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181. Final Progress Report: Crossing an Invisible Quality Chasm: From NICU to Ambulatory Care (pdf file)
     www.ahrq.gov/sites/default/files/2024-12/moyer-report.pdf
     January 01, 2024 - the patient for discharge and ending when a follow-up appointment took place. … Patient identified for discharge A) Attending physician decides time for discharge B) Attending discusses … Discharge orders are written by licensed care provider C) Baylor Clinical RN prepares discharge packet … D) Discharge packet given to caregiver by Baylor Clinical RN E) TCH discharge instructions completed … day after discharge H) Hard copy of discharge data form is mailed to PCP I) Copy of discharge summary

182. Tool 3 Continued | Agency for Healthcare Research and Quality
     www.ahrq.gov/es/patient-safety/settings/hospital/red/toolkit/ahcp-template-eng.html
     March 01, 2025 - Re-Engineered Discharge (RED) Toolkit Tool 3 Continued Previous Page Next Page Table … 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 … Date: [discharge date] Question or Problem about this Packet? … Call your Discharge Educator: (xxx) xxx-xxxx DE PHOTO HERE Serious health problem?

183. Tool 3 Continued | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/hospital/red/toolkit/ahcp-template-eng.html
     March 01, 2025 - Re-Engineered Discharge (RED) Toolkit Tool 3 Continued Previous Page Next Page Table … 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 … Date: [discharge date] Question or Problem about this Packet? … Call your Discharge Educator: (xxx) xxx-xxxx DE PHOTO HERE Serious health problem?

184. TFC6: Transition Record Contents (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/pqmp/toolkits/tfc6-allsites.pdf
     January 01, 2020 - TFC6: Transition Record Contents 2015 Sep 2018 Jan 2019 Jan 2020 Jan Discharge … 80 100 TF C 6 S co re Hospital D, X-bar Chart 2015 Sep 2018 Jan 2019 Jan 2020 Jan Discharge … 80 100 TF C 6 S co re Hospital A, X-bar Chart 2015 Sep 2018 Jan 2019 Jan 2020 Jan Discharge … 80 100 TF C 6 S co re Hospital H, X-bar Chart 2015 Sep 2018 Jan 2019 Jan 2020 Jan Discharge … 80 100 TF C 6 S co re Hospital F, X-bar Chart 2015 Sep 2018 Jan 2019 Jan 2020 Jan Discharge

185. Tool 5: How To Conduct a Postdischarge Followup Phone Call | Agency for Healthcare Research and Quality
     www.ahrq.gov/es/patient-safety/settings/hospital/red/toolkit/redtool5.html
     March 01, 2025 - Review Health History and Discharge Plans Before the phone call, obtain the patient's hospital discharge … Review the discharge summary and AHCP to find out about: Diagnosis and condition at discharge. … Start your calls 48 hours after discharge. … Interventions for patients reporting feeling worse since discharge due to primary discharge diagnosis … Missing pieces of the discharge plan (e.g., prescription was not issued at discharge).

186. Tool 5: How To Conduct a Postdischarge Followup Phone Call | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/hospital/red/toolkit/redtool5.html
     March 01, 2025 - Review Health History and Discharge Plans Before the phone call, obtain the patient's hospital discharge … Review the discharge summary and AHCP to find out about: Diagnosis and condition at discharge. … Start your calls 48 hours after discharge. … Interventions for patients reporting feeling worse since discharge due to primary discharge diagnosis … Missing pieces of the discharge plan (e.g., prescription was not issued at discharge).

187. Electronic Prescribing and Electronic Transmission of Discharge Medication Lists | Digital Healthcare Research
     digital.ahrq.gov/ahrq-funded-projects/electronic-prescribing-and-electronic-transmission-discharge-medication-lists
     January 01, 2023 - Electronic Prescribing and Electronic Transmission of Discharge Medication Lists … from the hospital to the ambulatory setting at the first ambulatory visit following discharge. … Evaluate the impact on ADEs 30-days post-discharge of electronic transmission of medication lists at … discharge from the hospital to the ambulatory setting. … Electronic Prescribing and Electronic Transmission of Discharge Medication Lists - Final Report.

188. Template for Manual Creation of the AHCP: Spanish-Speaking Patients | Agency for Healthcare Research and Quality
     www.ahrq.gov/es/patient-safety/settings/hospital/red/toolkit/ahcp-template-sp.html
     March 01, 2025 - Re-Engineered Discharge (RED) Toolkit Template for Manual Creation of the AHCP: Spanish-Speaking Patients … 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 … at Your Hospital Tool 4: How To Deliver the Re-Engineered Discharge to Diverse Populations Tool … Date: [discharge date] ¿Preguntas o problemas sobre este paquete?

