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digital.ahrq.gov/ahrq-funded-projects/automated-notification-follow-testing-recommendations-across-care-settings
January 01, 2023 - It also evaluated the impact of a discharge module at an academic medical center that captures followup … recommendations to the ambulatory PCP and enable the followup recommendations to be included in the discharge … Web-based inpatient and emergency department discharge modules were implemented, and enabled inclusion … 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
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digital.ahrq.gov/ahrq-funded-projects/automatic-notification-system-test-results-finalized-after-discharge/annual-summary/2010
January 01, 2010 - An Automatic Notification System for Test Results Finalized after Discharge - 2010
Project … Name
An Automatic Notification System for Test Results Finalized after Discharge
Principal … create an automatic system that notifies physicians when laboratory test results are finalized after discharge … The intervention primarily relies upon the inpatient test results system and the admission, discharge … The primary outcome will be awareness of all post-discharge test results among responsible providers.
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digital.ahrq.gov/ahrq-funded-projects/electronic-prescribing-and-electronic-transmission-discharge-medication-lists/annual-summary/2010
January 01, 2010 - Electronic Prescribing and Electronic Transmission of Discharge Medication Lists - 2010 … Project Name
Electronic Prescribing and Electronic Transmission of Discharge Medication Lists … ; and 2) adverse drug events (ADEs) 30 days post-discharge as outcome measures. … )
Evaluate the impact on ADEs 30 days post-discharge of electronic transmission of medication lists … at discharge from the hospital to the ambulatory setting. ( Ongoing )
2010 Activities: The first
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digital.ahrq.gov/sites/default/files/docs/care-transitions-slides-092619.pdf
September 26, 2019 - Identify barriers and facilitators of implementation, adoption,
and use of a patient-centered discharge … process is often initiated late during the
hospitalization
► Suboptimal discharge preparation can … “[Discharge checklist responses] on the dashboard?... Did not
know that.” … , but prior to detailed discussion of discharge preparation by
a care team member. … Evaluate time to post-
discharge followup
2. Explore users’ experiences
3.
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digital.ahrq.gov/sites/default/files/docs/page/improving-provider-communication-to-improve-transitions-in-patient-care.pdf
June 16, 2021 - The Depart Pro
cess system standardized the Billings Clinic hospital
discharge process to improve … The discharge checklist collates patient
information, providing a summary of the patient’s re
cent … hospitalization and discharge information, which
is then sent by automated fax to the patient’s PCP … Enhancements to the EHR
system included: 1) an electronic discharge checklist
summarizing a patient … Adverse events among medical patients after discharge from hospital.
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digital.ahrq.gov/sites/default/files/docs/page/2006Root_052411comp.pdf
June 16, 2021 - Submitter Receiver Message Format
Hospital Providers (clinical
messages)
Payers (claim
attachments)
Discharge … pdf, tif
Put file in designated directory
Pick up the file with UHINt
Address with UHINt
Send
Discharge … Cost of obtaining d/s (extrapolated
from 2 – 4 above)
uhin
Discharge Summaries:
Clinical Outcomes … for AMI: beta blocker
rx w/in 90 days of discharge or ACE inhibitor
rx w/in 90 days of discharge … Summaries:�Settings
Discharge Summaries:�Operational Outcomes (before and after)
Discharge Summaries
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digital.ahrq.gov/ahrq-funded-projects/electronic-prescribing-and-electronic-transmission-discharge-medication-lists/annual-summary/2011
January 01, 2011 - Electronic Prescribing and Electronic Transmission of Discharge Medication Lists - 2011 … Project Name
Electronic Prescribing and Electronic Transmission of Discharge Medication Lists … ; and 2) adverse drug events (ADEs) 30 days post-discharge. … from the hospital to the ambulatory setting at the first ambulatory visit following discharge. … lists at discharge from the hospital to the ambulatory setting.
