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www.ahrq.gov/patient-safety/settings/hospital/red/toolkit/redtool6ref.html
March 01, 2025 - Re-Engineered Discharge (RED) Toolkit
Tool 6 (continued)
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Table … of Contents
Re-Engineered Discharge (RED) Toolkit
Tool 1: Overview
Tool 2: How To Begin the … Re-engineered Discharge Implementation at Your Hospital
How CMS Measures the "30-Day All Cause Rehospitalization … Rate" on the Hospital Compare Web Site
Tool 3: How To Deliver the Re-Engineered Discharge at Your … Hospital
Tool 4: How To Deliver the Re-Engineered Discharge to Diverse Populations
Tool 5: How To
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www.ahrq.gov/topics/clinician-patient-communication.html
Potential Measures for Clinical-Community Relationships
Resources and Tools To Improve Discharge
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www.ahrq.gov/pqmp/implementation-qi/toolkit/h2h/other-resources.html
July 01, 2021 - Iowa Stead Family Children’s Hospital improved their electronic template for family/caregiver written discharge … Table 1 below offers an example template for a telephone list for family/caregivers to receive at discharge … This example highlights the importance of including the “principal diagnosis” on a patient’s discharge … Discharge instructions template (PDF, 576 KB): An example template showing written family discharge … Example Contact List Template for Child’s Providers
Service
Provider
Phone Number for Discharge
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www.ahrq.gov/es/patient-safety/settings/hospital/red/toolkit/ptoutcome-mail.html
March 01, 2025 - Re-Engineered Discharge (RED) Toolkit
Patient Outcome Survey (mailed version)
Previous Page … Next Page
Table of Contents
Re-Engineered Discharge (RED) Toolkit
Tool 1: Overview
Tool … 2: How To Begin the Re-engineered Discharge Implementation at Your Hospital
How CMS Measures the "30 … Have you stayed in a hospital overnight since you left the hospital on {discharge date}? … Have you been to the emergency room since you left the hospital on {discharge date}?
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www.ahrq.gov/patient-safety/settings/hospital/red/toolkit/ptoutcome-mail.html
March 01, 2025 - Re-Engineered Discharge (RED) Toolkit
Patient Outcome Survey (mailed version)
Previous Page … Next Page
Table of Contents
Re-Engineered Discharge (RED) Toolkit
Tool 1: Overview
Tool … 2: How To Begin the Re-engineered Discharge Implementation at Your Hospital
How CMS Measures the "30 … Have you stayed in a hospital overnight since you left the hospital on {discharge date}? … Have you been to the emergency room since you left the hospital on {discharge date}?
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www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/settings/hospitals/red-toolkit/postdiscalldoc.pdf
June 02, 2025 - ______________
Notes: ________________________________________________________________________
Discharge … date: _________________________________________________________________
Principal discharge diagnosis … If new problem since discharge:
Had the patient:
Contacted or seen clinician? … Medicines
Document any medicines patient is taking that are NOT on AHCP and discharge summary:
__ … No change needed in discharge plan as it relates to the drug therapy
Educated patient/caregiver
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www.ahrq.gov/es/patient-safety/settings/hospital/red/toolkit/contactsheet2.html
March 01, 2025 - Re-Engineered Discharge (RED) Toolkit
Contact Sheet (2)
Previous Page Next Page
Table … of Contents
Re-Engineered Discharge (RED) Toolkit
Tool 1: Overview
Tool 2: How To Begin the … Re-engineered Discharge Implementation at Your Hospital
How CMS Measures the "30-Day All Cause Rehospitalization … Rate" on the Hospital Compare Web Site
Tool 3: How To Deliver the Re-Engineered Discharge at Your … Hospital
Tool 4: How To Deliver the Re-Engineered Discharge to Diverse Populations
Tool 5: How To
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www.ahrq.gov/es/patient-safety/settings/hospital/red/toolkit/contactsheet.html
March 01, 2025 - Re-Engineered Discharge (RED) Toolkit
Tool 3 Continued
Previous Page Next Page
Table … of Contents
Re-Engineered Discharge (RED) Toolkit
Tool 1: Overview
Tool 2: How To Begin the Re-engineered … Discharge Implementation at Your Hospital
How CMS Measures the "30-Day All Cause Rehospitalization … Rate" on the Hospital Compare Web Site
Tool 3: How To Deliver the Re-Engineered Discharge at Your … Hospital
Tool 4: How To Deliver the Re-Engineered Discharge to Diverse Populations
Tool 5: How To
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www.ahrq.gov/patient-safety/settings/hospital/red/toolkit/contactsheet2.html
March 01, 2025 - Re-Engineered Discharge (RED) Toolkit
Contact Sheet (2)
Previous Page Next Page
Table … of Contents
Re-Engineered Discharge (RED) Toolkit
Tool 1: Overview
Tool 2: How To Begin the … Re-engineered Discharge Implementation at Your Hospital
How CMS Measures the "30-Day All Cause Rehospitalization … Rate" on the Hospital Compare Web Site
Tool 3: How To Deliver the Re-Engineered Discharge at Your … Hospital
Tool 4: How To Deliver the Re-Engineered Discharge to Diverse Populations
Tool 5: How To
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www.ahrq.gov/patient-safety/settings/hospital/red/toolkit/contactsheet.html
March 01, 2025 - Re-Engineered Discharge (RED) Toolkit
Tool 3 Continued
Previous Page Next Page
Table … of Contents
Re-Engineered Discharge (RED) Toolkit
Tool 1: Overview
Tool 2: How To Begin the Re-engineered … Discharge Implementation at Your Hospital
How CMS Measures the "30-Day All Cause Rehospitalization … Rate" on the Hospital Compare Web Site
