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1. Effective Health Care (pdf file)
   effectivehealthcare.ahrq.gov/sites/default/files/pdf/TND_0519_02-27-2012.pdf
   January 01, 2012 - o Length of followup o Concurrent discharge planning in disease management programs o Place of delivery … of discharge planning (home, inpatient, outpatient) o Components of discharge planning and whether … components were individually tailored or generalized o Intensity of discharge planning, number and

2. Engaging-Caregivers-Appendix-B (xls file)
   effectivehealthcare.ahrq.gov/sites/default/files/related_files/engaging-caregivers-appendix-b.xlsx
   May 29, 2025 - Parent sessions typically included one discharge planning session in the short-term setting and periodic … Targeted discharge planning (16 week period) B. … No targeted discharge planning (previous 16 week period) A. … CMS discharge planning beginning at hospital admission. … No targeted discharge planning (n=58) NR Yes Patient engagement process and use of discharge planning

3. Making Healthcare Safer IV Rapid Review: Engaging Family Caregivers With Structured Communication for Safe Care Transitions (pdf file)
   effectivehealthcare.ahrq.gov/sites/default/files/related_files/engaging-caregivers-rapid-review.pdf
   April 01, 2024 - CMS discharge planning beginning at hospital admission. … No targeted discharge planning (n=58) • Readmissions A vs. … A targeted discharge planning for high-risk readmissions: Focus on patients and caregivers. … Discharge planning of stroke patients: the relatives' perceptions of participation. … Strategy 4: Care transitions from hospital to home: IDEAL discharge planning [internet].

4. Topic Brief: Interventions to Decrease Hospital Length of Stay (pdf file)
   effectivehealthcare.ahrq.gov/system/files/docs/topic-brief-hospital-length-of-stay.pdf
   November 01, 2019 - o These reviews covered a variety of interventions such as Lean, discharge planning, availability of … Discharge planning from hospital. … Meta-analysis of the effectiveness of nursing discharge planning interventions for older inpatients … planning We identified three SR on discharge planning. … • A 2016 Cochrane SR15 focused on discharge planning from the hospital.

5. heart-failure-readmission-protocol-130611 (pdf file)
   effectivehealthcare.ahrq.gov/sites/default/files/pdf/heart-failure-transition-care_research-protocol.pdf
   June 10, 2013 - planning, emphasizing written discharge instructions or educational material targeted to the patient … planning assessment.28 In addition to guideline recommendations, several national performance measures … These interventions overlap with disease- management, case-management, and discharge-planning interventions … Care "case management”[MeSH] OR “rehabilitation”[MeSH] OR “continuity of patient care”[MeSH] OR “patient … one type of setting to another.”7 The concept can overlap disease management, case management, and discharge-planning

6. Mental-Illness-Adults-Prisons Executive (pdf file)
   effectivehealthcare.ahrq.gov/sites/default/files/related_files/mental-illness-adults-prisons_executive.pdf
   August 01, 2013 - planning.8,9 A 1997 study by Steadman and Veysey, however, indicated that few jails provide a range … One of these trials was categorized as both a discharge planning and IDDT trial. … For KQ2, the incarceration-to-community transition setting, limited evidence showed that discharge planning … In both of the studies of discharge planning with benefit- application assistance, the population was … Likewise, discharge planning with benefit-application assistance appears to increase mental health service

7. Making Healthcare Safer IV_Rapid Response: Patient and Family Engagement (pdf file)
   effectivehealthcare.ahrq.gov/sites/default/files/related_files/mhs-IV-rapid-response-patient-family-engagement.pdf
   October 01, 2023 - Planning” and the Centers for Medicare and Medicaid Services’ “Your Discharge Planning Checklist” … Strategy 4: Care Transitions From Hospital to Home: IDEAL Discharge Planning. … Your Discharge Planning Checklist: For patients and their caregivers preparing to leave a hospital … https://www.medicare.gov/Pubs/pdf/11376- discharge-planning-checklist.pdf. … Discharge planning from hospital.

8. Transitional Care Interventions To Prevent Readmissions for People With Heart Failure (pdf file)
   effectivehealthcare.ahrq.gov/sites/default/files/pdf/heart-failure-transition-care_policymaker.pdf
   August 01, 2016 - that it could have been prevented by providing quality care in the initial hospitalization, adequate discharge … planning, adequate postdischarge followup, or improved coordination between inpatient and outpatient

9. Heart-Failure-Transition-Care Clinician (pdf file)
   effectivehealthcare.ahrq.gov/sites/default/files/pdf/heart-failure-transition-care_clinician.pdf
   October 01, 2015 - could have been prevented by providing quality care during the initial hospitalization, adequate discharge … planning, adequate postdischarge followup, or improved coordination between inpatient and outpatient

10. Reducing Hospital Length of Stay Supplemental Info (pdf file)
    effectivehealthcare.ahrq.gov/sites/default/files/pdf/topic-nom-length-stay-supplement.pdf
    June 27, 2019 - Reducing Hospital Length of Stay Supplemental Info Reducing Hospital Length of Stay: Topic Nomination from the LHS Panel Project June 27, 2019 1. What is the decision or change (e.g. clinical topic, practice guideline, system design, delivery of care) you are facing or struggling with where a summary of the evid…