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digital.ahrq.gov/ahrq-funded-projects/developing-interactive-patient-centered-mhealth-tool-enhance-post-cystectomy
January 01, 2023 - More recently, quality assessment and reimbursement are being based on post-discharge outcomes. … functional status, and medication adherence, represent potential treatment targets following hospital discharge … Internet-based mHealth tool that tracks PCOs and provides real-time feedback to patients and providers following discharge … Conduct a pilot study to assess feasibility and acceptability of an Internet-based mHealth tool following discharge … improve the quality of care for cancer patients undergoing major surgery and reduce the high rate of post-discharge
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digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/research/pagliari-c-et-al-2004
January 01, 2004 - communication, focusing on laboratory results reporting, outpatient appointment booking, referral, discharge … communication, focusing on laboratory results reporting, outpatient appointment booking, referral, discharge … secondary care, results reporting from secondary care laboratories to primary care, transfer of hospital discharge … percent by general practioner (GPs), 79 percent by nurses, and 81 percent by administrative staff), discharge … access to lab results', 'being able to ask for a consultant's advice via email,' 'being able to download discharge
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digital.ahrq.gov/sites/default/files/docs/page/Utah%204-VI.ppt
June 16, 2021 - Submitter Receiver Message Format
Hospital Providers (clinical messages)
Payers (claim attachments) Discharge … on workflow challenges to endpoints
Make technology easy and
inexpensive
UHINt: Keep it simple
Discharge … HL7, pdf, tif
Put file in designated directory
Pick up the file with UHINt
Address with UHINt
Send
Discharge … for patients admitted for pneumonia: chest x-rays w/in 30 days of discharge
for patients admitted for … AMI: beta blocker rx w/in 90 days of discharge or ACE inhibitor rx w/in 90 days of discharge
History
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digital.ahrq.gov/ahrq-funded-projects/virtual-continuity-and-its-impact-complex-hospitalized-patients-care/annual-summary/2012
January 01, 2012 - many hospitalized patients are cared for by hospital staff physicians and returned to PCPs’ care upon discharge … record (EMR) data and communication portals, medication lists delivered at the time of admission and discharge … , and immediate notification of discharge with pertinent clinical details. … A pre-post study compared the frequency of discharge medication errors before and after initiation of … patients’ satisfaction with care and the information they received; rates of rehospitalization; post-discharge
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digital.ahrq.gov/ahrq-funded-projects/improving-post-hospital-medication-management-older-adults-health-information
January 01, 2023 - appropriate monitoring for selected high-risk medications within 45 days from the time of hospital discharge … Randomization of the health IT-discharge communication occurred at the time of hospital discharge. … Significant improvements were not found in visits to the outpatient provider following discharge from … Association of early post-discharge follow-up by a primary care physician and 30-day rehospitalization … Adverse drug events after hospital discharge in older adults: types, severity, and involvement of Beers
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digital.ahrq.gov/sites/default/files/docs/publication/r21hs018229-dalal-final-report-2012.pdf
January 01, 2012 - Implementation and Evaluation of an Automated Email Notification System for Results of Tests Pending at Discharge … Some tests from this hospitalization were still pending at the time of discharge. … Non-
network PCPs are mailed or faxed a copy of the discharge summary within 48 hours of
discharge. … Patient safety
concerns arising from test results that return after
hospital discharge. … Impact of an
automated email notification system for results of tests
pending at discharge.
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digital.ahrq.gov/principal-investigator/crossdori
January 01, 2024 - Cross, Dori
Project Name
Use of Electronic Health Record Metadata to Assess Hospital Discharge … Post-Acute Transitions
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/sites/default/files/docs/care-transitions-qas-092619.pdf
September 26, 2019 - Is the video sent after Discharge Order is posted? Who manages the sending of the video? … QUESTION: How do you plan to get physicians more involved in the post-discharge follow-up? … and a face-to-face visit within 7-14 days of discharge. … Is the video sent after Discharge Order is posted? Who manages the sending of the video? … QUESTION: How does the rule that CMS release today move discharge planning forward?
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digital.ahrq.gov/sites/default/files/docs/HOW%20HEALTH%20IT%20CAN%20REDUCE%20UNNECESSARY%20REHOSPITALIZATION.pdf
June 16, 2021 - The
discharge summaries are often poor. … And it is medication reconciliation prior to discharge, reconcile the discharge
probably with national … But very importantly, there is a written discharge plan; now, that is in contra-distinction to the discharge … summary, and
the discharge summary is for clinicians. … Down there
at the bottom it has the phone number of your discharge advocate.
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digital.ahrq.gov/organization/weill-medical-college-cornell-university
January 01, 2023 - Information Exchange (HIE)
Electronic Prescribing and Electronic Transmission of Discharge … Investigator
Kaushal, Rainu
Project Name
Electronic Prescribing and Electronic Transmission of Discharge … Information Exchange (HIE)
Electronic Prescribing and Electronic Transmission of Discharge … Investigator
Kaushal, Rainu
Project Name
Electronic Prescribing and Electronic Transmission of Discharge … s)
Kaushal, Rainu
Electronic Prescribing and Electronic Transmission of Discharge
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digital.ahrq.gov/ahrq-funded-projects/real-time-symptom-monitoring-using-epros-prevent-adverse-events-during-care-transitions
January 01, 2023 - The researchers will develop and validate a predictive model of post-discharge AEs for hospitalized patients … The specific aims of the research are as follows: Develop and validate a predictive model of post-discharge … Conduct a randomized controlled trial to evaluate the impact of ePRO symptom monitoring on post-discharge … The researchers hypothesize that compared to usual care, monitoring of ePROs will reduce post-discharge … AEs and post-discharge healthcare resource utilization, which will be evaluated in a randomized controlled
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digital.ahrq.gov/sites/default/files/docs/publication/r18hs017864-ciemins-final-report-2012.pdf
January 01, 2012 - communicating key patient discharge information to rural primary care providers. … primary care providers of their patients’ recent hospital discharge and post-acute care
needs. … Discharge information
included admission and discharge date, reason for hospital stay, recommended … A screenshot of the
discharge checklist is provided below.
Figure 2. … Adverse drug events
occurring following hospital discharge. J Gen Intern Med.
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digital.ahrq.gov/ahrq-funded-projects/improving-post-hospital-medication-management-older-adults-health-information/annual-summary/2011
January 01, 2011 - information to outpatient clinicians in the management of ambulatory elderly patients after hospital discharge … steps in the transition of care from the hospital to home, including: 1) expediting and facilitating 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 … For the same period, again looking at the 30-day period following hospital discharge of the patient,