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1. CAHPS Nursing Home Surveys | Agency for Healthcare Research and Quality
   preventiveservices.ahrq.gov/cahps/surveys-guidance/nh/index.html
   August 01, 2023 - nursing home residents: one for those who live in a nursing home and another for those who have been discharged … English ( Word , 128 KB; PDF , 717 KB) Spanish ( Word , 140 KB; PDF , 707 KB) Download the Discharged … This survey asks about the experiences of residents recently discharged from nursing homes after short … The two resident questionnaires are nearly identical in substance; the only difference is that the Discharged

2. Memorial Hospital Uses AHRQ Resources to Cut Readmissions, Promote Patient Self-Management | Agency for Healthcare Research and Quality
   preventiveservices.ahrq.gov/news/newsroom/case-studies/201507.html
   April 01, 2015 - Marysville, Ohio, uses strategies from AHRQ's Re-Engineered Discharge (RED) toolkit to help newly discharged … "We have an 80 percent success rate in reaching discharged patients. … Assessment of Healthcare Providers and Systems" (HCAHPS® ) survey to measure the perceptions of recently discharged … "We're also making follow-up calls to patients who are discharged from our intensive care step-down unit

3. Primarycareeffortstoreducereadmissions-Envscan (pdf file)
   preventiveservices.ahrq.gov/sites/default/files/wysiwyg/patient-safety/PrimaryCareEffortsToReduceReadmissions-envscan.pdf
   March 01, 2020 - Introduction Each year in the United States more than 35 million patients are discharged from the … In the Medicare fee-for-service population, approximately 18 percent of discharged patients will be … • RNs were able to reach more than 90% of discharged patients. … • Patients with Medicare discharged from a select hospital. … Are patients discharged with care?

4. Final Progress Report: Improving Safety After Hospitalization in Older Persons on High-Risk Medications (pdf file)
   preventiveservices.ahrq.gov/sites/default/files/2024-02/gurwitz2-report.pdf
   January 01, 2024 - ABSTRACT Purpose: To evaluate the effectiveness of a clinical trial focused on older patients recently discharged … patients (a priority population for the Agency for Healthcare Research and Quality) who were recently discharged … the outpatient setting.6,7 Our research team has reported that nearly one in five older adults newly discharged … Only patients discharged from this hospital were eligible to participate in the study. … for a psychiatric condition; (3) discharged to a skilled nursing facility, rehabilitation hospital,

5. Five Nebraska Hospitals Use AHRQ Toolkit to Improve Medication Reconciliation Across Care Settings | Agency for Healthcare Research and Quality
   preventiveservices.ahrq.gov/news/newsroom/case-studies/ktcquips82.html
   October 01, 2014 - These providers concentrated on examining the transition in care when a patient is discharged from the … homes and home health agencies identified that they received multiple medication lists for patients discharged

6. Tool 5: How To Conduct a Postdischarge Followup Phone Call | Agency for Healthcare Research and Quality
   preventiveservices.ahrq.gov/patient-safety/settings/hospital/red/toolkit/redtool5.html
   March 01, 2013 - These may include the hospital medical record, notes from the clinician who discharged the patient, the … not have happened (e.g., patient leaves against medical advice or sooner than expected, patient is discharged … Others may require your contacting the patient's pharmacy, PCP, or DE or the inpatient physician who discharged … Jones, Your patient Aaron Smith was discharged from Good Care Hospital on September 17, 2012. … Suarez was discharged on October 19, 2012, and a nurse practitioner spoke to him on October 22, 2012,

7. Tool 2: How To Begin the Re-engineered Discharge Implementation at Your Hospital | Agency for Healthcare Research and Quality
   preventiveservices.ahrq.gov/patient-safety/settings/hospital/red/toolkit/redtool2.html
   March 01, 2013 - described in the Overview, there are several reasons that hospitals should provide the RED to patients discharged … from their facilities 1,2 : The RED ensures that all discharged patients who have received the RED … Identify Which Patients Should Receive the RED Even if your goal is to deliver the RED to all patients discharged … They: Reveal the tasks that need to be completed in order for a patient to be discharged. … The staff nurse caring for the patient being discharged Pros: Has clinical expertise, knows the

