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81. Sutter Center for Integrated Care Using AHRQ Guide in Patient Materials | Agency for Healthcare Research and Quality
    ce.effectivehealthcare.ahrq.gov/news/newsroom/case-studies/201515.html
    January 01, 2018 - patient-centered care, SCIC adapted the guide from AHRQ's Re-Engineered Discharge (RED) Toolkit , a discharge … planning resource to help patients prepare for life at home after a hospitalization.

82. Re-Engineered Discharge Toolkit (pdf file)
    ce.effectivehealthcare.ahrq.gov/sites/default/files/publications/files/redtoolkitforms.pdf
    September 01, 2012 - Re-Engineered Discharge Toolkit 1 Re-Engineered Discharge Toolkit Samples and Forms 1 Sample After Hospital Care Plan (AHCP) 2 **Bring This Plan to ALL Appointments** After Hospital Care Plan for: Oscar Sanchez Discharge Date: August 1, 2012 TRY TO QUIT SMOKING: Call Jon Doe at (555) …

83. Pf-Engagement-Facnotes (doc file)
    ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/implementation/training-tools/pf-engagement/pf-engagement-facnotes.docx
    May 01, 2017 - Using the IDEAL discharge planning method will help prevent postdischarge complications and avoidable … The 5 steps of IDEAL discharge planning are— 1. … IDEAL Discharge Planning Explores the components of a discharge plan and provides guidance on involving

84. Appendix, Questions to Ask When Developing Your Design Team and Rationale | Agency for Healthcare Research and Quality
    ce.effectivehealthcare.ahrq.gov/patient-safety/settings/hospital/match/appendix/app-1.html
    July 01, 2022 - [Example: Contact manager of discharge planning to identify representative] .

85. Diagnostic Safety Across Transitions of Care Throughout the Healthcare System: Current State and a Call to Action (pdf file)
    ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/patient-safety/reports/issue-briefs/diagnostic-safety-transitions-care.pdf
    June 01, 2023 - planning through a novel IDEAL Discharge Planning strategy.93 This systematic framework focuses on: … ■ Including patients and families as full partners in discharge planning, ■ Discussing with patients … A scoping review of patient discharge from intensive care: opportunities and tools to improve care. … Patient discharge from intensive care: an updated scoping review to identify tools and practices to … Strategy 4: Care Transitions From Hospital to Home: IDEAL Discharge Planning.

86. Myth Busting: Using the CG-CAHPS 12-Month Survey for Quality Improvement (pdf file)
    ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/20131008_cg/4_Rick_Evans_slides_41-46.pdf
    January 01, 2013 - Myth Busting: Using the CG-CAHPS 12-Month Survey for Quality Improvement The Practice Engagement Model Service Cabinets Created for Clinical Areas • Collaborative Data Analysis  Identification areas for improvement & indicators • Target Setting  Specific targets for CY 2013 • Collaborative Action Plannin…

87. A Toolkit to Engage High-Risk Patients in Safe Transitions: Final Report (doc file)
    ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/safetransitions/safetransitions_finalreport.docx
    November 01, 2017 - Planning tools and the Center for Medicare and Medicaid Services (CMS) Discharge Planning Checklist.5,6 … Evidence-based Tools Tool Purpose AHRQ’s IDEAL Discharge Planning Tools This set of tools uses key … CMS Discharge Planning Checklist This checklist is for use during stay at a hospital, nursing home, … This panel reviewed AHRQ’s IDEAL Discharge Planning tool, the CMS Discharge Planning Checklist, the LACE … Your Discharged Planning Checklist. https://www.medicare.gov/pubs/pdf/11376-discharge-planning- checklist.pdf

88. Webinar 2: Analyze Data and Patient/Caregiver Perspectives (Section 1 of the Guide): Slide Presentation | Agency for Healthcare Research and Quality
    ce.effectivehealthcare.ahrq.gov/patient-safety/settings/hospital/resource/guide/web2.html
    December 01, 2017 - Skip to main content An official website of the Department of Health and Human Services Careers Contact Us Español FAQs Search all AHRQ sites Search small Search Menu …

89. Executive Summary | Agency for Healthcare Research and Quality
    ce.effectivehealthcare.ahrq.gov/patient-safety/reports/candor-demo-program/plan-grants/summary.html
    August 01, 2022 - Skip to main content An official website of the Department of Health and Human Services Careers Contact Us Español FAQs Search all AHRQ sites Search small Search Menu …

