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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 Discharge … discharge data. … have improved since 2005, but this along with
the generalizability of our findings to other states’ patient … discharge 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
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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 …
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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…
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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…
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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…
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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…
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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…
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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…
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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…
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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, discharge … planning, and pharmacy issues.
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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…
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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.
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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…
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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…
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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…
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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…
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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…
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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…
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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:…
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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.