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  1. www.ahrq.gov/sites/default/files/wysiwyg/pqmp/toolkits/dotphrase.pdf
    June 02, 2025 - Carolina Children's Hospital to ensure 24/7 phone contact for families in Written Family/Caregiver Discharge … does not provide caregivers with clear instructions of who to call when they have questions after discharge … the Smart phrase: “.PEDSDCCONTACT” to enter this information into the “patient instructions” of the discharge … star) this as a “favorite” to make it easier to find • Information can be entered any time prior to discharge
  2. www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/modules/patfamilyengagement/CUSP_Patient_Family_Engagement_Facilitator_Notes.docx
    June 02, 2025 - during the patient’s hospital stay, are active participants in the patient’s care, and are prepared for discharge … in discharge planning. … in the discharge process as soon as the patient is admitted. … ASK: · What components of the IDEAL discharge planning process were captured in this video? … Care Transitions from Hospital to Home: IDEAL Discharge Planning Explores the components of a discharge
  3. www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/medicaidreadmitguide/mcaidread_tool11_comm_resource.docx
    June 02, 2025 - community resources; and second, to generate an updated list of those resources for use by hospital discharge … This resource guide will be especially helpful to the discharge coordinators, community health workers … all patients regardless of insurance type; willing to commit to make appointments within 1 week of discharge … provider 3] [Point person] [XXX] [Will prioritize posthospital referrals; call 3 days prior to discharge … [description] Food Assistance Organization Name Contact Person Number/Email Relevant Post-Discharge
  4. www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/prevhosp/prevhosp-reports-slides.pptx
    November 30, 2013 - /Hospital Discharge Diagnoses: Primary & Secondary (Indicate principal or secondary if more than one … hospital discharge diagnosis.) … Prior ED Visit (0-3 Days or 4-30 Days) Prior Hospital Discharge (0-7 Days or 8-30 Days) Weeks at High … Potential preventable discharge diagnoses. … Understanding the most frequent discharge diagnosis on each nursing unit.
  5. www.ahrq.gov/ncepcr/care/coordination/atlas/chapter6n.html
    June 01, 2014 - Survey — Carer Version Purpose: To gather information on the quality of process and outcomes of discharge … , and (4) control of discharge circumstances. … The development, validity and application of a new instrument to assess the quality of discharge planning … Discharge planning quality from the carer perspective. Qual Life Res 2000;9:1005-13. … Discharge planning scale: Community physicians' perspective. J Hosp Med 2008;3(6):455-64. 3.
  6. www.ahrq.gov/diagnostic-safety/resources/issue-briefs/healthit-ed-3.html
    February 01, 2021 - received a followup text (which asked patients if they wanted to speak with a physician) 48 hours after ED discharge … In addition, using text messages to solicit patient-reported diagnostic errors after ED discharge is … Finally, text messages after ED discharge might provide explicit instructions related to the diagnosis … Future studies should explore the role of text messaging in the post-ED discharge diagnostic process.
  7. www.ahrq.gov/hai/cusp/modules/patient-family-engagement/notes.html
    September 01, 2013 - IDEAL Discharge Planning Slide 17. What Is IDEAL Discharge Planning? 1 Slide 18. … Benefits of IDEAL Discharge Planning for Clinicians 1 Slide 19. IDEAL Discharge Slide 20. … IDEAL Discharge Planning The following section discusses the IDEAL Discharge Planning tool and how … to use it in discharge planning. … What Is IDEAL Discharge Planning?
  8. www.ahrq.gov/sites/default/files/2025-03/smith-werner-carayon-report.pdf
    January 01, 2025 - ED Discharge Intervention 6.1.1. … discharge instructions to patients/caregivers. … ED discharge intervention components within the ED discharge process. 6.1.2.a. … DI = Discharge instructions. … Communication to SNF ED RNs Send facility AVS to SNF Discharge paperwork Discharge paperwork
  9. www.ahrq.gov/sites/default/files/2024-07/hernandez-boussard-report.pdf
    January 01, 2024 - Too commonly, surgical pain management consists only of general anesthesia and discharge with an … "Return to care" was defined as readmission to inpatient facility or ED within 30 d of discharge. … The main outcome was an ED visit within 30 days of discharge. … Pain scores improved over time and were found to be highest at discharge. … Utilization and effectiveness of multimodal discharge analgesia for postoperative pain management.