8. Dailygoals (doc file)
   preventiveservices.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/toolkit/dailygoals.docx
   January 01, 2003 - Note Changes From AM in This Column Safety What needs to be completed for this patient to be discharged

9. AHRQ's Quality & Patient Safety Programs by Setting: Emergency Department | Agency for Healthcare Research and Quality
   preventiveservices.ahrq.gov/patient-safety/settings/emergency-dept/index.html
   November 01, 2023 - standardized approach to establish competency in communication of diagnostic uncertainty with patients being discharged

10. Guide for Developing a Community-Based Patient Safety Advisory Council | Agency for Healthcare Research and Quality
    preventiveservices.ahrq.gov/research/findings/final-reports/advisorycouncil/adcouncilapa.html
    April 01, 2018 - patient education materials that are provided to patients with congestive heart failure when they are discharged

11. North Carolina IMPaCT: Advancing and Spreading Primary Care Transformation (pdf file)
    preventiveservices.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/primary-care/tpc/impact-profile-nc.pdf
    April 01, 2015 - applied the quality improvement infrastructure to improve care processes that occur when a patient is discharged … the Primary Care Transitions Planning Collaborative range from increasing followup care for recently discharged

12. CAHPS Emergency Department Survey | Agency for Healthcare Research and Quality
    preventiveservices.ahrq.gov/cahps/surveys-guidance/ed-cahps/index.html
    December 01, 2023 - the experiences of adult patients who received care in an emergency department and were subsequently discharged

13. On-Time - Menu of Implementation Strategies (pdf file)
    preventiveservices.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/pruprev/pruprev-menu.pdf
    January 29, 2015 - review report for potential candidates for PT caseload; assess list to identify residents recently discharged

14. Major Nursing Home Quality Measurement Sets | Agency for Healthcare Research and Quality
    preventiveservices.ahrq.gov/talkingquality/measures/setting/long-term-care/nursing-home/measurement-sets.html
    November 01, 2018 - Instrument assesses the experiences of residents who stayed less than 30 days and have been recently discharged

15. AHRQ’s RED Toolkit Inspires Improved Patient Discharge at Nacogdoches Memorial Hospital | Agency for Healthcare Research and Quality
    preventiveservices.ahrq.gov/news/newsroom/case-studies/201501.html
    March 01, 2015 - The hospital also provides discharged patients in need with certain medicines and transportation to two

16. AHRQ Health Literacy Tools for Use in Pharmacies | Agency for Healthcare Research and Quality
    preventiveservices.ahrq.gov/health-literacy/improve/pharmacy/tools.html
    January 01, 2024 - Top of Page How To Conduct a Postdischarge Followup Phone Call Calls to patients newly discharged

17. Defining the PCMH | Agency for Healthcare Research and Quality
    preventiveservices.ahrq.gov/ncepcr/research/care-coordination/pcmh/define.html
    August 01, 2022 - is particularly critical during transitions between sites of care, such as when patients are being discharged

18. Michigan Providers Improve Medication Reconciliation Process With AHRQ Toolkit | Agency for Healthcare Research and Quality
    preventiveservices.ahrq.gov/news/newsroom/case-studies/ktcquips94.html
    October 01, 2014 - "When residents are discharged from our facility, they leave with their most accurate and current medication

19. IDEAL Discharge | Agency for Healthcare Research and Quality
    preventiveservices.ahrq.gov/hai/cusp/videos/11d-idealdischarge/index.html
    June 01, 2018 - Skip to main content An official website of the Department of Health and Human Services Careers Contact Us Español FAQs Search all AHRQ sites Search small Search Menu …

20. Pennsylvania Psychiatric Institute Slashes Readmission Rates with AHRQ-based Discharge Program | Agency for Healthcare Research and Quality
    preventiveservices.ahrq.gov/news/newsroom/case-studies/201706.html
    May 01, 2017 - A nurse introduces inpatients at high risk for 30-day readmission to the program before being discharged