90. Planning Grants Final Evaluation Report: Longitudinal Evaluation of the PSML Reform Demonstration Program (pdf file)
    ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/psml-planning-grants-final-report.pdf
    May 01, 2016 - Planning Grants Final Evaluation Report: Longitudinal Evaluation of the PSML Reform Demonstration Program Longitudinal Evaluation of the Patient Safety and Medical Liability Reform Demonstration Program Planning Grants Final Evaluation Report Longitudinal Evaluation of the Patient Safety and Medical Liability Re…

91. Transitions of Care | Agency for Healthcare Research and Quality
    ce.effectivehealthcare.ahrq.gov/topics/transitions-care.html
    in Safe Transitions Across Ambulatory Settings Care Transitions from Hospital to Home: The IDEAL Discharge … Planning MATCH Toolkit (Medications at Transitions and Clinical Handoffs) Taking Care of Myself:

92. Webinar 3: Review & Update Readmission Reduction Efforts: Slide Presentation | Agency for Healthcare Research and Quality
    ce.effectivehealthcare.ahrq.gov/patient-safety/settings/hospital/resource/guide/web3.html
    December 01, 2017 - Discharge planning from all levels of care. Disease Management. Complex Case Management.

93. Ten Attributes of Health Literate Health Care Organizations | Agency for Healthcare Research and Quality
    ce.effectivehealthcare.ahrq.gov/health-literacy/publications/ten-attributes.html
    January 01, 2024 - Choice: Training Modules for Health Care Professionals Care Transitions From Hospital to Home: IDEAL Discharge … Planning Communication and Optimal Resolution (CANDOR) Toolkit Conduct Brown Bag Medicine Reviews

94. Information to Help Hospitals Get Started (doc file)
    ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/howtogetstarted/Ways_To_Learn_More_508.docx
    May 21, 2013 - Available at: http://www.caretransitions.org/ Your Discharge Planning Checklist This checklist from the

95. Exhibit 11. Supporting Increases in Patient Knowledge, Skills, and Abilities | Agency for Healthcare Research and Quality
    ce.effectivehealthcare.ahrq.gov/research/findings/final-reports/ptfamilyscan/ptfamilyex11.html
    July 01, 2018 - Skip to main content An official website of the Department of Health and Human Services Careers Contact Us Español FAQs Search all AHRQ sites Search small Search Menu …

96. Re-Engineered Discharge (RED) Toolkit | Agency for Healthcare Research and Quality
    ce.effectivehealthcare.ahrq.gov/patient-safety/settings/hospital/red/toolkit/index.html
    April 01, 2023 - Cut Readmissions, Promote Patient Self-Management Case Study: AHRQ's RED Toolkit Inspires Improved Patient … Discharge at Nacogdoches Memorial Hospital Case Study: AHRQ's RED Toolkit Leads to Lower Readmissions

97. Appendix B. National Quality Measures Clearinghouse™ Data Sources | Agency for Healthcare Research and Quality
    ce.effectivehealthcare.ahrq.gov/prevention/resources/chronic-care/clinical-community-relationships-measures-atlas/ccrm-atlasapb.html
    March 01, 2013 - Skip to main content An official website of the Department of Health and Human Services Careers Contact Us Español FAQs Search all AHRQ sites Search small Search Menu …

98. Northeastern University Hospital Surge Capacity Planning Model: Bed, Ventilator, and PPE 1-30 Day Demand | Agency for Healthcare Research and Quality
    ce.effectivehealthcare.ahrq.gov/patient-safety/settings/hospital/surgecapacitytool.html
    May 01, 2020 - Skip to main content An official website of the Department of Health and Human Services Careers Contact Us Español FAQs Search all AHRQ sites Search small Search Menu …

99. Sickle Cell Anemia Preventive Care Key Driver Diagram (pdf file)
    ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/pqmp/toolkits/sca-key-drive-diagram.pdf
    January 29, 2021 - Sickle Cell Anemia Preventive Care Key Driver Diagram Establish contact and messaging system with SCA patients, families, providers, and health plans. Customizable messaging types depending on patient preference. Develop care coordinator programs for SCA. Community outreach to homes of noncompliant patients to as…

100. Tool 12: Cross Continuum Collaboration Tool (doc file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/medicaidreadmitguide/mcaidread_tool12_collaboration.docx
     September 20, 2016 - Tool 12: Cross Continuum Collaboration Tool Tool 12: Cross-continuum collaboration tool Purpose This tool helps teams develop specific effective and timely linkages to services with cross-continuum clinical, behavioral, and social services providers. Description Hospital readmission reduction teams need to identify…