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www.ahrq.gov/patient-safety/resources/resdesign-tool/kit6.html
August 01, 2016 - A Toolkit for Redesign in Health Care: Final Report
System Metrics
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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…
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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…
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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…
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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
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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 discharge … planning process may expose patients to otherwise preventable adverse events and readmissions.
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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 discharge … planning process may expose patients to otherwise preventable adverse events and readmissions.
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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…
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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…
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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…
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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 Discharge … Planning
Information to Help Hospitals Get Started
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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
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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 Patient … Discharge at Nacogdoches Memorial Hospital Case Study: AHRQ's RED Toolkit Leads to Lower Readmissions
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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
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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 patient … discharge
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
patient … discharge “guru”
Need centralized discharge facilitator
19.
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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 …
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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/discharge … planning.
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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…
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www.ahrq.gov/news/newsroom/case-studies/cp30506.html
October 01, 2014 - In addition, the network helps provide social services such as discharge planning.
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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
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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 discharge … planning 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