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141. A Fumbled Handoff to Inpatient Rehab | PSNet
     psnet.ahrq.gov/web-mm/fumbled-handoff-inpatient-rehab
     December 21, 2018 - just as they are for native admissions, such that efforts to prevent readmissions through effective discharge … planning may paradoxically lead to decreased revenue. … In the future, the CARE Item Set ( 9 ) will increase in importance as it is used in acute care discharge … planning; payment models will shift toward coordination and continuity of care and away from perverse

142. Tool 11: Community Resource Guide (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/medicaidreadmitguide/mcaidread_tool11_comm_resource.docx
     June 02, 2025 - 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

143. 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

144. Development of a checklist of safe discharge practices for hospital patients. | PSNet
     psnet.ahrq.gov/issue/development-checklist-safe-discharge-practices-hospital-patients
     November 03, 2015 - The resulting tool is designed to be used daily during hospitalization as part of interprofessional discharge … planning rounds and consists of seven domains that address key aspects of the hospital-to-home transition

145. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49706/psn-pdf
     January 01, 2015 - pharmacist—and determine resources to meet those needs prior to discharge.(13,14) In this case, for example, discharge … planning and the pharmacy department could be asked to create a list of area pharmacies that compound … Discharge planning and pharmacy should also create a list of insurance providers that cover compounded … Proactively identify unusual or nonstandard medication needs prior to discharge and collaborate with discharge … planning and pharmacy to help identify resources to meet those needs.

146. Sutter Center for Integrated Care Using AHRQ Guide in Patient Materials | Agency for Healthcare Research and Quality
     www.ahrq.gov/news/newsroom/case-studies/201515.html
     January 01, 2018 - patient-centered care, SCIC adapted the guide from AHRQ's Re-Engineered Discharge (RED) Toolkit , a discharge … planning resource to help patients prepare for life at home after a hospitalization.

147. Topic Brief: Interventions to Decrease Hospital Length of Stay (pdf file)
     effectivehealthcare.ahrq.gov/system/files/docs/topic-brief-hospital-length-of-stay.pdf
     November 01, 2019 - o These reviews covered a variety of interventions such as Lean, discharge planning, availability of … Discharge planning from hospital. … Meta-analysis of the effectiveness of nursing discharge planning interventions for older inpatients … planning We identified three SR on discharge planning. … • A 2016 Cochrane SR15 focused on discharge planning from the hospital.

148. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/46245/psn-pdf
     June 28, 2017 - identification of patients at increased risk for harm in the home care setting may help inform hospital discharge … planning and improve patient safety.

149. How Capable of Using Information Technology is the Average Patient? (pdf file)
     digital.ahrq.gov/sites/default/files/docs/page/2006FriedmanSantinonFormica_052411comp.pdf
     June 16, 2021 - Unlimited number of providers, pharmacies, payors and systems impact the patient’s medications Discharge … Planning/ Medication Education Length of Stay Limited (Live Donor Kidney Transplant – 5 days) … Prescription Medications in the Inpatient Setting Prescription Medications in the Outpatient Setting Discharge … Planning/Medication Education Identification of Outpatient Medication Errors Conclusions Will

150. 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.

151. 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

152. Final Progress Report: Older adult safety while receiving home health services after hospital discharge (pdf file)
     www.ahrq.gov/sites/default/files/2024-01/arbaje-report.pdf
     January 01, 2024 - Key words: Transitional care, home care services, human factors engineering, patient discharge, qualitative … Comprehensive discharge planning with postdischarge support for older patients with congestive heart … Comprehensive Discharge Planning and Home Follow-up of Hospitalized Elders: A Randomized Clinical Trial … Comprehensive Discharge Planning With Postdischarge Support for Older Patients With Congestive Heart … Discharge planning from hospital to home. Cochrane Database Syst Rev. 2004(1):CD000313. 13.

153. 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?

154. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49742/psn-pdf
     September 01, 2015 - just as they are for native admissions, such that efforts to prevent readmissions through effective discharge … planning may paradoxically lead to decreased revenue. … In the future, the CARE Item Set (9) will increase in importance as it is used in acute care discharge … planning; payment models will shift toward coordination and continuity of care and away from perverse

155. 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.

156. Deficiencies in Emergent and Outpatient Care of a Patient with Alcohol Use Disorder at the Richard L. Roudebush VA Medical Center in Indianapolis, Indiana. | PSNet
     psnet.ahrq.gov/issue/deficiencies-emergent-and-outpatient-care-patient-alcohol-use-disorder-richard-l-roudebush-va
     July 13, 2022 - The safety recommendations shared include improving discharge planning , assessment, and consideration

157. Enhancing the Clinical Content of Administrative Data - Pilot and Planning Projects
     hcup-us.ahrq.gov/datainnovations/clinicaldata/pilot.jsp
     July 01, 2016 - Enhancing the Clinical Content of Administrative Data - Pilot and Planning Projects An official website of the Department of Health & Human Services Search All AHRQ Websites Careers Contact …

158. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/73898/psn-pdf
     September 29, 2021 - safety-investigations-across-pond-deep-learning-englands-healthcare-safety-investigation https://psnet.ahrq.gov/issue/nhs-patient-safety-strategy https://psnet.ahrq.gov/primer/discharge-planning-and-transitions-care

159. 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.

160. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/42439/psn-pdf
     November 23, 2016 - Guide to Patient and Family Engagement in Hospital Quality and Safety. November 23, 2016 Rockville, MD: Agency for Healthcare Research and Quality; June 2013. https://psnet.ahrq.gov/issue/guide-patient-and-family-engagement-hospital-quality-and-safety Studies have shown that a surprisingly large proportion of hosp…