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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
   January 08, 2024 - 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. Interventions to Decrease Hospital Length of Stay | Effective Health Care (EHC) Program
   effectivehealthcare.ahrq.gov/products/hospital-length-of-stay/protocol
   August 24, 2020 - unnecessary waiting, poor organization of care, delays in decision-making, or difficulties related to discharge … planning. 2 , 3 A broad array of interventions have been developed to reduce length of stay (LOS), … planning, 9 - 11 case management, 12 medication management, 13 or specialized units for high-risk … Effectiveness of nurse-led early discharge planning programmes for hospital inpatients with chronic disease … Effectiveness of nursing discharge planning interventions on health-related outcomes in discharged elderly

4. Interventions for Adult Offenders With Serious Mental Illness | Effective Health Care (EHC) Program
   effectivehealthcare.ahrq.gov/products/mental-illness-adults-prisons/research
   August 21, 2013 - individuals transitioning from the incarceration setting to the community, evidence of low strength supported discharge … planning with benefit-application assistance and integrated dual disorder treatment compared with standard … Two interventions, discharge planning with Medicaid-application assistance and integrated dual disorder

5. 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.

6. Transitional Care Interventions to Prevent Heart Failure Readmissions | Effective Health Care (EHC) Program
   effectivehealthcare.ahrq.gov/products/heart-failure-transition-care/research-protocol
   June 10, 2013 - planning, emphasizing written discharge instructions or educational material targeted to the patient … ” should be a part of the discharge planning assessment. 28 In addition to guideline recommendations … 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

7. 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

8. Transition of Care for Acute Stroke and Myocardial Infarction Patients From Hospitalization to Rehabilitation, Recovery, and Secondary Prevention (pdf file)
   effectivehealthcare.ahrq.gov/sites/default/files/related_files/stroke-transitions-of-care-disposition-120504.pdf
   October 01, 2011 - Multidisciplinary discharge-planning teams (composed of doctors; nurses; social workers; and physical … In that case, the entire team program could be tested against “standard,” single-provider discharge … planning.” … planning and educational interventions, as well as other components of care delivery at transitions … planning and transitions in care for both acute stroke and myocardial infarction patients.

9. 04-E029-1 Summary (pdf file)
   effectivehealthcare.ahrq.gov/sites/default/files/related_files/stroke-transitions-of-care_executive.pdf
   January 01, 2015 - Specialty followup after MI, as a component of hospital discharge planning (intervention type 1) was … planning process (intervention type 1). … planning. … Multidisciplinary discharge-planning teams (composed of doctors, nurses, social workers, and physical … In that case, the entire team program could be tested against “standard” single-provider discharge planning

10. 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

11. 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

12. Transitional Care Interventions To Prevent Readmissions for People With Heart Failure | Effective Health Care (EHC) Program
    effectivehealthcare.ahrq.gov/products/heart-failure-transition-care/clinician
    October 16, 2015 - it 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

13. 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

14. 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…

15. Interventions for Adults With Serious Mental Illness Who Are Involved With the Criminal Justice System | Effective Health Care (EHC) Program
    effectivehealthcare.ahrq.gov/products/mental-illness-adults-prisons/research-protocol
    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      

16. 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.

17. 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

18. 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

19. Management Strategies to Reduce Psychiatric Readmissions | Effective Health Care (EHC) Program
    effectivehealthcare.ahrq.gov/products/psychiatric-readmissions/research-protocol
    September 04, 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"

20. 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