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Total Results: 19 records

Showing results for "inpatient discharge data".

1. Laying the Groundwork for Effective Care Coordination: Module 6 (pdf file)
   takeheart.ahrq.gov/sites/default/files/2021-10/TAKEheart%20Module%206_Care%20Coordination_Final%20sxf.pdf
   January 01, 2021 - discharge to the start of the first session Requires collaboration between inpatient and outpatient … and outpatient staff Should start as soon as possible following inpatient discharge Requires acknowledging … What Other Data is Needed? …  Time from discharge to enrollment  Are eligible patients missing, which ones and why? … Understand the Catchment Area What Other Data is Needed?

2. Preparing and Understanding Your Data to Support Systems Change: Module 4 (pdf file)
   takeheart.ahrq.gov/sites/default/files/2021-08/TAKEheart_Module%204_Data+Slides%2008-02-21%20sxf.pdf
   January 01, 2021 - of current data before making changes Automatic Referral Report Benefit All eligible patients at discharge … Provides information about the pool of potential patients Patients referred at discharge based on … Inpatient Referral Measure 20 PARTICIPANTS REFERRAL MEASURENumerator: Number of eligible inpatients … referred to outpatient CR program Denominator: Number of inpatients discharged with appropriate … attending initial visit Denominator: Number of inpatient referrals received by the CR program

3. TAKEheart Module _Implementing Care Coordination_Original sxf v3 CL.pdf (pdf file)
   takeheart.ahrq.gov/sites/default/files/2021-12/Module%208%20Implementing%20Effective%20Care%20Coordination%20Deck%20(1).pdf
   January 01, 2021 - training and policy materials to facilitate care coordination enhancements Monitor and use data … Educate the patient and family in plain language about the patient's condition, the discharge process … •Develop, document and communicate standardized processes for: ► Confirming the discharge referral … • Percent of eligible patients referred - Inpatient CR •! … • Percent of inpatients receiving a CR education visit - Inpatient CR •!

4. Building and Implementing a Successful Automatic Cardiac Rehab Referral System: Module 5 (pdf file)
   takeheart.ahrq.gov/sites/default/files/2021-08/TAKEheart%20Module%205%20Automatic%20Referral_Final%20%20(2)%20sxf.pdf
   January 01, 2021 - Developed a deep understanding of current workflow processes for referrals, care coordination and data … collection to prepare for redesign Module 4 • Explored the value of data to support the implementation … CR Best • AR + patient conversation + scheduling the patient for the first CR visit prior to discharge … VS OUTPATIENT Inpatient and Procedures  Discharge order set Outpatient  Care encounter NOTE: These … HOW: Use of the “Opt-out” Feature: Inpatient/Procedure Setting: 32 PARTICIPANTS Inpatient / Procedure

5. Implementing Effective Care Coordination: Module 8 (pdf file)
   takeheart.ahrq.gov/sites/default/files/2022-07/TAKEheart%20Module%20_Implementing%20Care%20Coordination_Original%20sxf%20v3%20CL.pdf
   January 01, 2022 - Develop training and policy materials to facilitate care coordination enhancements 3 Monitor and use data … Educate Educate the patient and family in plain language about the patient’s condition, the discharge … patient self management (Module 9)  Cultural sensitivity training Part 4 Monitoring & Using Data … integrate care coordination •Develop performance measures •Define success criteria •Analyze data … CR  Percent of inpatients receiving a CR education visit – Inpatient CR  Time from Referral to Enrollment

6. Understanding Your Workflow Processes to Prepare for Systems Change: Module 3 (pdf file)
   takeheart.ahrq.gov/sites/default/files/2021-07/TAKEheart%20Module%203%20Understanding%20Workflow%20Processes_FINAL%20sxf_0.pdf
   January 01, 2021 - 13 Where Should You Focus: Inpatient CR & Procedures 14 PATHS TO CR How to Map Key Processes …  What does it take to capture the data you need?  Are new data capture processes needed? … Workflow Enrollment  Staff visit and talk about CR post- procedure  Call to be made to patient post-discharge … expectation, not a suggestion, by the physician  Cardiac Rehab appointment is scheduled prior to discharge … Where Should You Focus: Inpatient CR & Procedures How to Map Key Processes Flowchart Breaking The

