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81. Tool 11: Community Resource Guide (doc file)
    www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/medicaidreadmitguide/mcaidread_tool11_comm_resource.docx
    September 12, 2016 - Resources See Section 4 of the Hospital Guide to Reducing Medicaid Readmissions for information on the CMS Discharge … Planning Conditions of Participation to know the specific capabilities of community services, including

82. Pennsylvania Designs New Medicaid Program With AHRQ Tools | Agency for Healthcare Research and Quality
    www.ahrq.gov/news/newsroom/case-studies/ktockt27.html
    October 01, 2014 - Nurses hired by the State's vendor assist members with discharge planning, filling prescriptions prior

83. Measure: Pediatric All-Condition Readmission Measure (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/chipra_14-p008-1-ef.pdf
    October 01, 2014 - Comprehensive discharge planning with postdischarge support for older patients with congestive heart … Evaluating hospital discharge planning: a randomized clinical trial.

84. Synopsis of the literature | Agency for Healthcare Research and Quality
    www.ahrq.gov/mcctransitions-challenge/about/synopsis-literature.html
    February 01, 2020 - to support care transitions The Centers for Medicare & Medicaid Services has recently released new discharge … planning process requirements for Critical Access Hospitals and Home Health Agencies to support care

85. Rethinking the Role of Primary Care in Reducing Hospital Readmissions | Agency for Healthcare Research and Quality
    www.ahrq.gov/news/blog/ahrqviews/rethinking-role-of-primary-care.html
    March 01, 2020 - readmissions have included development of the RED (Re-Engineered Discharge) toolkit, a comprehensive discharge … planning process that emphasizes the importance of patient education and a post-hospital care plan.

86. 43-Pathway-Worksheet (doc file)
    www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/surgery/43-pathway-worksheet.docx
    June 01, 2023 - Postoperative Discharge Planning Discharge planning should begin well before admission (when feasible … Considerations for hip fracture procedures: Initiate discharge planning as early as possible prior to … Considerations for EGS (major abdominal procedures): Discharge planning should begin as soon as the patient … Consider inclusion of WOCNs in discharge planning when applicable. … All ISCR Pathways Discharge Planning Recommended approach: · A multidisciplinary approach to discharge

87. PowerPoint Presentation
    www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/surgery/10-frontline-provider.pptx
    June 01, 2023 - Pain Management Process for multimodal pain management VTE Prophylaxis Process for VTE prophylaxis Discharge … Planning What is your multidisciplinary approach for discharge planning?

88. Designing & Delivering Whole-Person Transitional Care The Hospital Guide to Reducing Medicaid Readmission Webinar 2
    www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/medicaidreadmitguide/aspire_webinar2/aspire_webinar2.pptx
    January 01, 2015 - Designing & Delivering Whole-Person Transitional Care The Hospital Guide to Reducing Medicaid Readmission Webinar 2 Designing & Delivering Whole-Person Transitional Care The Hospital Guide to Reducing Medicaid Readmissions Webinar 2: Analyze Data and Patient/Caregiver Perspectives (Section 1 of the Guide) Agenda …

89. MONAHRQ Data | Agency for Healthcare Research and Quality
    www.ahrq.gov/data/monahrq/data/index.html
    September 01, 2017 - MONAHRQ Data Hospital Compare Files If you are planning to display Centers for Medicare & Medicaid Services (CMS) Hospital Compare quality measures in your MONAHRQ ® generated Web site, download the file that is compatible with the version of MONAHRQ you are using. MONAHRQ 7, build 4 is compatible with the Apr…

90. Exhibit 11. Supporting Increases in Patient Knowledge, Skills, and Abilities | Agency for Healthcare Research and Quality
    www.ahrq.gov/research/findings/final-reports/ptfamilyscan/ptfamilyex11.html
    July 01, 2018 - Guide to Patient and Family Engagement Exhibit 11. Supporting Increases in Patient Knowledge, Skills, and Abilities Previous Page Next Page Table of Contents Guide to Patient and Family Engagement Executive Summary Introduction Methods Findings Implications for the Guide Summary and Disc…

91. Appendix, Questions to Ask When Developing Your Design Team and Rationale | Agency for Healthcare Research and Quality
    www.ahrq.gov/patient-safety/resources/match/matchap1.html
    August 01, 2012 - [Example: Contact manager of discharge planning to identify representative] .

