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141. Final Progress Report: Multicenter Medication Reconciliation Quality Improvement Study (MARQUIS) (pdf file)
     www.ahrq.gov/sites/default/files/2024-01/schnipper-report.pdf
     January 01, 2024 - , and forwarding the discharge medication list to the next provider of care after discharge. … Discharge patient instructions therefore lacked the ability to accurately document the changes in discharge … ) Discharge Medication Reconciliation 1. … Defaults set to continue preadmission medications at discharge 1. … Ordering providers bypass discharge reconciliation that requires accurate PAMLs and instead order discharge

142. Information to Help Hospitals Get Started (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/howtogetstarted/How_to_Use_Guide_Ldr_Slide_508.pdf
     June 02, 2025 - Hospital Survey scores • Patient-provider communication, pain management, medications, provision of discharge … • Nearly 20% of patients experience an adverse event within a month of discharge, of which ¾ could be … , and procedural complications • Many complications can be attributed to problems with discharge … planning – Changes in medicines before and after discharge – Inadequate preparation for patients and … Why focus on discharge planning? Moving forward What do we need from you?

143. Tool 8: Conditions of Participation Handout (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/medicaidreadmitguide/mcaidread_tool8_cop_handout.docx
     November 01, 2015 - Additional Resources Tool 10: Discharge Information Checklist and Section 4 of the Hospital Guide to … Have a documented discharge planning process, approved by the hospital’s governing board; Provide discharge … readmissions to look for patterns; Conduct root cause analyses on readmissions to assess whether the discharge … planning process meets patients’ needs; Craft a discharge plan that can be realistically implemented … the patient and family/friends/support persons; Address behavioral health followup as part of the discharge

144. Improving Healthcare Safety by Enhancing Care Coordination (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/highlights/ps-project-highlights-care-coordination.pdf
     June 30, 2025 - on improving the discharge process and reducing preventable hospital readmission rates. … Using the results of this process, a re-engineered discharge protocol was developed. … The main elements of the discharge toolbox are: (1) Discharge Portfolio; (2) Comprehensive Patient Centered … Discharge Plan; and (3) postdischarge reinforcement for high-risk patients. … Discharge (RED).

145. Appendix, Data Collection Strategy, Assessment, and Process Evaluation | Agency for Healthcare Research and Quality
     www.ahrq.gov/es/patient-safety/settings/hospital/match/appendix/app-6a.html
     July 01, 2022 - Identify that the complete and updated list of medications was then provided to the patient at discharge … and discussed within the context of discharge instructions ("resume home meds" is not acceptable). … Updated medication list was provided to the patient at discharge and discussed in the context of discharge … Number of medication lists that were provided back to outpatients in the context of discharge instructions … Numerator: # of patients provided an updated home medication list at discharge Denominator: #

146. Appendix, Data Collection Strategy, Assessment, and Process Evaluation | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/hospital/match/appendix/app-6a.html
     July 01, 2022 - Identify that the complete and updated list of medications was then provided to the patient at discharge … and discussed within the context of discharge instructions ("resume home meds" is not acceptable). … Updated medication list was provided to the patient at discharge and discussed in the context of discharge … Number of medication lists that were provided back to outpatients in the context of discharge instructions … Numerator: # of patients provided an updated home medication list at discharge Denominator: #

147. Tool 3 Continued | Agency for Healthcare Research and Quality
     www.ahrq.gov/es/patient-safety/settings/hospital/red/toolkit/ahcp-components.html
     March 01, 2013 - 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

148. Tool 3 Continued | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/hospital/red/toolkit/ahcp-components.html
     March 01, 2013 - 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

149. St. Joseph’s Hospital Improves Patient Safety Using AHRQ Tools | Agency for Healthcare Research and Quality
     www.ahrq.gov/news/newsroom/case-studies/201511.html
     May 01, 2015 - The Re-Engineered Discharge (RED) Toolkit , a discharge planning resource to help patients prepare for … discrepancies between a patient's current medications and a physician's admission, transfer, and/or discharge … in 2010 to improve three key measures: response of hospital staff, communication with doctors, and discharge … Trained "discharge advocates" make three or more post-discharge phone calls to patients. … Follow-up physician appointments are scheduled prior to discharge.

