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  1. www.ahrq.gov/sites/default/files/2025-02/goldman-report.pdf
    January 01, 2025 - METHODS Study Design We conducted an audit of POA reporting in the 2005 California Patient Dischargedischarge data. … have improved since 2005, but this along with the generalizability of our findings to other states’ patientdischarge data should be evaluated, particularly now that all hospitals are reporting POA to Medicare … Patient Discharge Data File Documentation January-December Secondary Patient Discharge Data File Documentation
  2. www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/settings/hospitals/red-toolkit/ahcpsample.pdf
    September 01, 2012 - After Hospital Care Plan for: Oscar Sanchez [Sample] 1 Sample After Hospital Care Plan (AHCP) **Bring This Plan to ALL Appointments** After Hospital Care Plan for: Oscar Sanchez Discharge Date: August 1, 2012 TRY TO QUIT SMOKING: Call Jon Doe at (555) 555-3344 at ABC Medical Center. Question …
  3. www.ahrq.gov/hai/cusp/modules/implement/alt-text.html
    April 01, 2013 - Implement Teamwork and Communication Alternative Text Slide Number and Title Slide Content Content for Alternative Text (Illustration) Slide 1 Cover Slide (CUSP Toolkit logo) The “Teamwork and Collaboration” module of the CUSP Toolkit. The CUSP toolkit is a modular approach to patient sa…
  4. www.ahrq.gov/patient-safety/quality-measures/21st-century/index.html
    June 01, 2018 - The Challenge and Potential for Assuring Quality Health Care for the 21st Century Next Page Table of Contents The Challenge and Potential for Assuring Quality Health Care for the 21st Century From Quality Measures to Quality Care: Examples of Quality Improvement at Work Private Sector Efforts in V…
  5. www.ahrq.gov/takeheart/training/module-6/index.html
    December 01, 2022 - Module 6: Laying the Groundwork for Care Coordination   YouTube embedded video: https://www.youtube-nocookie.com/embed/Zvp6SFaH-8g Video: Laying the Groundwork for Care Coordination (1:00:12) Slides: Laying the Groundwork for Effective Care Coordination (PDF, 1.4 MB) Implementation Guide:  Laying th…
  6. Morningbriefing (doc file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/toolkit/morningbriefing.doc
    June 02, 2025 - Conducting a Morning Briefing Problem statement: Physicians can improve communication with nursing staff while more efficiently prioritizing patient care delivery and admissions and discharges. What is a Morning Briefing? A morning briefing is a dialogue between two or more people using concise and relevant informati…
  7. www.ahrq.gov/ncepcr/care/coordination/atlas/chapter5.html
    June 01, 2014 - Care Coordination Measures Atlas Update Chapter 5. Measure Mapping Previous Page Next Page Table of Contents Care Coordination Measures Atlas Update Chapter 1: Background Chapter 2. What is Care Coordination? Chapter 3. Care Coordination Measurement Framework Chapter 4, Emerging Trends in Ca…
  8. www.ahrq.gov/es/patient-safety/settings/hospital/red/toolkit/ahcp-components.html
    March 01, 2013 - Re-Engineered Discharge (RED) Toolkit Tool 3 Continued Previous Page Next Page Table of Contents Re-Engineered Discharge (RED) Toolkit Tool 1: Overview Tool 2: How To Begin the Re-engineered Discharge Implementation at Your Hospital How CMS Measures the "30-Day All Cause Rehospitalization Rate…
  9. www.ahrq.gov/patient-safety/settings/hospital/red/toolkit/ahcp-components.html
    March 01, 2013 - Re-Engineered Discharge (RED) Toolkit Tool 3 Continued Previous Page Next Page Table of Contents Re-Engineered Discharge (RED) Toolkit Tool 1: Overview Tool 2: How To Begin the Re-engineered Discharge Implementation at Your Hospital How CMS Measures the "30-Day All Cause Rehospitalization Rate…
  10. www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/medicaidmgmt/mm6.html
    October 01, 2014 - number of times members were assisted with transportation, scheduling appointments with providers, dischargeplanning, and pharmacy issues.
