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81. Care Transitions App for Patients with Multiple Chronic Conditions | Digital Healthcare Research
    digital.ahrq.gov/ahrq-funded-projects/care-transitions-app-patients-multiple-chronic-conditions
    January 01, 2023 - opportunity to ask questions, and a followup appointment with their primary care team when they are being discharged

82. Findings and Lessons From the Improving Management of Individuals With Complex Health Care Needs Through Health IT Grant Initiative (pdf file)
    digital.ahrq.gov/sites/default/files/docs/page/findings-and-lessons-from-improving-management-of-individuals-with-complex-health-care-needs-through-health-it-grant-initiative.pdf
    February 20, 2014 - information between the hospital and ambulatory care providers after a patient in a rural area is discharged … Ritchie was designed to coach primarily patients in rural areas after they are discharged from the … Ciemins that facilitates the exchange of information after a patient in a rural area is discharged … Ciemins that facilitates the exchange of information after a patient in a rural area is discharged … Ciemins that facilitates the exchange of informa- tion after a patient in a rural area is discharged

83. C:\Users\yemsrach dessalegn\Desktop\delete\transcript4.html (pdf file)
    digital.ahrq.gov/sites/default/files/docs/HOW%20HEALTH%20IT%20CAN%20REDUCE%20UNNECESSARY%20REHOSPITALIZATION.pdf
    June 16, 2021 - And finally, IT should be able to give providers near real-time feedback: “Your patient, who was discharged … and great variability of [each other] (ph) stated that depending on the day of the week that you are discharged … then we said, you know, if the National Quality Forum was recommending that all the people who are discharged … People who were discharged with heart failure come back with pneumonia. … And it is astounding as I go around the country to see that how many people are discharged from hospitals

84. AHRQ National Web Conference on the Role of Health IT to Improve Care Transitions - Slides (pdf file)
    digital.ahrq.gov/sites/default/files/docs/care-transitions-slides-092619.pdf
    September 26, 2019 - speaking; had non-standard insurance or self-insured, had higher DRG weights, longer lengths of stay; discharged … resident did not know really, what green [dashboard flags] meant...are [the patients] ready to be discharged … Finding out that a patient, who was on the primary care’s roster of patients, was discharged from the

85. Development of Dashboards to Provide Feedback to Home Care Nurses | Digital Healthcare Research
    digital.ahrq.gov/ahrq-funded-projects/development-dashboards-provide-feedback-home-care-nurses
    January 01, 2023 - HHAs in the U.S. typically provide care to patients who have been discharged from a hospital, where they

86. Advancing Quality Measurement and Care Improvement with Health Information Exchange - Final Report (pdf file)
    digital.ahrq.gov/sites/default/files/docs/citation/r01hs021261-shapiro-final-report-2018.pdf
    January 01, 2018 - For instance, when a clinician discharged an ED patient, a date/time stamp was immediately entered in … and early (72-hour) ED returns (patients who return for a second ED visit within 72 hours of being discharged … clerical errors in recording ED admissions and account for instances where patients were electronically discharged … different-site return included an elderly patient with urinary tract infection who was initially discharged

87. Can Risk Score Alerts Improve Office Care for Chest Pain? - Final Report (pdf file)
    digital.ahrq.gov/sites/default/files/docs/publication/r18hs017075-sequist-final-report-2010.pdf
    January 01, 2010 - Patients evaluated in the emergency department incurred a wide range of costs based on whether they were discharged … Of note, patients discharged home immediately from the emergency department incurred average costs of … $1,087, a three-fold increase from patients discharged home from the primary care visit.

88. Electronic Health Records | Digital Healthcare Research
    digital.ahrq.gov/electronic-health-records
    January 01, 2023 - call-backs Reduced number of HIM work hours, FTEs Less paper consumption Reduced the volume of discharged

89. Health-IT generated PROs to Improve Outcomes in Cirrhosis - Final Report (pdf file)
    digital.ahrq.gov/sites/default/files/docs/citation/r01hs025412-bajaj-final-report-2024.pdf
    January 01, 2024 - living with the patient in the same house (c) able to complete the PBA training and evaluation (d) discharged … home (c) unable to perform training or give consent (d) patients with poor English proficiency (e) discharged

90. A National Web Conference on Patient Empowerment (pdf file)
    digital.ahrq.gov/sites/default/files/docs/2010-04-06%20Patient%20Empowerment%20(1).pdf
    January 01, 2010 - Alabama at Birmingham (UAB) Care Transition: A High Risk Event • Approximately 20%  of recently discharged … Hospitalized patients with COPD or CHF who have a prognosis  greater than 6 months and are expected to be discharged

91. Transforming Kidney Care in the Emergency Department Using Artificial Intelligence-Driven Clinical Decision Support | Digital Healthcare Research
    digital.ahrq.gov/ahrq-funded-projects/transforming-kidney-care-emergency-department-using-artificial-intelligence
    July 31, 2025 - The algorithm will be validated using two groups of discharged patients.