150. Designing and Delivering Whole-Person Transitional Care: The Hospital Guide to Reducing Medicaid Readmissions - Toolbox (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/medicaidreadmitguide/medread-tools.pdf
     July 28, 2016 - care (discharge) plan. 4 Tool 10 Discharge Process Checklist This tool, adapted from the CMS … within 10 days of discharge # of readmissions between days 0‐30 of discharge % of readmissions in … Top Discharge Diagnoses Leading to Highest Number of Readmissions Top 10 Discharge Dx Resulting in … Days between Discharge and Readmission (adult, non‐OB) 100% of discharge. 90% Consider: Does your … Transmittal of discharge summary within 48 hours of discharge Transmit or make available the discharge

151. Final Progress Report: Illinois Surgical Quality Improvement Collaboration Conference: Venous Thromboembolism (pdf file)
     www.ahrq.gov/sites/default/files/2024-04/eskandari-raval-report.pdf
     January 01, 2024 - Of six Illinois medical centers, 123 VTE events occurred; 37.5% occurred after discharge. … Eleven percent of those post-discharge events had chemical prophylaxis. … The average number of days after discharge at time of diagnosis was 16.85. … After discussion among all attendees, it was decided to focus on prophylaxis and risk score at discharge … and risk score at discharge o Review literature and identify knowledge gaps, assemble bibliography

152. Transitional Care Medication Safety: Stakeholders' Perspectives | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/reports/liability/corbett.html
     August 01, 2017 - The Lantus ® dose noted on the discharge instructions was half the dose Mrs. … when comparing his home medicines to his discharge list. … and/or with a follow-up phone call or home visit after discharge. … discharge medications. … The hospital discharge: A review of high risk care transition with highlights of a reengineered discharge

153. Barriers Associated with Medication Information Handoffs (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Bayley.pdf
     January 01, 2004 - deliver discharge summaries.27–31 Several of these trials of improved communication at discharge show … At discharge— 4. the discharging physician develops discharge instructions for the patient; 5. nurses … MD discharge med orders 192 5. Discharge Rx explained 190 6. … MD discharge med orders 192 80 112 58% 5. Discharge Rx explained 190 78 112 59% 6. … Discharge Summary Study Group.

154. Postdischarge Followup Phone Call Script (Patient Version) | Agency for Healthcare Research and Quality
     www.ahrq.gov/es/patient-safety/settings/hospital/red/toolkit/postdischarge-phone.html
     March 01, 2025 - Re-Engineered Discharge (RED) Toolkit Postdischarge Followup Phone Call Script (Patient 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 … This is also called your "primary discharge diagnosis." … If no, use this opportunity to provide patient education about the discharge diagnosis.

155. Postdischarge Followup Phone Call Script (Patient Version) | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/hospital/red/toolkit/postdischarge-phone.html
     March 01, 2025 - Re-Engineered Discharge (RED) Toolkit Postdischarge Followup Phone Call Script (Patient 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 … This is also called your "primary discharge diagnosis." … If no, use this opportunity to provide patient education about the discharge diagnosis.

156. The Five Principles of Effective Primary Care-Based Care Coordination for Reducing Potentially Preventable Readmissions (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/rev-reportaddendum.pdf
     March 01, 2021 - Domains for communication may include notifications of admission and discharge with appropriate followup … The proposed workflow is divided into four periods: during hospitalization, after discharge and before … After Discharge and Before First Followup Visit • Contact the patient, preferably within 48 hours of … discharge, and assess the patient and family’s (or caregiver’s) understanding of the hospitalization … • Confirm that the discharge summary and any other relevant discharge documentation is available;

157. Inhaled Corticosteroids for Children With Persistent Asthma Prescribed at Time of Discharge From the Emergency Department (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-212-fullreport.pdf
     September 01, 2018 - Inhaled Corticosteroids for Children With Persistent Asthma Prescribed at Time of Discharge From the … Department 1 Inhaled Corticosteroids for Children with Persistent Asthma Prescribed at Time of Discharge … Measure Name Inhaled Corticosteroids for Children with Persistent Asthma Prescribed at Time of Discharge … Prescription of an ICS upon ED discharge was based on medical record review. 4 1.J. … Documentation in medical record indicating prescription of an ICS on ED discharge. 8.

158. NICU Family Information Packet, Appendix B, Breast Milk (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/nicu_toolkit/nicupacket-apb-breastmilk.pdf
     June 02, 2025 - ■ Human milk fortifier is not recommended after discharge. … Recommendations ■ Slow feeding and easy fatigue are common problems after discharge. … ■ If supplementation is required at discharge due to prematurity, poor growth, inadequate volume … – Evaluate at 2-4 weeks post-discharge and as needed thereafter: weight, length, FOC, serum phosphorous

159. Appendix, Questions to Ask When Developing Your Design Team and Rationale | Agency for Healthcare Research and Quality
     www.ahrq.gov/es/patient-safety/settings/hospital/match/appendix/app-1.html
     July 01, 2022 - Do you have a multidisciplinary group of individuals representing physicians, nurses, pharmacists, discharge … [Example: Contact manager of discharge planning to identify representative] .

160. Appendix, Questions to Ask When Developing Your Design Team and Rationale | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/hospital/match/appendix/app-1.html
     July 01, 2022 - Do you have a multidisciplinary group of individuals representing physicians, nurses, pharmacists, discharge … [Example: Contact manager of discharge planning to identify representative] .