  11. www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/overview/background/measures-CC-5.pdf
    December 17, 2010 - MEASURE SUMMARY (CHIPRA Core Set Candidate Measures) - Control #: CC-5 Completed by: Page 1 12/17/2010 MEASURE SUMMARY CHIPRA Core Set Candidate Measures A. Control #: CC-5 B. Measure Name: Follow up after hospitalization for mental illness C. Measure Definition – 2 rates reported 1) 7-day Follow-up…
  12. www.ahrq.gov/sites/default/files/2024-01/burden-report.pdf
    January 01, 2024 - Clinician demographics recorded on day of patient discharge Randomization Group Clinician-level demographics … Discharge planning from hospital. Cochrane Database Syst Rev 2016:CD000313. 39. Mao F, Greysen SR.
  13. www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/f1-returnoninvestment.pdf
    January 01, 2009 - INSTRUCTIONS: Return on Investment Estimation AHRQ Quality Indicators Toolkit INSTRUCTIONS Return on Investment Estimation What is this tool? When your hospital invests in a new program, quality improvement intervention, or technology, management often wants to know what kind of financial return it will…
  14. www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/pdi/f1_pdi_returnoninvestment.docx
    January 01, 2013 - Return on Investment Tool Return on Investment Estimation What is the purpose of this tool? When your hospital invests in a new program, quality improvement intervention, or technology, leaders often need to know what kind of financial return the investment will yield. A return on investment (ROI) analysis is a way to…
  15. www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/f1_combo_returnoninvestment.docx
    January 01, 2013 - Return on Investment Tool Return on Investment Estimation What is the purpose of this tool? When your hospital invests in a new program, quality improvement intervention, or technology, leaders often need to know what kind of financial return the investment will yield. A return on investment (ROI) analysis is a way to…
  16. www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/settings/hospitals/red-toolkit/ahcptemplsp.pdf
    June 02, 2025 - Template for Manual Creation of the AHCP: Spanish-Speaking Patients 1 Template for Manual Creation of the AHCP: Spanish-Speaking Patients ** Triaga este plan a TODAS sus citas ** Plan de Cuidado Para: [Patient name] Dia de Alta: [discharge date] ¿Preguntas o problemas sobre este paquete? Llam…
  17. www.ahrq.gov/prevention/resources/chronic-care/clinical-community-relationships-measures-atlas/ccrm-atlasapd3.html
    March 01, 2013 - Clinical-Community Relationships Measures (CCRM) Atlas Wrap-Around Observation Manual—Second Version Previous Page Next Page Table of Contents Clinical-Community Relationships Measures (CCRM) Atlas Introduction Acknowledgments 1. Why Was the Clinical-Community Relationships Measures Atlas Deve…
  18. www.ahrq.gov/sites/default/files/2024-01/mccarthy-report.pdf
    January 01, 2024 - Final Progress Report: EHR-Based Medication Complete Communication Strategy to Promote Safe Opioid Use Title Page EHR-Based Medication Complete Communication Strategy to Promote Safe Opioid Use Principal Investigator: Danielle M. McCarthy, MD, MS Co-Investigators: Mike S. Wolf, PhD, MPH, Kenzie A. Cameron, PhD, MP…
  19. www.ahrq.gov/sites/default/files/2024-01/schnipper-report.pdf
    January 01, 2024 - Final Progress Report: Multicenter Medication Reconciliation Quality Improvement Study (MARQUIS) Final Report to Agency for Healthcare Research and Quality Title of Project: Multicenter Medication Reconciliation Quality Improvement Study (MARQUIS) Principal Investigator: Jeffrey L. Schnipper, MD, MPH Team Members:…
  20. www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-care-transitions7.html
    June 01, 2023 - Development of the Uncertainty Communication Checklist: a patient-centered approach to patient discharge … A systematic review of tools for predicting severe adverse events following patient discharge from intensive … 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 inform … Strategy 4: Care Transitions From Hospital to Home: IDEAL Discharge Planning.  

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