7. PowerPoint Presentation (pdf file)
   takeheart.ahrq.gov/sites/default/files/2022-01/TAKEheart_Module%203_Understanding%20Workflow%20Processes_Slide%20Deck_FINAL.pdf
   January 01, 2022 - Completion of CR The CR Workflow Process TAKEheart Foundational Processes Where Should You Focus: Inpatient … CR & Procedures 12 PATHS TO CR Inpatient CR Procedures Outpatient/Ambulatory Care Physician practices … Current Workflow Processes: Data 19 PARTICIPANTSMAPPING DATA COLLECTION Mapping the data collection … CR post- procedure ➢ Call to be made to patient post-discharge Completion ➢ “Drop out” without follow-up … expectation, not a suggestion, by the physician ➢ Cardiac Rehab appointment is scheduled prior to discharge

8. Takeheart Module 3 Understanding Workflow Processes Implementation Guide Final (doc file)
   takeheart.ahrq.gov/sites/default/files/2022-01/TAKEheart_Module%203_Understanding%20Workflow%20Processes_Implementation%20Guide_FINAL.docx
   January 01, 2022 - Secondary audience: Non-team cardiac clinicians, discharge planners, care coordinators, hospital leadership … and/or procedures to outpatient CR · Care coordination workflow processes from inpatient/procedures … to outpatient CR · Data collection processes from inpatient/procedures to outpatient CR STEP 1: Continue … Data Where does your data reside? What does it take to capture the data you need? … Are new data capture processes needed? Who oversees different aspects of data collection?

9. Implementation Guide – Module 3: Understanding your Workflow Processes to Prepare for Systems Change (pdf file)
   takeheart.ahrq.gov/sites/default/files/2021-07/TAKEheart_Module%203_Understanding%20Workflow%20Processes_Implementation%20Guide_FINAL_0.pdf
   January 01, 2021 - Secondary audience: Non-team cardiac clinicians, discharge planners, care coordinators, hospital leadership … to outpatient CR • Data collection processes from inpatient/procedures to outpatient CR STEP 1: … o Map data processes to show what data is collected and how and where it is stored, what reports and … o Design processes to collect inpatient referral metrics. … Data Where does your data reside? What does it take to capture the data you need?

10. Takeheart Module 3 Understanding Workflow Processes Implementation Guide Final (pdf file)
    takeheart.ahrq.gov/sites/default/files/2022-05/TAKEheart_Module%203_Understanding%20Workflow%20Processes_Implementation%20Guide_FINAL.pdf
    January 01, 2022 - Secondary audience: Non-team cardiac clinicians, discharge planners, care coordinators, hospital leadership … to outpatient CR • Data collection processes from inpatient/procedures to outpatient CR STEP 1: … o Map data processes to show what data is collected and how and where it is stored, what reports and … o Design processes to collect inpatient referral metrics. … Data Where does your data reside? What does it take to capture the data you need?

11. Implementation Guide – Module 6: Building and Implementing a Successful Automatic Cardiac Rehab Referral System (pdf file)
    takeheart.ahrq.gov/sites/default/files/2021-10/Implementation%20Guide_Module%206%20_FINAL%20sxf%20CL.pdf
    January 01, 2021 - appropriate care coordination activities in place to support the full span of patient needs beginning in the inpatient … Whether they are performed by inpatient staff or the outpatient CR program, optimal processes include … Creating a letter to give to patients at discharge introducing CR is an example of an easy fix that … agencies and short-term rehabilitation facilities to track eligible medically complex patients after discharge … verification Plan for tracking eligible patients discharged to a post- acute care setting following an inpatient

12. Implementation Guide – Module 5: Building and Implementing a Successful Automatic Cardiac Rehab Referral System (pdf file)
    takeheart.ahrq.gov/sites/default/files/2021-08/Implementation%20Guide_Module%205%20_FINAL%20(1).pdf
    January 01, 2021 - • Determined the data necessary to support automatic referral. … TAKEheart focuses on creating an automatic referral system from the inpatient/procedural environment … • Data analytics coordinator: manages the collection and interpretation of data to support automatic … When: For referrals from the inpatient/procedure environments, it is recommended that the automatic … referral be built into the discharge order set.

