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  1. www.ahrq.gov/patient-safety/settings/hospital/red/toolkit/redtool6ref.html
    March 01, 2025 - Re-Engineered Discharge (RED) Toolkit Tool 6 (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
  2. www.ahrq.gov/topics/clinician-patient-communication.html
    Potential Measures for Clinical-Community Relationships Resources and Tools To Improve Discharge
  3. 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 dischargeDischarge 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
  4. 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}?
  5. 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}?
  6. Postdiscalldoc (pdf file)

    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
  7. 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
  8. 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
  9. 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
  10. 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
  11. 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
  12. 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
  13. 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.
  14. 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
  15. Ptoutcsurvey (doc file)

    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}?
  16. www.ahrq.gov/topics/medical-errors.html
    Designing Consumer Reporting Systems for Patient Safety Events Resources and Tools To Improve Discharge
  17. 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
  18. 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
  19. 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}?
  20. 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

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