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41. Transitioning Newborns from NICU to Home: A Resource Toolkit (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/settings/hospitals/nicutoolkit.pdf
    January 01, 2004 - During the discharge planning and transition process, a Health Coach can help prepare the family to … – New patients – while discharge planning should always “begin at admission,” any infant whose expected … ■ Discharge planning (insurance coverage, pediatrician contact information and appointment date,

42. St. Joseph’s Hospital Improves Patient Safety Using AHRQ Tools | Agency for Healthcare Research and Quality
    www.ahrq.gov/news/newsroom/case-studies/201511.html
    May 01, 2015 - The Re-Engineered Discharge (RED) Toolkit , a discharge planning resource to help patients prepare for … Finally, to address the measure related to improving patient discharges, the hospital used AHRQ's RED

43. Tool 2: How to Begin the Re-engineered Discharge Implementation At Your Hospital (continued) | Agency for Healthcare Research and Quality
    www.ahrq.gov/es/patient-safety/settings/hospital/red/toolkit/redtool2ref.html
    March 01, 2025 - Comprehensive discharge planning and home followup of hospitalized elders: a randomized clinical trial

44. Tool 2: How to Begin the Re-engineered Discharge Implementation At Your Hospital (continued) | Agency for Healthcare Research and Quality
    www.ahrq.gov/patient-safety/settings/hospital/red/toolkit/redtool2ref.html
    March 01, 2025 - Comprehensive discharge planning and home followup of hospitalized elders: a randomized clinical trial

45. AHRQ's RED Toolkit Leads to Lower Readmissions, Better Care Transitions in Two Texas Hospitals | Agency for Healthcare Research and Quality
    www.ahrq.gov/news/newsroom/case-studies/201420.html
    November 01, 2014 - It provides evidence-based tools to help hospitals re-engineer their patient discharge processes. … RED interventions are focused on comprehensive discharge planning, patient education about hospital discharge … average, VBMC-Brownsville looked to RED in 2009 to provide better discipline around its fragmented patient … discharge process. … Both VBHS facilities have also done more to improve patient discharge and care transitions, including

46. Improving Communication and Teamwork in the Surgical Environment
    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/implementation/training-tools/pf-engagement/pf-engagement-slide-set.pptx
    May 01, 2017 - Strategy 4: IDEAL Discharge Planning (Tool 4). … Accessed July 2013. 11Care Transitions from Hospital to Home: IDEAL Discharge Planning Training. … Strategy 4: IDEAL Discharge Planning (Tool 4) Agency for Healthcare Research and Quality. http://www.ahrq.gov … Care Transitions from Hospital to Home: IDEAL Discharge Planning Training. … Strategy 4: IDEAL Discharge Planning (Tool 4) Agency for Healthcare Research and Quality. http://www.ahrq.gov

47. 0129References (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/0129references.pdf
    October 23, 2013 - Comprehensive discharge planning with postdischarge support for older patients with congestive heart … Discharge planning from hospital to home. … Evaluating hospital discharge planning: a randomized clinical trial. … Comprehensive discharge planning for the hospitalized elderly. A randomized clinical trial. … Public reporting of discharge planning and rates of readmissions.

48. RED Lowering Hospital Readmissions and Improving Patient Satisfaction at Euclid Hospital in Ohio | Agency for Healthcare Research and Quality
    www.ahrq.gov/news/newsroom/case-studies/201415.html
    September 01, 2014 - patient safety researchers in Boston, provides evidence-based tools to help hospitals re-engineer their patient … discharge processes. … facility meet regularly to discuss the continuum of care for heart failure patients from admission through discharge … planning.

49. A Resource Toolkit | Agency for Healthcare Research and Quality
    www.ahrq.gov/es/patient-safety/settings/hospital/resource/nicu/toolkit.html
    December 01, 2013 - During the discharge planning and transition process, a Health Coach can help prepare the family to meet

50. A Resource Toolkit | Agency for Healthcare Research and Quality
    www.ahrq.gov/patient-safety/settings/hospital/resource/nicu/toolkit.html
    December 01, 2013 - During the discharge planning and transition process, a Health Coach can help prepare the family to meet

51. References (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/chipra-131-references.pdf
    October 23, 2013 - Comprehensive discharge planning with postdischarge support for older patients with congestive heart … Discharge planning from hospital to home. … Evaluating hospital discharge planning: a randomized clinical trial. … Comprehensive discharge planning for the hospitalized elderly. A randomized clinical trial. … Public reporting of discharge planning and rates of readmissions.