  10. www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/medicaidreadmitguide/mcaidread_tool9_trans_care.docx
    July 28, 2016 - can greatly affect the likelihood that those needs can be addressed, rather than deferred, prior to discharge … Description This tool provides discharge planners with a set of prompts to identify readmission risks … and to take steps to ensure those risks are addressed in the transitional care (discharge) plan. … Time Required Incorporate into regular discharge planning assessment and referrals. … evident by the many domains on this assessment form, it can be a valuable tool for not only hospital discharge
  11. www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/medicaidreadmitguide/mcaidread_tool12_collaboration.docx
    June 02, 2025 - with you to develop a reliable process to ensure linkage to posthospital services, optimally before discharge … or within 1-2 days of discharge. … How can the processes to identify, refer, link, and connect within 48 hours of discharge be improved? … minimum of waste (late refusals); and Services are delivered in a timely manner within hours to days of discharge … do they encounter in attempting to refer and definitively link the patient to [the service] before discharge
  12. www.ahrq.gov/hai/cusp/modules/patient-family-engagement/sl-pat-fam.html
    September 01, 2013 - IDEAL Discharge Planning Slide 17. What Is IDEAL Discharge Planning? 1 Slide 18. … Benefits of IDEAL Discharge Planning for Clinicians 1 Slide 19. IDEAL Discharge Slide 20. … IDEAL Discharge Planning Return to Contents   Slide 17. What Is IDEAL Discharge Planning? … patient's condition and discharge situation. … IDEAL Discharge (Vignette still) Select to play. Return to Contents   Slide 20. 
  13. Cerner-Q-A-Session (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/takeheart/training/cerner-q-a-session.pdf
    June 02, 2025 - ) • When we discharge adult patients, we use a standard order set. … • The discharge order set gets routed to the attending physician. … • We only have one adult discharge order set. … adult discharge order set. … Providers can’t discharge a patient without using this order set.
  14. www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/medicaidreadmitguide/aspire_webinar6/aspire_webinar6.pptx
    June 02, 2025 - Portfolio Presentation Conditions of Participation Handout Whole-Person Transitional Care Planning Discharge … care; Offered to subgroups identified as “high risk” of readmission; Delivered prior to and after discharge … information for the ED provider to inform safe, effective, and consistent care in the ED and facilitate discharge … We’re becoming more accustomed to having resources in the ER to help us discharge patients from the ED … flag to notify the high risk care team Real-time notification to allow team to work with ED on safe discharge
  15. www.ahrq.gov/sites/default/files/2025-02/jones-selna-report.pdf
    January 01, 2025 - (2002), interventions with both pre-discharge and post-discharge components are more likely to have … and identifying post-discharge needs. … A systematic review of discharge arrangements for older people. … care plan Identifying the post-discharge provider Notifying the post-discharge provider of a patient's … pending discharge Transmitting the discharge note/care plan to post-discharge provider Accepting
  16. www.ahrq.gov/patient-safety/settings/hospital/resource/guide/tools.html
    October 01, 2016 - page interview guide prompts clinical or quality staff to elicit a recounting of what happened between discharge … This PowerPoint deck provides an example of an operational dashboard to track measures of monthly discharge … 4 Tool 9 Whole-Person Transitional Care Planning ( Word File , 73 KB) This tool gives discharge … Incorporate into regular discharge planning assessment and referrals. 4 Tool 10 Discharge … Process Checklist ( Word File , 76.75 KB) This tool, adapted from the CMS COPs, provides a checklist of discharge
  17. www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/prevhosp/ereportguide.html
    September 01, 2017 - The patient’s primary discharge diagnosis. … ED Discharge Diagnosis. … Hospital Discharge Diagnosis. … ED Discharge Diagnosis . This is the ED discharge diagnosis associated with the ED Visit Date. … Prior Hospital Discharge .
  18. www.ahrq.gov/sites/default/files/publications/files/match.pdf
    August 01, 2012 - Physician Prompting at 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 … (1) Place “discharge order” signifying patient is ready for discharge (1) Physician (1) Place … DISCHARGE Medication Discharge List and Reconciliation 1.
  19. www.ahrq.gov/es/patient-safety/settings/hospital/red/toolkit/redtool4ref.html
    March 01, 2025 - Re-Engineered Discharge (RED) Toolkit Tool 4 (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
  20. www.ahrq.gov/patient-safety/settings/hospital/red/toolkit/redtool4ref.html
    March 01, 2025 - Re-Engineered Discharge (RED) Toolkit Tool 4 (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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