92. Grant Final Report: Virtual Continuity and its Impact on Complex Hospitalized Patients' Care - Final Report (pdf file)
    digital.ahrq.gov/sites/default/files/docs/publication/r18hs018151-smith-final-report-2013.pdf
    January 01, 2013 - Pittsburgh Medical Center (UPMC), at the start of the project notified PCPs when patients are admitted and discharged … visit 4.7 4.4 – 5.0 Receive consultant physician evaluation 4.4 4.0 – 4.8 Receive ED medications discharged … the context of a PCP’s patient being admitted to the hospital, cared for by another physician, and discharged

93. Reducing Hospital Readmission Rates by Implementing an Inpatient Tobacco Cessation Service Driven by Interactive Voice Recognition Technology | Digital Healthcare Research
    digital.ahrq.gov/ahrq-funded-projects/reducing-hospital-readmission-rates-implementing-inpatient-tobacco-cessation
    January 01, 2023 - The study included acute care patients identified as smokers admitted and discharged from the Medical

94. Health Information Technology in Heart Failure Care | Digital Healthcare Research
    digital.ahrq.gov/ahrq-funded-projects/health-information-technology-heart-failure-care
    January 01, 2023 - The primary outcome assessed was the percentage of patients in the heart failure cohort who were discharged

95. Reducing Hospital Readmission Rates by Implementing an Inpatient Tobacco Cessation Service Driven by Interactive-Voice Recognition (IVR) Technology - Final Report (pdf file)
    digital.ahrq.gov/sites/default/files/docs/citation/r21hs023863-cartmell-final-report-2018.pdf
    January 01, 2018 - Setting and Participants The study population included current smoking acute care patients admitted and discharged … Reasons for not receiving the service included being discharged before the bedside consult was provided … reaching patients while hospitalized since many patients have short lengths of stay and thus are discharged … patient sought care (such as an initial heart attack or hip/knee replacement procedure) and had been discharged … resulted in the admission to psychiatric care, had lengths of stay longer than 30 days, the patient was discharged

96. Virtualized Homes: Tools for Better Discharge Planning - Final Report (pdf file)
    digital.ahrq.gov/sites/default/files/docs/citation/r03hs024623-mendonca-final-report-2018.pdf
    January 01, 2018 - In Wisconsin, almost 20% of discharged patients are readmitted within 30 days; the average cost of an … Scope One in five patients discharged from Wisconsin hospitals returns to the hospital within 30 days

97. Interactive Patient-Centered Discharge Toolkit - Final Report (pdf file)
    digital.ahrq.gov/sites/default/files/docs/citation/r21hs024751-dalal-final-report-2019.pdf
    January 01, 2019 - trained research assistant (RA) identified eligible patients admitted to study units with a plan to be discharged

98. Electronic Prescribing and Electronic Transmission of Discharge Medication Lists (pdf file)
    digital.ahrq.gov/sites/default/files/docs/publication/r18hs017029-kaushal-final-report-2011.pdf
    January 01, 2011 - or Spanish-speaking adults admitted to one of the inpatient medical units of the hospital who were discharged

99. Use of Electronic Health Record Metadata to Assess Hospital Discharge Planning for Post-Acute Transitions | Digital Healthcare Research
    digital.ahrq.gov/ahrq-funded-projects/use-ehr-metadata-assess-hospital-discharge-planning-post-acute-transitions
    January 31, 2025 - Use of Electronic Health Record Metadata to Assess Hospital Discharge Planning for Post-Acute Transitions Project Description Publications Analyzing electronic health record metadata may help health systems identify gaps, inconsistencies, and inefficiencies in discharge p…

100. Tests Pending at Discharge Survey | Digital Healthcare Research
     digital.ahrq.gov/health-it-tools-and-resources/evaluation-resources/health-it-survey-compendium/tests-pending
     January 01, 2023 - Tests Pending at Discharge Survey This is a questionnaire designed to be completed by physicians in an inpatient setting. The tool includes questions to assess the current state of and attitudes around clinical messaging. Survey Document Tests Pending at Discharge Survey (Persons using…