-
digital.ahrq.gov/sites/default/files/docs/citation/k08hs023683-blecker-final-report-2018.pdf
January 01, 2018 - Scope: Evidence-based therapy for heart failure remains underutilized at hospital discharge,
particularly … We compared discharge utilization of an ACE inhibitor or angiotensin receptor blocker (ARB) in
the … than patients without a diagnosis of heart failure at discharge (85.3% vs
70.4%, p=0.001). … Changes in discharge location
and readmission rates under bundled payment. … Observation units as substitutes for
hospitalization or home discharge.
-
digital.ahrq.gov/national-webinars/role-health-it-improve-care-transitions
January 01, 2023 - work on smartphone-based applications to improve care coordination, an interactive patient-centered discharge … Identify barriers and facilitators of implementation, adoption, and use of a patient-centered discharge
-
digital.ahrq.gov/ahrq-funded-projects/nicu-2-home-using-hit-support-parents-nicu-graduates-transitioning-home/annual-summary/2011
January 01, 2011 - from the NICU to the home, although research indicates that parents feel anxious and unprepared for discharge … communication technologies and digital media content will provide parents with supportive guidance on the discharge … process and post-discharge care; easy access to information and enhanced communication; tools, such … transition from the NICU to home; and links between the NICU, home, and the community pediatrician after discharge
-
digital.ahrq.gov/ahrq-funded-projects/scalable-digital-communication-intervention-support-older-adults-and-care
January 01, 2024 - to support care transitions for older adults after surgery has the potential to provide timely post-discharge … Providing patients with timely post-discharge information and interdisciplinary communication can reduce … readmissions, increase adherence to discharge recommendations, and relieve patient and family stress
-
digital.ahrq.gov/sites/default/files/docs/citation/k08hs024134-smith-final-report-2019.pdf
January 01, 2019 - the quality of care
for cancer patients undergoing major surgery and, reduces the high rate of post-discharge … study is to explore novel strategies, which incorporate patient-centered outcomes
and improve post-discharge … that can rapidly identify and appropriately address potentially serious problems experienced post-
discharge … The factors her research had
identified (e.g., lapses in post-discharge care, geographical barriers, … and poor patient education) suggested the
need to develop innovative post-discharge strategies that
-
digital.ahrq.gov/ahrq-funded-projects/using-health-information-technology-improve-transitions-complex-elderly/annual-summary/2011
January 01, 2011 - scheduling alerts on the rate of followup office visits with an outpatient physician within 21 days of discharge … monitoring alerts on the rate of appropriate monitoring for selected high-risk medications within 30 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
-
digital.ahrq.gov/2018-year-review/research-summary/decreasing-tobacco-related-healthcare-costs-using-interactive
January 01, 2018 - automated opt-out Tobacco Dependence Treatment Service (TDTS) interfaced with the hospital’s admission and discharge … 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
-
digital.ahrq.gov/technology/secure-messaging
January 01, 2023 - Portals
Interactive digital health tools to engage patients and caregivers in discharge … Interactive digital health tools to engage patients and caregivers in discharge preparation: Implementation … Project Name
Interactive Patient-Centered Discharge Toolkit To Promote Self-Management During Transitions
-
digital.ahrq.gov/principal-investigator/smith-kenneth-j
January 01, 2023 - Automated communication tools and computer-based medication reconciliation to decrease hospital discharge … Automated communication tools and computer-based medication reconciliation to decrease hospital discharge
-
digital.ahrq.gov/sites/default/files/docs/citation/r21hs023863-cartmell-final-report-2018.pdf
January 01, 2018 - service (TDTS) on 30,
90 and 180 day hospital readmissions and healthcare charges within 1-year post-discharge … Results: At 30 days post-discharge, smokers exposed to the TDTS had lower odds of readmission (OR=0.77 … The innovative system
interfaces with the hospitals admission and discharge records to identify tobacco … This study compared unplanned readmissions at 30, 90, and
180 days after discharge among adult current … IVR follow-up calls), low exposure defined as responding only to the post-discharge IVR
follow-up
-
digital.ahrq.gov/sites/default/files/docs/page/2006Rosati_052411comp.pdf
June 05, 2006 - the Transition to Home Health Care Using an Electronic Communication System Available to Physicians, Discharge … Transition to
Home Health Care Using an Electronic
Communication System Available to
Physicians, Discharge … the Transition to Home Health Care Using an Electronic Communication System Available to Physicians, Discharge
-
digital.ahrq.gov/sites/default/files/docs/citation/r21hs020316-garfield-final-report-2014.pdf
January 01, 2014 - Passport-2-Home: a self-guiding discharge checklist; 2.) … from the NICU, one day prior to discharge (T-1), and two weeks after
discharge (T+14). … Rehospitalization in the First
Two Weeks After Discharge From the Neonatal Intensive Care Unit. … Discharge Teaching in the NICU: Are Parents Prepared? … Neonatal intensive care unit discharge
preparedness: primary care implications. Clin. Pediatr.