189. Template for Manual Creation of the AHCP: Spanish-Speaking Patients | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/hospital/red/toolkit/ahcp-template-sp.html
     March 01, 2025 - Re-Engineered Discharge (RED) Toolkit Template for Manual Creation of the AHCP: Spanish-Speaking Patients … 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 … at Your Hospital Tool 4: How To Deliver the Re-Engineered Discharge to Diverse Populations Tool … Date: [discharge date] ¿Preguntas o problemas sobre este paquete?

190. Final Progress Report: Patient-Centric Risk Model for Medication Safety During Care Transitions (pdf file)
     www.ahrq.gov/sites/default/files/2024-02/gurses-report.pdf
     January 01, 2024 - , T2: immediately after discharge, T3: within 1-2 weeks after discharge with visits to patient’s home … in their homes on two different trips (within a week of discharge and about a month following discharge … visit about 30 days from discharge). … Discharge-related tasks: during hospital to home transition-peri-discharge period and first few days … to first weeks of post- discharge period 3.

191. Tool 6: How To Monitor RED Implementation and Outcomes | Agency for Healthcare Research and Quality
     www.ahrq.gov/es/patient-safety/settings/hospital/red/toolkit/redtool6.html
     March 01, 2025 - within 24 hours of discharge. … Average time between discharge and delivery of discharge summary to the primary care provider. … Are Patients Being Prepared for Discharge? … Reconcile the discharge plan with national guidelines. … Provide telephone reinforcement of the discharge plan.

192. Tool 6: How To Monitor RED Implementation and Outcomes | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/hospital/red/toolkit/redtool6.html
     March 01, 2025 - within 24 hours of discharge. … Average time between discharge and delivery of discharge summary to the primary care provider. … Are Patients Being Prepared for Discharge? … Reconcile the discharge plan with national guidelines. … Provide telephone reinforcement of the discharge plan.

193. Tool 3 Continued | Agency for Healthcare Research and Quality
     www.ahrq.gov/es/patient-safety/settings/hospital/red/toolkit/dxpages.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

194. Tool 3 Continued | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/hospital/red/toolkit/dxpages.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

195. Tool 3 Continued | Agency for Healthcare Research and Quality
     www.ahrq.gov/es/patient-safety/settings/hospital/red/toolkit/ahcp-sample.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

196. Tool 3 Continued | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/hospital/red/toolkit/ahcp-sample.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

197. Value of Technology to Transfer Discharge Information - 2009 | Digital Healthcare Research
     digital.ahrq.gov/ahrq-funded-projects/value-technology-transfer-discharge-information/annual-summary/2009
     January 01, 2009 - The discharge software used a computerized physician order entry system. … visits, and post-discharge adverse events due to medical management were compared with handwritten discharge … discharge. … Discharge planning scale: community physicians’ perspective. … Software design to facilitate information transfer at hospital discharge.

198. 0129Table8 (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/0129table8.pdf
     January 01, 2013 - Comprehensive discharge planning with discharge planning plus post-discharge support on readmission … Patients with CHF who received comprehensive discharge planning plus post-discharge support had fewer … individualized discharge plan with routine non- tailored discharge care in an elderly population of … A clinical pharmacist called the patients 2 to 4 days after discharge to reinforce the discharge … Patients who had post- discharge follow-up within 30 days of hospital discharge were readmitted less

199. Final Progress Report: ESDP in Community Hospitals (pdf file)
     www.ahrq.gov/sites/default/files/2024-01/holland-report.pdf
     January 01, 2024 - early discharge planning intervention. … stay, and use of post-acute services were completed after discharge. … The Early Screen for Discharge Planning (ESDP) The PI, Dr. … Improving hospital discharge planning for elderly patients. … Standardizing Discharge Planning at the Mayo Clinic.

200. Care Transitions | PSNet
     psnet.ahrq.gov/perspective/care-transitions
     December 01, 2007 - care, such as discharge medications (absent from a median of 21% of discharge summaries), pending test … often contact their PCP within 7 to 14 days of discharge. … Prepare a detailed discharge summary and deliver it promptly to the PCP. … Reinforce the discharge plan and provide troubleshooting by telephone 2 to 3 days after discharge. … The hospital discharge: a review of a high risk care transition with highlights of a reengineered discharge