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www.ahrq.gov/sites/default/files/wysiwyg/takeheart/training/cerner-q-a-final-deck.pdf
June 02, 2025 - leave the event today
Cerner Resources
8
8
Screenshots of Commonly
Asked Questions
Alert at Discharge … 9
9
For certain ICD-10 and SNOMED CT codes, when a Card rehab referral order is not present at discharge
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www.ahrq.gov/hai/tools/mvp/modules/technical/intro-early-mobility-fac-guide.html
February 01, 2017 - percent of observed patients who entered the ICU had a significant functional decline following ICU discharge … prior to admission, the patient had a higher risk of death and further functional decline following discharge … Patients who were mobilized early had higher MRC scores at discharge, were more often discharged to home … instead of a care facility, and had increased survival at day 90 post-discharge. … weakness, associated with less mobilization in the ICU, the need for institutionalization following discharge
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Tuinen.pdf
March 01, 2004 - largely
been used to predict resource use12 and to control for patient mix.13
ICD-coded hospital discharge … Sample design
Hospital discharge records for the first three quarters of 2001 formed the
sampling … It was initially estimated that approximately 1,000
surgical discharge records would allow a reasonable … Analysis
A given AE could be associated with more than one ICD code on the hospital
discharge record … Classifying trauma severity based on hospital
discharge diagnoses.
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www.ahrq.gov/research/findings/nhqrdr/chartbooks/blackhealth/part2-subuse.html
June 01, 2018 - and until 1976, most other common measures of alcohol-related problems such as arrest and hospital discharge … Source: Substance Abuse and Mental Health Services Administration, Treatment Episode Data Set, Discharge
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www.ahrq.gov/news/newsletters/e-newsletter/943.html
January 01, 2025 - Promoting medication safety for older adults upon hospital discharge: guiding principles for a medication … discharge plan . … A novel risk-adjusted metric to compare hospitals on their antibiotic prescribing at hospital discharge … Identifying factors influencing emerging innovations in hospital discharge decision making in response
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www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/chipra_14-p008-1-ef.pdf
October 01, 2014 - adult-focused studies
have demonstrated that QI interventions focused on improving the quality of the discharge … Comprehensive discharge planning with postdischarge support for older patients with
congestive heart … Preventing the rebound: improving care transition in hospital discharge processes. … Evaluating hospital discharge planning: a randomized clinical trial.
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www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/tools/PCMH/pcpf-module-14-collecting-performance-data.pdf
September 01, 2015 - Ear/Nose/Throat: denies ear pain or discharge, nasal obstruction or discharge, sore throat
Cardiovascular … Ear/Nose/Throat: denies ear pain or discharge, nasal obstruction or discharge, sore throat
Cardiovascular … Ear/Nose/Throat: denies ear pain or discharge, nasal obstruction or discharge, sore throat
Cardiovascular … Ear/Nose/Throat: denies ear pain or discharge, nasal obstruction or discharge, sore throat
Cardiovascular … Ear/Nose/Throat: denies ear pain or discharge, nasal obstruction or discharge, sore throat
Cardiovascular
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/medicaidreadmitguide/mcaidread_tool3_hosp_inv.docx
June 02, 2025 - clinical readmission risk
· Identify the “learner” or care plan partner to include in education and discharge … improve patient/caregiver understanding of information
· Schedule followup appointments prior to discharge
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www.ahrq.gov/ncepcr/care/coordination/atlas/chapter6m.html
June 01, 2014 - Survey — Patient Version
Purpose: To gather information on the quality of process and outcomes of discharge … exchange (community services and equipment), (2) medication management, (3) preparation for coping after 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.
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www.ahrq.gov/research/findings/final-reports/stpra/stpraapd3.html
April 01, 2018 - Try to discharge straight from the isolation room. … Call family back to PACU and go over discharge. … Vitals checked once more before patient is then discharged
Surgeon checks on patient before discharge … and will have written instructions about what to do before discharge but the final decision comes from … Check that they understand discharge instructions.
Post-op phone call is done the next day.
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www.ahrq.gov/pqmp/implementation-qi/toolkit/h2h/key-driver.html
July 01, 2021 - the collaborative, which was to “improve overall performance on quality of family/caregiver written discharge
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www.ahrq.gov/talkingquality/measures/setting/hospitals/examples.html
March 01, 2016 - Provision of care instructions upon hospital discharge for certain conditions. … Efficiency Measures
Utilization of hospital services or procedures as measured by the hospital discharge
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www.ahrq.gov/cahps/surveys-guidance/oas/index.html
November 01, 2023 - Discharge from the facility.
Preparation for recovering at home. … Composite Measures
About Facilities and Staff
Communications About Your Procedure
Preparations for Discharge
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www.ahrq.gov/pqmp/measures/mental-health-followup-timeliness.html
August 01, 2021 - Mental Health Follow Up Measures 1: Timeliness of Follow-up Visits Following Hospital Discharge of Children
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www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/overview/background/measures-CC-5.pdf
December 17, 2010 - outpatient encounter, or partial hospitalization with a mental health
practitioner within 7 days after discharge … outpatient encounter, or partial hospitalization with a mental health
practitioner within 30 days after discharge
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/technical/intro-early-mobility-facguide.docx
January 01, 2017 - percent of observed patients who entered the ICU had a significant functional decline following ICU discharge … prior to admission, the patient had a higher risk of death and further functional decline following discharge … Patients who were mobilized early had higher MRC scores at discharge, were more often discharged to home … instead of a care facility, and had increased survival at day 90 post-discharge. … weakness, associated with less mobilization in the ICU, the need for institutionalization following discharge
-
www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/surgery/43-pathway-worksheet.docx
June 01, 2023 - Tip: Patient education should be done about risks and benefits of post discharge prophylaxis. … Postoperative Discharge Pain Control
Multimodal pain control is recommended for all patients upon discharge … Postoperative Discharge Planning
Discharge planning should begin well before admission (when feasible … Consider inclusion of WOCNs in discharge planning when applicable. … All ISCR Pathways
Discharge Planning
Recommended approach:
· A multidisciplinary approach to discharge
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www.ahrq.gov/talkingquality/translate/labels/explain.html
January 01, 2019 - For example, one can label a clinical measure such as prescribing beta blockers after a hospital discharge … for heart attack as “Prescribing beta blockers at discharge to prevent future heart attacks.”
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www.ahrq.gov/sites/default/files/wysiwyg/takeheart/training/module-5-slides.pdf
December 31, 2022 - CR
Best
• AR + patient
conversation +
scheduling the
patient for the
first CR visit
prior to
discharge … , or following hospitalization),
the patient can begin CR or how (tell the patient, enter into the discharge … the patient
can begin CR or how the referral should
be made
Referral consistently embedded
into discharge … : A Time to Trigger Referral
31
PARTICIPANTS
INPATIENT VS
OUTPATIENT
Inpatient and Procedures
Discharge … existing workflow as much as possible
Insert automatic referral into tools
already being used, i.e., discharge
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/medicaidreadmitguide/aspire_webinar3/aspire_webinar3.pptx
December 01, 2014 - Portfolio Presentation
Conditions of Participation Handout
Whole-Person Transitional Care Planning
Discharge … Resources or assets may exist that could be leveraged
Readmission flags, high risk flags in EMR
Post-discharge … Managed Care Organizations (MCOs)
MCOs can assist with:
Identify PCP
Home Nursing
Medication adherence
Discharge … recovery coaches in the ED
Outcomes Management
Social Work
Behavioral Health Program
Clinics provide post-discharge