-
digital.ahrq.gov/principal-investigator/orenstein-evan
January 01, 2023 - support strategy to increase seasonal influenza vaccination among hospitalized children before inpatient discharge … support strategy to increase seasonal influenza vaccination among hospitalized children before inpatient discharge
-
digital.ahrq.gov/sites/default/files/docs/medication-without-harm-slides-07242024.pdf
January 12, 2025 - reduce
the prescribing of potentially inappropriate medications to older patients
at the time of discharge … Order Set (EPIC)
Discharge Order Set (Cerner)
2019–2021 Scale-Up
Methods for Scaling Up EQUIPPED … Change in PIM proportion:
» Total PIMs / All discharge medications prescribed to patients aged 65+ … Aim Statement
Influencing Prescribing Behavior: Three Core Components
Clinical Decision Support: Discharge … Order Sets (CPRS)
Discharge Order Set (EPIC)
Discharge Order Set (Cerner)
2019–2021 Scale-Up
Methods
-
digital.ahrq.gov/ahrq-funded-projects/health-information-technology-and-improving-medication-use/annual-summary/2012
January 01, 2012 - clinical decision support (CDS), evaluating new processes for medication reconciliation post- hospital discharge … (Achieved)
Evaluate the impact of implementing a post-discharge ambulatory medication reconciliation … Project 4: Ambulatory Medication Reconciliation Following Hospital Discharge . … The project team conducted a secondary analysis of the accuracy of medication lists 1 month after discharge … The project team completed a manuscript describing their findings on the impact of the post-discharge
-
digital.ahrq.gov/ahrq-funded-projects/health-information-technology-and-improving-medication-use
January 01, 2023 - using clinical-decision support (CDS), evaluating new processes for medication reconciliation post-discharge … Evaluate the impact of implementing a post-discharge ambulatory medication reconciliation intervention … Ambulatory Medication Reconciliation Following Hospital Discharge. … The team found that the accuracy of documented medication regimens 30 days after discharge was around … Lessons learned from implementation of a computerized application for pending tests at hospital discharge
-
digital.ahrq.gov/ahrq-funded-projects/health-information-technology-and-improving-medication-use/annual-summary/2010
January 01, 2010 - using clinical decision support (CDS), evaluating new processes for medication reconciliation post-discharge … implementation of electronic prescribing. ( Ongoing )
Evaluate the impact of implementing a post-discharge … Project 4: Ambulatory Medication Reconciliation Following Hospital Discharge. … In 2007, a post-discharge medication reconciliation module was created within the ambulatory EHR to reduce … Project 4: The project team began analyzing the outcomes of using the post-discharge medication reconciliation
-
digital.ahrq.gov/events/national-web-conference-using-health-it-improve-care-coordination-and-outcomes-patients-complex-needs
January 01, 2023 - availability of information following care transitions including hospital and emergency department discharge … Objectives: Describe the impact on patient outcomes and hospital readmissions of an EHR-generated “discharge
-
digital.ahrq.gov/sites/default/files/docs/2010-04-06%20Patient%20Empowerment%20(1).pdf
January 01, 2010 - Patient Activation
Usual Care
Transition Intervention
IVR‐enhanced Care
Transition Intervention
Discharge … Condition or Red
Flags
Hospital Transition Coach:
‐Conduct initial hospital visit
‐Prepare for discharge … ‐Introduce IVR, PHR and Intervention Activities
Checklist
Discharge
Home
Follow‐up
IVR:
‐ … Initial call 24‐72 hours post discharge
‐Subsequent automated IVR phone calls daily up
to 28 days … post‐discharge
Transition Coach:
‐Follow‐up calls if IVR alerts on Dashboard
Role of the Coach
-
digital.ahrq.gov/ahrq-funded-projects/patient-centered-postoperative-wound-surveillance-using-current-technology
January 01, 2023 - Assessment Technology: Mobile Phone Population: Adults
Current use of telemedicine for post-discharge … Current use of telemedicine for post-discharge surgical care: a systematic review. … Mobile Phone Population: Adults , Surgeon
Predictors of surgical site infection after hospital discharge … Predictors of surgical site infection after hospital discharge in patients undergoing major vascular