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81. The Five Principles of Effective Primary Care-Based Care Coordination for Reducing Potentially Preventable Readmissions (pdf file)
    healthcare411.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…

82. Updated Information on the Annual Hospital-Acquired Condition Rate: 2011 and 2012 (pdf file)
    healthcare411.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…

83. AHRQ's Digital Solutions to Support Care Transitions Challenge | Agency for Healthcare Research and Quality
    healthcare411.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 …

84. Postdiscalldoc (pdf file)
    healthcare411.ahrq.gov/sites/default/files/publications/files/postdiscalldoc.pdf
    February 14, 2013 - 1 Postdischarge Followup Phone Call Documentation Form Patient name: __________________________________________________________________ Caregiver(s) name(s): ____________________________________________________________ Relationship to patient: __________________________________________________________ Notes:…

85. Society of Hospital Medicine Uses Two AHRQ Products in Hospital Discharge Toolkit | Agency for Healthcare Research and Quality
    healthcare411.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 …

86. Methods To Estimate the Baseline 2010 PFP National Hospital-Acquired Condition Rate | Agency for Healthcare Research and Quality
    healthcare411.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 …

87. Improving the Emergency Department Discharge Process | Agency for Healthcare Research and Quality
    healthcare411.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 …

88. Hospital Readmissions | Agency for Healthcare Research and Quality
    healthcare411.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 …

89. AHCP Template for Manual Creation: English-Speaking Patients (pdf file)
    healthcare411.ahrq.gov/sites/default/files/publications/files/ahcptemplen.pdf
    February 14, 2013 - AHCP Template for Manual Creation: English-Speaking Patients 1 AHCP Template for Manual Creation: English-Speaking Patients ** Bring this Plan to ALL Appointments** After Hospital Care Plan for: [patient name] Discharge Date: [discharge date] Question or Problem about this Packet? Call your Di…

90. St. Joseph’s Hospital Improves Patient Safety Using AHRQ Tools | Agency for Healthcare Research and Quality
    healthcare411.ahrq.gov/news/newsroom/case-studies/201511.html
    May 01, 2015 - 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 …

91. Patient and Family Engagement | Agency for Healthcare Research and Quality
    healthcare411.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 …

92. Methods To Estimate the Baseline 2010 PFP National Hospital-Acquired Condition Rate (pdf file)
    healthcare411.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/pfp/pfphac.pdf
    September 01, 2014 - Methods To Estimate the Baseline 2010 PFP National Hospital-Acquired Condition Rate This document describes the methods AHRQ used to estimate the national rate of hospital-acquired conditions (HACs) for the Partnership for Patients (PFP) program. The estimate includes a wide variety of adverse events, including the…

93. AHRQ National Scorecard on Hospital-Acquired Conditions: Updated Baseline Rates and Preliminary Results 2014-2016 (pdf file)
    healthcare411.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/pfp/natlhacratereport-rebaselining2014-2016_0.pdf
    January 01, 2016 - The 2016 data are preliminary because the final data for the number of hospital patients discharged

94. Health Literacy Improvement Tools | Agency for Healthcare Research and Quality
    healthcare411.ahrq.gov/health-literacy/improve/index.html
    March 01, 2024 - 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 …

95. Tool 9: Transitional Care Planning (doc file)
    healthcare411.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/medicaidreadmitguide/mcaidread_tool9_trans_care.docx
    July 28, 2016 - Tool 9: Transitional Care Planning Tool 9: Whole-Person Transitional Care Planning Tool Purpose The social, economic, and geographic conditions in which individuals live have a profound impact on individuals’ health status. Efforts to reduce readmissions by optimizing self-management or long-term health status will …

96. AHRQ National Scorecard on Hospital-Acquired Conditions: Updated Baseline Rates and Preliminary Results 2014-2017 (pdf file)
    healthcare411.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/pfp/hacreport-2019.pdf
    January 01, 2019 - AHRQ National Scorecard on Hospital-Acquired Conditions: Updated Baseline Rates and Preliminary Results 2014-2017 January 2019 AHRQ National Scorecard on Hospital-Acquired Conditions Updated Baseline Rates and Preliminary Results 2014–2017 Summary Updated and new patient safety data for 2014 through 2017 conti…

97. Potentially Preventable Readmissions: Conceptual Framework To Rethink the Role of Primary Care: Final Report (pdf file)
    healthcare411.ahrq.gov/sites/default/files/wysiwyg/patient-safety/rev-finalreport-update-2021.pdf
    January 01, 2021 - Table 1) to provide advice on how to develop a conceptual framework to better deliver care to recently discharged … found that automated alerts notifying primary care clinicians when their patients were admitted and discharged

98. Updated Information on the Annual Hospital-Acquired Condition Rate: 2011 and 2012 | Agency for Healthcare Research and Quality
    healthcare411.ahrq.gov/hai/pfp/hacrate2011-12.html
    January 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 …

99. AHRQ National Scorecard on Hospital-Acquired Conditions: Final Results for 2014 Through 2017 (pdf file)
    healthcare411.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/pfp/Updated-hacreportFInal2017data.pdf
    July 01, 2020 - AHRQ National Scorecard on Hospital-Acquired Conditions: Final Results for 2014 Through 2017 July 2020 AHRQ National Scorecard on Hospital-Acquired Conditions Final Results for 2014 Through 2017 Summary Final patient safety data for 2014 through 2017 showed a downward trend in the annual number of hospital-acq…

100. Tool 11: Community Resource Guide (doc file)
     healthcare411.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/medicaidreadmitguide/mcaidread_tool11_comm_resource.docx
     September 12, 2016 - Tool 11: Community Resource Guide Tool 11: community resource guide Purpose Many hospital readmission reduction teams perceive that no community resources are available, even though community behavioral health and social service providers state they rarely receive referrals from hospitals. The purpose of this commu…