92. A Toolkit to Engage High-Risk Patients in Safe Transitions Across Ambulatory Settings (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/safetransitions/safetrans_toolkit.pdf
    December 01, 2017 - Planning tools and the Center for Medicare and Medicaid Services (CMS) Discharge Planning Checklist … Evidence-based Tools Tool Purpose AHRQ’s IDEAL Discharge Planning Tools This set of tools uses key … CMS Discharge Planning Checklist This checklist is for use during stay at a hospital, nursing home, … This panel reviewed AHRQ’s IDEAL Discharge Planning tool, the CMS Discharge Planning Checklist, the … https://www.medicare.gov/pubs/pdf/11376-discharge-planning-checklist.pdf https://www.medicare.gov/pubs

93. PS Grantee | Agency for Healthcare Research and Quality
    www.ahrq.gov/research/findings/final-reports/index.html?page=9
    January 01, 2024 - 021921 Topic(s): Communication and Teamwork, Consumer Assessment of Healthcare Providers and Systems, Discharge … Planning, Pain Management, Patient and Family Engagement, Safe Practices Publication Date: November … Grant Number: R36 HS 021984 Topic(s): Care Coordination, Discharge Planning, Medication Safety Publication

94. 58-Frontline-Presentation-Template (doc file)
    www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/surgery/58-frontline-presentation-template.docx
    June 01, 2023 - Pain Management Process for multimodal pain management VTE Prophylaxis Process for VTE prophylaxis Discharge … Planning What is your multidisciplinary approach for discharge planning?

95. Patient and Family Engagement in the Surgical Environment Module: Facilitator Notes | Agency for Healthcare Research and Quality
    www.ahrq.gov/hai/tools/ambulatory-surgery/sections/implementation/training-tools/pf-engagement-fac-notes.html
    May 01, 2017 - Using the IDEAL discharge planning method will help prevent postdischarge complications and avoidable … The 5 steps of IDEAL discharge planning are — Include the patient and family (as the patient wishes … IDEAL Discharge Planning Explores the components of a discharge plan and provides guidance on involving … Care Transitions from Hospital to Home: IDEAL Discharge Planning Training . … Strategy 4: IDEAL Discharge Planning (Tool 4) Agency for Healthcare Research and Quality.

96. Webinar 1: Introduction & Overview: Slide Presentation | Agency for Healthcare Research and Quality
    www.ahrq.gov/patient-safety/settings/hospital/resource/guide/web1.html
    December 01, 2017 - Hospitals must improve standard "discharge planning" processes.

97. Measure: Pediatric Lower Respiratory Infection (LRI) Readmission Measure (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/chipra_1415-p008-2-ef.pdf
    January 01, 2015 - Comprehensive discharge planning with postdischarge support for older patients with congestive heart … Evaluating hospital discharge planning: a randomized clinical trial.

98. Pediatric Lower Respiratory Infection Readmission Measure (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-131-fullreport.pdf
    April 05, 2017 - Evaluating hospital discharge planning: a randomized clinical trial. … Public reporting of discharge planning and rates of readmissions. … Public reporting of discharge planning and rates of readmissions. … Public reporting of discharge planning and rates of readmissions. … Public reporting of discharge planning and rates of readmissions.

99. Findings | Agency for Healthcare Research and Quality
    www.ahrq.gov/patient-safety/capacity/candor/demo-program/plan-grants/findings.html
    May 01, 2016 - Planning Grants Final Evaluation Report Findings Previous Page Next Page Table of Contents Planning Grants Final Evaluation Report Executive Summary Introduction Methodology Findings Appendix A. Grantee Profiles Appendix B. References …

100. Databases Used for Hospital Quality Measures | Agency for Healthcare Research and Quality
     www.ahrq.gov/talkingquality/measures/setting/hospitals/databases.html
     January 01, 2023 - Databases Used for Hospital Quality Measures Hospital data are available from a myriad of sources, including individual hospitals and hospital associations, State and regional data organizations, health planning or health data organizations at the state level, departments of health, and Federal agencies. Many h…