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121. The Five Principles of Effective Primary Care-Based Care Coordination for Reducing Potentially Preventable Readmissions (pdf file)
     www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/patient-safety/rev-reportaddendum.pdf
     March 01, 2021 - The Five Principles of Effective Primary Care-Based Care Coordination for Reducing Potentially Preventable Readmissions Final Report: Potentially Preventable Readmissions: A Conceptual Framework To Rethink the Role of Primary Care: Addendum 1 The Five Principles of Effective Primary Care-Based Care Coordination fo…

122. Updated Information on the Annual Hospital-Acquired Condition Rate: 2011 and 2012 (pdf file)
     www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/pfp/updatedhacrateinfo.pdf
     June 01, 2014 - Updated Information on the Annual Hospital-Acquired Condition Rate: 2011 and 2012 Updated Inform…

123. Other Resources | Agency for Healthcare Research and Quality
     www.qualitymeasures.ahrq.gov/pqmp/implementation-qi/toolkit/h2h/other-resources.html
     July 01, 2021 - 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 …

124. Connecting for Health Common Framework Resources for Implementing Secure Health Information Exchange
     www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/news/events/conference/2011/jack/jack.pptx
     January 01, 2011 - Connecting for Health Common Framework Resources for Implementing Secure Health Information Exchange Project RED: The ReEngineered Discharge Care Transitions: Navigating the Health Care System AHRQ 2011 Annual Scientific Meeting Bethesda, Maryland September 19, 2011 Brian Jack MD Professor and Vice Chair Departme…

125. Event-Summary-Details-Maximizing-Physician-Buy-In (pdf file)
     www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/takeheart/training/event-summary-details-maximizing-physician-buy-in.pdf
     June 16, 2022 - effective o Additionally, she and her team do follow-up calls with physicians once patients have been discharged

126. Rehospitalization for Childhood Asthma: Timing, Variation, and Opportunities for Intervention (pdf file)
     www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/Kenyon2014.pdf
     February 01, 2014 - rates are relatively low in the immediate post-discharge interval, but about 1 in every 6 patients discharged … †P # .01. zP # .001. xReference group are patients discharged to a post-acute care facility and patients … discharged to home with home nursing.

127. AHRQ's Digital Solutions to Support Care Transitions Challenge | Agency for Healthcare Research and Quality
     www.qualitymeasures.ahrq.gov/challenges/past/care-transitions/index.html
     January 01, 2022 - 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 …

128. Appendix, Develop a Flowchart of Your Current Medication Reconciliation Process | Agency for Healthcare Research and Quality
     www.qualitymeasures.ahrq.gov/patient-safety/settings/hospital/match/appendix/app-5.html
     July 01, 2022 - 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 …

129. Society of Hospital Medicine Uses Two AHRQ Products in Hospital Discharge Toolkit | Agency for Healthcare Research and Quality
     www.qualitymeasures.ahrq.gov/news/newsroom/case-studies/cquips1002.html
     October 01, 2014 - 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 …

130. How CMS Measures the "30-Day All Cause Rehospitalization Rate" on the Hospital Compare Web Site | Agency for Healthcare Research and Quality
     www.qualitymeasures.ahrq.gov/patient-safety/settings/hospital/red/toolkit/redtool-30day.html
     March 01, 2013 - 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 …

131. Methods To Estimate the Baseline 2010 PFP National Hospital-Acquired Condition Rate | Agency for Healthcare Research and Quality
     www.qualitymeasures.ahrq.gov/hai/pfp/methods.html
     December 01, 2017 - 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 …

132. Improving the Emergency Department Discharge Process | Agency for Healthcare Research and Quality
     www.qualitymeasures.ahrq.gov/patient-safety/settings/emergency-dept/discharge-process.html
     July 01, 2017 - 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 …

133. Hospital Readmissions | Agency for Healthcare Research and Quality
     www.qualitymeasures.ahrq.gov/topics/hospital-readmissions.html
     January 01, 2012 - 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 …

134. Introduction | Agency for Healthcare Research and Quality
     www.qualitymeasures.ahrq.gov/pqmp/implementation-qi/toolkit/h2h/introduction.html
     July 01, 2021 - 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 …

135. Figure 2: Medication Reconciliation Upon Discharge High Level Process Map Before Redesign | Agency for Healthcare Research and Quality
     www.qualitymeasures.ahrq.gov/patient-safety/settings/hospital/match/figure-2.html
     July 01, 2022 - 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 …

136. Figure 4: Medication Reconciliation Upon Discharge: High Level Process Map After Redesign | Agency for Healthcare Research and Quality
     www.qualitymeasures.ahrq.gov/patient-safety/settings/hospital/match/figure-4.html
     July 01, 2022 - 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 …

137. Patient and Family Engagement | Agency for Healthcare Research and Quality
     www.qualitymeasures.ahrq.gov/hai/cusp/modules/patient-family-engagement/notes.html
     September 01, 2013 - 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 …

138. Section 6B (pdf file)
     www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/outcomes/chipra-140-section-6-b.pdf
     December 29, 2017 - Section 6B …

139. Postdischarge Followup Phone Call Script (Patient Version) | Agency for Healthcare Research and Quality
     www.qualitymeasures.ahrq.gov/patient-safety/settings/hospital/red/toolkit/postdischarge-phone.html
     March 01, 2013 - 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 …

140. Module-6-Slides (pdf file)
     www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/takeheart/training/module-6-slides.pdf
     October 28, 2021 - Requires communication about patient needs and concerns which may impact participation Patients discharged