2011
January 01, 2011 - The system provides patients and their primary care providers (PCPs) with discharge information, including … Patient clinical outcomes include patient adherence to medication instructions after discharge, patient … final medication reviews, to verify the accuracy of patient-friendly medication lists distributed at discharge … The HWD is a nurse-driven checklist that includes both patient and provider discharge information. … Post-intervention results showed that 63 percent of providers found the discharge process to be efficient
-
digital.ahrq.gov/sites/default/files/docs/publication/r18hs017196-jack-final-report-2011.pdf
January 01, 2011 - Having a high quality discharge program followed by
a pharmacist post-discharge call has been shown … without
access to a discharge summary. … "Re-engineered Discharge" that includes: (a) a
Comprehensive Patient Centered Discharge Plan; (b) a … Adverse
events among medical patients after discharge from
hospital. … Developing the Tools to Administer a
Comprehensive Hospital Discharge Program: The
ReEngineered Discharge
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digital.ahrq.gov/technology/radiology-information-system
January 01, 2023 - Assessing documentation of critical imaging result follow-up recommendations in emergency department discharge … Assessing documentation of critical imaging result follow-up recommendations in emergency department discharge … intervention that recognized critical imaging results that require additional testing and populated a discharge
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digital.ahrq.gov/sites/default/files/docs/survey/document-workflow-assessment-guide-clinic.pdf
January 26, 2009 - / other organization
Lab and x-ray results from hospital or lab
Radiology results from hospital
Discharge … Discharge Summaries and Surgical Reports
What type of reports do you receive back from hospitals/ surgery … (P) When do you need access to discharge summaries / op reports? … Do you get medication reconciliation as part of the discharge summary? What do you do with this? … Step Staff role Staff time (minutes)
What is the turn around time from discharge or date of surgery
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digital.ahrq.gov/principal-investigator/gurwitz-jerry
January 01, 2023 - of Older Adults with Health Information Technology
Association of early post-discharge … Association of early post-discharge follow-up by a primary care physician and 30-day rehospitalization … Adults with Health Information Technology
Adverse drug events after hospital discharge … Adverse drug events after hospital discharge in older adults: types, severity, and involvement of Beers
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digital.ahrq.gov/ahrq-funded-projects/using-health-information-technology-improve-transitions-complex-elderly/annual-summary/2012
January 01, 2012 - scheduling alerts on the rate of followup office visits with an outpatient physician within 21 days of discharge … information technology-based transitional care intervention on the incidence of ADEs within 45 days after discharge … intervention on the incidence of hospital readmission and emergency department visits within 30 days of discharge … : The study team did not find significant improvements in visits to outpatient providers following discharge … Thirty percent were re-hospitalized within 30 days of the SNF discharge and 30 percent had an ADE within
-
digital.ahrq.gov/sites/default/files/docs/citation/r21hs023613-choi-final-report-2017.pdf
January 01, 2017 - Two patients declined further
participation prior to discharge. … Three patients died between discharge and day 100 post-HCT due to
complications of graft-versus-host … The
least utilized module was the discharge checklist (Table 5).
9. … PU and PEU did not change
from baseline to discharge to day 100 post-HCT (Table 6).
10. … Interestingly, at
discharge, activation correlated significantly and negatively with depression (r =
-
digital.ahrq.gov/sites/default/files/docs/improve-medication-management-slides-091318.pdf
September 27, 2018 - • Adverse drug events after discharge are
common and potentially serious. … to BWH outpatient pharmacy
as early in discharge process as possible … Barriers at Discharge
Barriers at Discharge Potential Solutions
Turn-around time: pharmacy often
receives … prescriptions for patient <2 hours
before anticipated discharge. … Barriers After Discharge
Barriers Post Discharge Potential Solutions
Difficulty reaching patients to
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digital.ahrq.gov/sites/default/files/docs/citation/r03hs028033-frey-final-report-2024.pdf
January 01, 2024 - Two Zoom-based teaching visits were completed within 1-month of discharge. … Planned key outcomes included
total asthma-related hospital and ED visits within 6-months of discharge … Eligibility also required a provider decision to discharge the patient home from the
hospital with a … Pediatric hospital discharge interventions
to reduce subsequent utilization: a systematic review. … Parental
Management of Discharge Instructions: A Systematic Review. Pediatrics. 2017;140(2).
18.
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digital.ahrq.gov/ahrq-funded-projects/ambulatory-safety-and-quality-program/improving-provider-communication-improve-transitions-patient-care
January 01, 2023 - The Depart Process system, which included an electronic discharge checklist, standardized the hospital … discharge process to improve care management of patients as they transition from a hospital to a primary
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digital.ahrq.gov/organization/university-minnesota
January 01, 2023 - Minnesota
Use of Electronic Health Record Metadata to Assess Hospital Discharge … novel approaches for using electronic health record metadata to characterize and evaluate hospital discharge … practices, with the long-term goal of providing tools to monitor and strengthen specific behaviors within discharge
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digital.ahrq.gov/ahrq-funded-projects/reducing-hospital-readmission-rates-implementing-inpatient-tobacco-cessation
January 01, 2023 - hospitalized smokers receive tobacco cessation services as an inpatient and followup within 1 month post-discharge … IVR followup was conducted 3, 14, 30, 90 and 180 days after hospital discharge. … At 30 days post-discharge, smokers exposed to the TDTS were significantly less likely to be readmitted … provide referrals to community tobacco cessation services at 3, 14, 30, 90, and 180 days after hospital discharge … Those using the TDTS service were 23 percent less likely to be readmitted to the hospital 30 days after discharge
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digital.ahrq.gov/ahrq-funded-projects/scaling-equipped-clinical-decision-support
January 01, 2024 - Improvement
The prescribing of potentially inappropriate medications (PIMs) to older adults upon discharge … improvement initiative designed to decrease the number of PIMs prescribed to adults aged 65 and older upon discharge … measuring the change over 12 months in the proportion of PIM prescriptions written for older adults at discharge … The risk of receiving a new, potentially inappropriate medication (PIM) upon discharge from the ED ranges … EQUIPPED CDS resulted in a significant and sustained reduction in PIMs prescribed to older adults at ED discharge