Tool 3: How To Deliver the Re-Engineered Discharge at Your … Hospital
Tool 4: How To Deliver the Re-Engineered Discharge to Diverse Populations
Tool 5: How To
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www.ahrq.gov/pqmp/implementation-qi/toolkit/h2h/introduction.html
July 01, 2021 - Hospital-to-Home Transitions toolkit uses measures that were developed around family and caregiver discharge … improve overall performance on hospital-to-home transitions, by enhancing the quality of the written discharge … This toolkit includes materials to support users in:
Improving quality of medical documentation at discharge … Providing additional content in discharge information for families and caregivers. … intended audiences for this toolkit include providers, hospitals, and medical staff who are involved in discharge
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/medicaidreadmitguide/aspire_webinar2/aspire_webinar2.pptx
January 01, 2015 - Portfolio Presentation
Conditions of Participation Handout
Whole-Person Transitional Care Planning
Discharge … Disposition Medicare
(% discharges to) Medicaid
(% discharges to)
Discharge to Home 55% 84%
Discharge … to SNF/IRF/LTAC 24% 5%
Discharge to Home with Home Health 14% 8%
Source: Massachusetts Center … Diagnoses Leading to a 30-Day Readmission by Discharge Destination
Source: CMS data, courtesy of VHQP … disposition (home, home with home health care, skilled nursing facility)
Readmission rate by discharge
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www.ahrq.gov/patient-safety/settings/hospital/resource/guide/web2.html
December 01, 2017 - Readmissions by discharge disposition. … Home
55%
84%
Discharge to SNF/IRF/LTAC
24%
5%
Discharge to Home with Home Health … Slide 12: Top 10 Principal Discharge Diagnoses Leading to a 30-Day Readmission by Discharge Destination … Image: Graph shows Top 10 Principal Discharge Diagnoses Leading to a 30-Day Readmission by Discharge … Readmission rate by discharge disposition.
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www.ahrq.gov/sites/default/files/wysiwyg/research/findings/making-healthcare-safer/mhs3/care-transitions-1.pdf
March 01, 2020 - MeSH terms included
“patient discharge,” “patient transfer,” “transfer,” “discharge,” “patient handoff … ”
OR "Transfer, Discharge"
OR “Hand Off (Patient
Safety)" OR "Discharge
Planning") OR (AB
“Discharge … ”
OR "Transfer, Discharge"
OR “Hand Off (Patient
Safety)" OR "Discharge
Planning") OR (AB
“Discharge … ”
OR "Transfer, Discharge"
OR “Hand Off (Patient
Safety)" OR "Discharge
Planning") OR (AB
“Discharge … ”
OR "Transfer, Discharge"
OR “Hand Off (Patient
Safety)" OR "Discharge
Planning") OR (AB
“Discharge
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www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/settings/hospitals/red-toolkit/ptoutcsurvey.docx
June 02, 2025 - Have you been to the emergency room since you left the hospital on {discharge date}? … Patients are called up to 60 days after the date of index hospital discharge. … We are conducting a survey about the hospital discharge process. … Have you stayed in a hospital overnight since you left the hospital on {discharge date}? … Have you been to the emergency room since you left the hospital on {discharge date}?
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www.ahrq.gov/topics/medical-errors.html
Designing Consumer Reporting Systems for Patient Safety Events
Resources and Tools To Improve Discharge
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www.ahrq.gov/patient-safety/settings/hospital/match/chapter-3.html
July 01, 2022 - Physician Prompting at Discharge . … order," indicating the patient is ready for discharge. … A discharge checklist could also be created listing elements that need to be completed prior to discharge … This list may be integrated into Discharge Instructions (for the patient) and Discharge Summary (for … Discharge medication reconciliation may be integrated within the nurse's and/or pharmacist's discharge
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www.ahrq.gov/es/patient-safety/settings/hospital/match/chapter-3.html
July 01, 2022 - Physician Prompting at Discharge . … order," indicating the patient is ready for discharge. … A discharge checklist could also be created listing elements that need to be completed prior to discharge … This list may be integrated into Discharge Instructions (for the patient) and Discharge Summary (for … Discharge medication reconciliation may be integrated within the nurse's and/or pharmacist's discharge
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www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/settings/hospitals/red-toolkit/ptoutcsurvey.pdf
June 02, 2025 - Have you stayed in a hospital overnight since you left the hospital on {discharge date}? … Have you been to the emergency room since you left the hospital on {discharge date}? … Patients are called up to 60 days after the date of index hospital discharge. … We are conducting a survey about the hospital
discharge process. … Have you been to the emergency room since you left the hospital on {discharge date}?
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www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/settings/hospitals/red-toolkit/ahcptemplen.pdf
June 02, 2025 - ** Bring this Plan to ALL Appointments**
After Hospital Care Plan for: [patient name]
Discharge … Date: [discharge date]
Question or Problem about this Packet? … Call your Discharge Educator: (xxx) xxx-xxxx DE
PHOTO HERE
Serious health problem? … English-Speaking Patients** Bring this Plan to ALL Appointments**
After Hospital Care Plan for: [patient name]Discharge … Date: [discharge date
EACH DAY follow this schedule:MEDICINES
Questions / Concerns For my appointment