52. Memorial Hospital Uses AHRQ Resources to Cut Readmissions, Promote Patient Self-Management | Agency for Healthcare Research and Quality
    www.ahrq.gov/news/newsroom/case-studies/201507.html
    April 01, 2015 - "RED offers quality utility, and by using this resource, we could continue improving our discharge planning

53. AHRQ’s RED Toolkit Helps VA Hospitals in California and Texas Lower Readmissions, Improve Discharge Process | Agency for Healthcare Research and Quality
    www.ahrq.gov/news/newsroom/case-studies/201512.html
    May 01, 2015 - The RED toolkit provides guidance to hospitals on comprehensive discharge planning and helps patients

54. Tool 3: Hospital Inventory (doc file)
    www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/medicaidreadmitguide/mcaidread_tool3_hosp_inv.docx
    June 02, 2025 - clinical readmission risk · Identify the “learner” or care plan partner to include in education and discharge … planning · Use clinical pharmacists to enhance medication optimization, education, reconciliation

55. Tool 1: Overview (continued) | Agency for Healthcare Research and Quality
    www.ahrq.gov/es/patient-safety/settings/hospital/red/toolkit/redtool1ref.html
    March 01, 2025 - Discharge planning from hospital to home. Cochrane Database of Systematic Reviews 2004, Issue 1.

56. Tool 1: Overview (continued) | Agency for Healthcare Research and Quality
    www.ahrq.gov/patient-safety/settings/hospital/red/toolkit/redtool1ref.html
    March 01, 2025 - Discharge planning from hospital to home. Cochrane Database of Systematic Reviews 2004, Issue 1.

57. Patient and Family Engagement in the Surgical Environment Module | Agency for Healthcare Research and Quality
    www.ahrq.gov/hai/tools/ambulatory-surgery/sections/implementation/training-tools/pf-engagement-slides.html
    May 01, 2017 - Slide 25: Opportunities for Patient and Family Engagement in Your Facility – Discharge IDEAL discharge … planning 11 I nclude the patient and family. … How to Get Started… 13 Readiness for Advisers Senior Leader Checklist IDEAL Discharge Planning … Care Transitions from Hospital to Home: IDEAL Discharge Planning Training . … Strategy 4: IDEAL Discharge Planning (Tool 4) Agency for Healthcare Research and Quality.

58. Final Progress Report: Enhanced Patient Safety Intervention to Optimize Medical (EPITOME) (pdf file)
    www.ahrq.gov/sites/default/files/2024-01/sirio-report.pdf
    January 01, 2024 - planning process. … Recommendations have also been made to individual hospitals to evaluate their discharge planning protocols … A number of preliminary studies of patient discharge processes and related medication education programs … Reorganization of discharge planning and transition care to include a patient workbook and an education … An assessment of patient expectations of and satisfaction with the hospital discharge planning process

59. Improving Healthcare Safety by Enhancing Care Coordination (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/highlights/ps-project-highlights-care-coordination.pdf
    June 30, 2025 - ■ The Early Screen for Discharge Planning (ESDP) tool, initially developed for urban academic settings … This validation supports more targeted discharge planning by identifying patients with the greatest needs … performance in a rural regional community hospital of a discharge planning decision support tool, the … Early Screen for Discharge Planning (ESDP), developed in an urban academic medical center. … https://reference.medscape.com/calculator/339/mayo-early-screen-for-discharge-planning https://reporter.nih.gov

60. Chapter 6. Measure Maps and Profiles (continued, 14) | Agency for Healthcare Research and Quality
    www.ahrq.gov/ncepcr/care/coordination/atlas/chapter6m.html
    June 01, 2014 - Survey — Patient Version Purpose: To gather information on the quality of process and outcomes of discharge … planning activities undertaken in the acute hospital setting from the patient perspective. … planning staff, a health economist, and a qualitative researcher to further test for face and content … The development, validity and application of a new instrument to assess the quality of discharge planning … Discharge planning quality from the carer perspective. Qual Life Res 2000;9:1005-13.