11. Title (pdf file)
    effectivehealthcare.ahrq.gov/sites/default/files/pdf/mental-illness-adults-prisons_research-protocol.pdf
    September 13, 2012 - planning. … planning during incarceration and an insufficient number of public mental healthcare programs in the … Discharge planning has been defined as the process of “creating a continuum of care pertaining to mental … The extent of discharge planning may vary depending on the needs of the inmate, availability of resources … planning X X X X Critical time interventions X Case management interventions X X X Intensive

12. Crosscutting-Horizon-Scan-High-Impact-1312 (pdf file)
    effectivehealthcare.ahrq.gov/sites/default/files/crosscutting-horizon-scan-high-impact-1312.pdf
    December 01, 2013 - planning; screening (as part of regular practice) for risk of adverse health outcomes, return visits … interventions may be used for postdischarge followup care, including providing more comprehensive discharge … planning, having a medical professional make followup phone calls, ensuring the patient leaves with … early the patients who are at risk for these conditions and to assist in disposition, treatment, or discharge … planning.

13. Topic-Brief1-Care-Coordination (pdf file)
    effectivehealthcare.ahrq.gov/sites/default/files/pdf/topic-brief1-care-coordination.pdf
    April 01, 2021 - failure and in general medical populations.2 There was consistent 3 evidence that enhanced discharge … planning and hospital-at-home interventions reduced readmissions in mixed patient populations; interventions

14. Topic-Brief1-Care-Coordination (pdf file)
    effectivehealthcare.ahrq.gov/sites/default/files/related_files/topic-brief1-care-coordination.pdf
    April 01, 2021 - failure and in general medical populations.2 There was consistent 3 evidence that enhanced discharge … planning and hospital-at-home interventions reduced readmissions in mixed patient populations; interventions

15. psychiatric-readmissions-protocols-140904 (pdf file)
    effectivehealthcare.ahrq.gov/sites/default/files/pdf/psychiatric-readmissions_research-protocol.pdf
    December 31, 2014 - Discharge planning in mental health care: a systematic review of the recent literature. … Search terms Search Query Items found #1 Search ("Patient Admission"[Mesh] OR "Patient Discharge" … [Mesh] OR "patient discharge"[All Fields] OR "discharge service"[All Fields] OR "discharge services

16. Disposition of Comments for Technical Brief 21, Management Strategies To Reduce Psychiatric Readmissions (pdf file)
    effectivehealthcare.ahrq.gov/sites/default/files/related_files/psychiatric-readmissions_disposition-comments.pdf
    May 21, 2015 - planning and care coordination. … planning and outpatient mental health treatment, but that such measures can be confounded by factors … Stabilization strategies based on discharge planning and medication. Fontanella, C., K. … Warner, et al., Effects of Medication Management and Discharge Planning on Early Readmission of Psychiatrically … planning o short term case management o bridge visits o computerized decision-support tool for

17. Heart-Failure-Transition-Care Executive (pdf file)
    effectivehealthcare.ahrq.gov/sites/default/files/related_files/heart-failure-transition-care_executive.pdf
    May 01, 2014 - .20 Transitional care interventions overlap other forms of care (primary care, care coordination, discharge … planning, disease management, and case management); however, they aim specifically to avoid poor clinical … planning.25,26 No specific guidance is given on the optimal components of transitional care interventions … components: education to patient, caregiver, or both delivered predischarge, postdischarge, or both; discharge … planning; appointment scheduling before discharge; increased planned or scheduled outpatient clinic

18. Mass-Casualty-Events-Scarce-Resources Executive (pdf file)
    effectivehealthcare.ahrq.gov/sites/default/files/related_files/mass-casualty-events-scarce-resources_executive.pdf
    June 01, 2012 - Evidence-Based Practice Evidence-based Practice Program The Agency for Healthcare Research and Quality (AHRQ), through its Evidence- based Practice Centers (EPCs), sponsors the development of evidence reports and technology assessments to assist public- and private-sector organizations in their efforts to imp…

19. Management of Suicidal Thoughts and Behaviors in Youth: A Systematic Review (pdf file)
    effectivehealthcare.ahrq.gov/sites/default/files/related_files/suicidal-thoughts-young-people-exe-sum.pdf
    April 01, 2025 - Management of Suicidal Thoughts and Behaviors in Youth: A Systematic Review Systematic Review Management of Suicidal Thoughts and Behaviors in Youth: A Systematic Review Executive Summary Main Points • The current body of evidence is derived primarily from racially and ethnically diverse f…

20. AHRQ Slide Template 2019-Widescreen
    effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/pdf/mhs-IV-epc-grand-rounds-slides.pptx
    January 01, 2023 - AHRQ Slide Template 2019-Widescreen AHRQ Evidence-based Practice Center Program Grand Rounds Series Making Healthcare Safer IV Reports Welcome! Logistics This meeting will be recorded and shared externally. Please use the chat for questions and feedback throughout the session or use the hand-raising functionality …