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  1. www.ahrq.gov/patient-safety/resources/resdesign-tool/kit6.html
    August 01, 2016 - A Toolkit for Redesign in Health Care: Final Report System Metrics Previous Page Next Page Table of Contents A Toolkit for Redesign in Health Care: Final Report Introduction Description of Denver Health Forces Which Compel System Redesign/Transformation Redesign Planning St…
  2. www.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…
  3. www.ahrq.gov/cpi/about/nac/snac-pancholi.html
    December 01, 2021 - SNAC Member: Mamatha S. Pancholi, M.S. Chief Data Officer and Senior Advisor to the Director Office of the Director Agency for Healthcare Research and Quality Mamatha S. Pancholi, M.S., joined the Agency for Healthcare Research and Quality (AHRQ) in 1993 and has served in several capacities during her tenur…
  4. www.ahrq.gov/research/findings/final-reports/index.html?page=4
    January 01, 2024 - Grant Number: K08 HS 022916 Topic(s): Discharge Planning, Older Adults Publication Date: June 2019
  5. www.ahrq.gov/es/patient-safety/settings/hospital/red/toolkit/redtool4.html
    March 01, 2025 - successful transition from hospital to home. 6 Thus, failing to address culture and language in the dischargeplanning process may expose patients to otherwise preventable adverse events and readmissions.  
  6. www.ahrq.gov/patient-safety/settings/hospital/red/toolkit/redtool4.html
    March 01, 2025 - successful transition from hospital to home. 6 Thus, failing to address culture and language in the dischargeplanning process may expose patients to otherwise preventable adverse events and readmissions.  
  7. www.ahrq.gov/sites/default/files/publications/files/dischargeprep.pdf
    February 14, 2013 - 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…
  8. www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/red/toolkit/dischargeprep.pdf
    February 14, 2013 - 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…
  9. www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/settings/hospitals/red-toolkit/dischargeprep.pdf
    February 14, 2013 - 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…
  10. www.ahrq.gov/patient-safety/patients-families/engagingfamilies/strategy1/index.html
    December 01, 2017 - Strategy 3: Nurse Bedside Shift Report Strategy 4: Care Transitions From Hospital to Home: IDEAL DischargePlanning Information to Help Hospitals Get Started
  11. 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 PatientDischarge at Nacogdoches Memorial Hospital Case Study: AHRQ's RED Toolkit Leads to Lower Readmissions
  12. www.ahrq.gov/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 PatientDischarge at Nacogdoches Memorial Hospital Case Study: AHRQ's RED Toolkit Leads to Lower Readmissions
  13. www.ahrq.gov/research/findings/studies/index.html?page=218
    January 01, 2024 - AHRQ Research Studies Sign up: AHRQ Research Studies Email updates Research Studies is a compilation of published research articles funded by AHRQ or authored by AHRQ researchers. Results 5451 to 5475 of 12214 Research Studies Displayed Pagination « first « First ‹ previous ‹‹ …
  14. www.ahrq.gov/sites/default/files/2024-01/jack-report.pdf
    January 01, 2024 - s level of literacy/health literacy Patient education about disease is not part of discharge Poor patientdischarge education, lack of patient understanding of disease, treatment, and follow-up care Assign … planning form in ED and have linked to inpatient record and/or discharge summary paperwork Include … Many assumptions about who does what but lack of accountability No checklist or toolbox or patientdischarge “guru” Need centralized discharge facilitator 19.
  15. www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/medicaidreadmitguide/aspire_webinar6/aspire_webinar6.pptx
    September 09, 2016 - Designing & Delivering Whole-Person Transitional Care The Hospital Guide to Reducing Medicaid Readmissions Webinar 6 Designing & Delivering Whole-Person Transitional Care The Hospital Guide to Reducing Medicaid Readmissions Webinar 6: Enhance Services for High-Risk Patients Agenda Describe strategies to enhance …
  16. www.ahrq.gov/pcor/dissemination-of-pcor/program-faqs.html
    July 01, 2019 - include staff with expertise in IT/electronic health record configuration and in care coordination/dischargeplanning.
  17. www.ahrq.gov/news/newsroom/case-studies/cdom0607.html
    October 01, 2014 - AHRQ's Prevention Quality Indicators Help Connecticut Assess Preventable Hospitalizations Search All Impact Case Studies May 2006 The Connecticut Office of Health Care Access (OHCA) used AHRQ's Prevention Quality Indicators (PQIs) for its databook, Preventing Hospitalizations in Connecticut: Assessing Acce…
  18. www.ahrq.gov/news/newsroom/case-studies/cp30506.html
    October 01, 2014 - In addition, the network helps provide social services such as discharge planning.
  19. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/implementation/training-tools/pfengagement-material-guide.docx
    May 01, 2017 - Be sure to facilitate discussion around use of patient and family advisors and IDEAL discharge planning
  20. www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/edenvironmentalscan/edenvironmentalscan.pdf
    December 01, 2014 - a structured review of the literature and suggest that this dyad care coordination model improves dischargeplanning for ED patients, decreases inappropriate admissions, lowers costs, and increases patient and … Nurse discharge planning in the emergency department: a Toowoomba, Australia, study. … planning and patient and staff satisfaction while decreasing inappropriate admissions and costs: a … A multidisciplinary care coordination team improves emergency department discharge planning practice

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