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www.ahrq.gov/prevention/resources/chronic-care/clinical-community-relationships-measures-atlas/ccrm-atlasapb.html
March 01, 2013 - Clinical-Community Relationships Measures (CCRM) Atlas
Appendix B. National Quality Measures Clearinghouse™ Data Sources
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Table of Contents
Clinical-Community Relationships Measures (CCRM) Atlas
Introduction
Acknowledgments
1. Why Was the Clinical-Community Relationships…
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www.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
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/howtogetstarted/Ways_To_Learn_More_508.docx
June 02, 2025 - Available at: http://www.caretransitions.org/
Your Discharge Planning Checklist
This checklist from the
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www.ahrq.gov/sites/default/files/publications/files/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…
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www.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…
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www.ahrq.gov/patient-safety/patients-families/engagingfamilies/index.html
March 01, 2023 - Engage patients and families in discharge planning throughout the hospital stay.
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www.ahrq.gov/es/tools/index.html?page=1
December 01, 2012 - communication, implement nurse bedside change-of-shift reports, and engage patients and families in discharge … planning throughout the hospital stay.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/howtogetstarted/About_the_Guide_508.pdf
June 02, 2025 - by involving the patient and family in
the change of shift report for nurses
• Strategy 4: IDEAL Discharge … Planning helps
reduce preventable readmissions by engaging
patients and family members in the transition
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www.ahrq.gov/patient-safety/patients-families/engagingfamilies/howtogetstarted/index.html
December 01, 2017 - Strategy 3: Nurse Bedside Shift Report
Strategy 4: Care Transitions From Hospital to Home: IDEAL Discharge … Planning
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www.ahrq.gov/patient-safety/patients-families/engagingfamilies/guide.html
December 01, 2017 - Strategy 4: IDEAL Discharge Planning helps reduce preventable readmissions by engaging patients and
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www.ahrq.gov/patient-safety/settings/hospital/resource/guide/web2.html
December 01, 2017 - Webinar 2: Analyze Data and Patient/Caregiver Perspectives (Section 1 of the Guide): Slide Presentation
Designing & Delivering Whole-Person Transitional Care: The Hospital Guide to Reducing Medicaid Readmissions
Text version of Webinar slide presentation.
Slide 1: Designing & Delivering Whole-Person Transit…
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www.ahrq.gov/sites/default/files/wysiwyg/takeheart/training/care-coordination-implementation-guide.pdf
March 01, 2023 - Implementation Guide for Enhancing Care Coordination for Cardiac Rehabilitation
Guide for Care Coordination
March 2023
1
Implementation Guide
for Enhancing Care Coordination for CR
Acronym List
Term Abbreviation
AACVPR American Association of Cardiovascular and Pulmonary Rehabilitation
AR Automatic Refe…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/howtogetstarted/About_the_Guide_508.docx
June 02, 2025 - nurses by involving the patient and family in the change of shift report for nurses
Strategy 4: IDEAL Discharge … Planning helps reduce preventable readmissions by engaging patients and family members in the transition
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www.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.
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www.ahrq.gov/diagnostic-safety/resources/issue-briefs/healthit-ed-3.html
February 01, 2021 - Health Information Technology for Engaging Patients in Diagnostic Decision Making in Emergency Departments
Mobile Text Messaging
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Table of Contents
Health Information Technology for Engaging Patients in Diagnostic Decision Making in Emergency Departments
Introduction
Elect…
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www.ahrq.gov/research/shuttered/toolkitchecklist/surgetkit3.html
July 01, 2018 - Notify discharging hospitals of patient transport date(s), and coordinate patient discharge activities
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www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/settings/hospitals/red-toolkit/dischargeprep.pdf
June 02, 2025 - RED Discharge Preparation Workbook
1
RED Discharge Preparation Workbook
Patient Name _________________________ MRN ________________ DOB ______________
Room # ______________
Date of admission ______________
Language preference
Interpreter/Translation
Needed (Y/N)
Spoken communication
Writt…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/nicu_toolkit/nicupacket-cover.pdf
June 02, 2025 - NICU Toolkit: Family Information Packet Cover Sheet
13
Transitioning Newborns
from NICU to Home
Family Information Packet
Your Health Coach has prepared this information packet for your family to help explain the medical
needs of your newborn as you prepare to leave the hospital. A Health Coach helps families/
c…
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www.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…
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www.ahrq.gov/es/patient-safety/settings/hospital/red/toolkit/index.html
March 01, 2025 - 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