13. AHRQ TAKEheart_Module 9_final sxf.pdf (pdf file)
    takeheart.ahrq.gov/sites/default/files/2022-02/TAKEheart%20Module%209%20Deck.pdf
    January 01, 2022 - Workflow processes and activities throughout the continuum of care Phase I CR Inpatient … and/or Procedures Discharge (and Community) Referrals Phase II CR Outpatient Scheduling … Educate the patient and family, using plain language, about the patient's condition, the discharge … educated Lacking insurance 26 • Geography (just a few of many examples): o Data … Adam agreed to be our CR ambassador to give provider level endorsement of CR to patients prior to discharge

14. Implementing Effective Care Coordination: Module 9 (pdf file)
    takeheart.ahrq.gov/sites/default/files/2022-07/AHRQ%20TAKEheart_Module%209_final%20sxf.pdf
    January 01, 2022 - 8 Phase I CR Inpatient and/or Procedures Discharge (and Community) Referrals Phase II CR … Educate Educate the patient and family, using plain language, about the patient’s condition, the discharge … 26 • Geography (just a few of many examples): o Data on zip codes of most frequent and eligible patients … Adam agreed to be our CR ambassador to give provider level endorsement of CR to patients prior to discharge

15. TAKEheart Implementation Guide Module 2 (pdf file)
    takeheart.ahrq.gov/sites/default/files/2020-03/Implementation%20Guide_Mod2_NoEmbed_03-12-20%20sxf.pdf
    January 01, 2020 - implementing automatic referral with care coordination Secondary audience: Non-team cardiac clinicians, discharge … different members of the team for status updates on the Action Plan tasks, sharing information and data … Map out the hospitals current CR process from time of referral/discharge to appointment and identify … Develop a protocol for clinician to clinician hand-off to inpatient/rehabilitation CR programs to …  Data labor hours for data management and analysis  Additional headcount • Hold a Meeting to

16. Implementation Guide – Module 4: Preparing and Understanding Your Data to Support Systems Change (pdf file)
    takeheart.ahrq.gov/sites/default/files/2021-08/Implementation%20Guide_Module%204_Final%2008-02-21%20sxf.pdf
    January 01, 2021 - TAKEheart is focused on automating referrals from the inpatient/procedural environment. … a CR education visit Understanding who has and who has not received an education visit prior to discharge … CPT codes and ICD-10 diagnosis and procedure codes, patient age, date of admission and discharge are … discussed: there may be issues your team needs to clarify (e.g., should it really be admitted date versus discharge … The only data that matters are data that you USE.

17. TAKEheart Module 7 Troubleshooting AR_IG 11-04-21 sxf.pdf (pdf file)
    takeheart.ahrq.gov/sites/default/files/2022-04/TAKEheart%20Module%207%20Implementation%20Guide.%20(3).pdf
    January 01, 2022 - TAKEheart focuses on creating an AR order set from the inpatient/procedural environment to outpatient … o If using a default order set or discharge smart set, are providers able to work around these orders … Is the provider writing timely CR orders so that the patient can receive education about CR before discharge … Action: Example: • Providers will enter a cardiac rehabilitation order for each patient flagged during discharge … Referral Data."

18. Implementation Guide – Combined Module 1 & Module 2: Ready, Set, Go! Getting (Re)Started with TAKEheart (pdf file)
    takeheart.ahrq.gov/sites/default/files/2021-07/Implementation%20Guide_Module%201_2_FINAL%20(1)%2006-10-21%20sxf.pdf
    January 01, 2021 - Secondary audiences: Non-team cardiac clinicians, discharge planners, care coordinators, hospital leaders … o Other CR staff (if applicable) • Plan for coordination across inpatient and outpatient settings by … • Establish data and monitoring plan. … • Data can illuminate any gaps and areas to concentrate on to improve those outcomes. … o Data labor hours for data management and analysis o Additional headcount Key Resources: Appendix

19. Articles | TAKEheart
    takeheart.ahrq.gov/resource-center/articles
    January 01, 2021 - attention to the impact of physical and psychological conditions, as depressive symptoms, on long-term post-discharge … Quality Improvement Referral Rates for Cardiac Rehabilitation Among Eligible Inpatients … Leadership Sex and Racial Disparities in Cardiac Rehabilitation Referral at Hospital Discharge … Rehabilitation After Percutaneous Coronary Intervention, Coronary Artery Bypass Surgery, and Valve Surgery: Data