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121. Defining the PCMH | Agency for Healthcare Research and Quality
     www.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

122. Event Investigation and Analysis Guide: Appendix B | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/hospital/candor/modules/guide4/apb.html
     August 01, 2022 - Smith discharged home. Return to Contents Proceed to Appendix C

123. Case Example #3: Fairview Health Services | Agency for Healthcare Research and Quality
     www.ahrq.gov/ncepcr/tools/workforce-financing/case-example-3.html
     July 01, 2019 - Because of its proximity to the hospital, Edina's patient population includes many individuals recently discharged … As patients are discharged, MTM coordinators reach out to patients to schedule an appointment with the … Hospital and clinic RN care coordinators often refer recently discharged patients with multiple medication … communicate with Edina's care coordinators to ensure physicians are aware their patients have been discharged … Comprehensiveness, and Quality Access Edina's physical location makes it easy for patients recently discharged

124. Daily Goals Checklist | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/cusp/toolkit/daily-goals.html
     December 01, 2012 - From AM in This Column   Safety   What needs to be completed for this patient to be discharged

125. Introduction | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/hospital/match/intro.html
     July 01, 2022 - and communicating the importance of managing medication information to the patient when he or she is discharged

126. Introduction | Agency for Healthcare Research and Quality
     www.ahrq.gov/es/patient-safety/settings/hospital/match/intro.html
     July 01, 2022 - and communicating the importance of managing medication information to the patient when he or she is discharged

127. AHRQ's RED Toolkit Helps Lower Readmissions in Dignity Health Hospitals | Agency for Healthcare Research and Quality
     www.ahrq.gov/news/newsroom/case-studies/201522.html
     August 01, 2015 - Patients who are discharged home receive a follow-up phone call within 72 hours" as well as three additional

128. Measure: Child HCAHPS–Hospital Consumer Assessment of Healthcare Providers and Systems (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/CHIPRA_1415-P010-1-EF.pdf
     March 01, 2015 - no-publicity” patients, court/law enforcement patients, patients with foreign home addresses, patients discharged … to hospice, patients discharged to skilled nursing facilities, patients who are excluded because

129. Equipment and Supplies | Agency for Healthcare Research and Quality
     www.ahrq.gov/research/shuttered/toolkitchecklist/surgetkit3.html
     July 01, 2018 - Timeframe: Once all patients can be discharged or transported back to the major hospital for continued … transported within the first few days, but continued patient transport to the facility might occur, and discharged

130. North Carolina IMPaCT: Advancing and Spreading Primary Care Transformation | Agency for Healthcare Research and Quality
     www.ahrq.gov/ncepcr/research-transform-primary-care/transform/impactgrants/impact-profile-nc.html
     August 01, 2018 - 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

131. P1: Does A New Care Model Improve Care for Patients with Acute Kidney Injury After Hospital Discharge? | Agency for Healthcare Research and Quality
     www.ahrq.gov/ncepcr/reports/2024-annual-report/profile-p1-barreto.html
     April 01, 2024 - funded the implementation of a pilot feasibility trial evaluating a program that supports patients discharged

132. Tool: Advocacy and Assertion | Agency for Healthcare Research and Quality
     www.ahrq.gov/teamstepps-program/curriculum/mutual/tools/advocacy.html
     June 01, 2023 - final treatment, reviews the clinical situation, and determines that the patient is well enough to be discharged

133. AHRQ Webcast Recent Insights into CAHPS Survey Modes and Response Rates - Elliott (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/recent-insights-webcast-elliott.pdf
     July 01, 2013 - Assessment of Healthcare Providers and Systems Survey • 3,873 parents of pediatric inpatients sampled ► discharged

134. Final Progress Report: Crossing an Invisible Quality Chasm: From NICU to Ambulatory Care (pdf file)
     www.ahrq.gov/sites/default/files/2024-12/moyer-report.pdf
     January 01, 2024 - at least one medical error following hospital discharge, and approximately one fifth (19-23%) of discharged … One study found that 28% of children discharged from pediatric (not neonatal) intensive care did not … Patient discharged from NICU 3 or 2 A) Conduct weekly discharge planning rounds (NICU 2 only) B)

135. Value and Efficiency Supplemental Items for Hospitals and Medical Offices - PERSILY (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/sops/quality-patient-safety/patientsafetyculture/valuewebcast-persily.pdf
     June 02, 2025 - 67% Positive 5656 Response: Quiet Zones  We measure patient experience every time a patient is discharged

136. Documentation of Mandated Discharge Summary Components in Transitions from Acute to Subacute Care (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Kind_31.pdf
     March 31, 2008 - defined and abstracted from discharge summaries for all hip fracture, stroke, and cancer patients discharged … completeness of discharge summary documentation in a large Midwestern academic hospital for patients discharged … Methods Study Sample We identified all patients older than 18 years of age who were discharged … not have primary diagnoses of cancer, stroke, or hip fracture (N = 2); or if the patient had been discharged

137. RED Discharge Preparation Workbook (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/settings/hospitals/red-toolkit/dischargeprep.pdf
     June 02, 2025 - RED Discharge Preparation Workbook 1 RED Discharge Preparation Workbook Patient Name _________________________ MRN ________________ DOB ______________ Room # ______________ Date of admission ______________ Language preference Interpreter/Translation Needed (Y/N) Spoken communication Writt…

138. North Carolina IMPaCT: Advancing and Spreading Primary Care Transformation (pdf file)
     www.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

139. Appendix, Data Collection Strategy, Assessment, and Process Evaluation | Agency for Healthcare Research and Quality
     www.ahrq.gov/es/patient-safety/settings/hospital/match/appendix/app-6a.html
     July 01, 2022 - Numerator: # of patients provided an updated home medication list at discharge Denominator: # of patients discharged

140. Appendix, Data Collection Strategy, Assessment, and Process Evaluation | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/hospital/match/appendix/app-6a.html
     July 01, 2022 - Numerator: # of patients provided an updated home medication list at discharge Denominator: # of patients discharged