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www.ahrq.gov/sites/default/files/2024-12/moyer-report.pdf
January 01, 2024 - errors and adverse
events in this transition involve communication breakdowns in handoffs between
inpatient … qualitative data were collected from participants at the end
of the project to learn about their experiences … G) For all Baylor patients, discharge data form is faxed to primary care pediatrician on
next business … day after discharge
H) Hard copy of discharge data form is mailed to PCP
I) Copy of discharge summary … Process Evaluation:
Analysis of qualitative data revealed several consistent themes.
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www.ahrq.gov/research/findings/nhqrdr/chartbooks/carecoordination/carecoordination-slides.html
June 01, 2018 - Includes data from 2015 QDR, which generally cover 2001-2013. … A Data Query tool provides access to all data tables ( https://nhqrnet.ahrq.gov/inhqrdr/data/query ). … Slide 21
Readmissions
Hospital readmission shortly after discharge is a marker of inpatient quality … Notes: Data not available for 2009 for geographic location. … Warehouse, Workload and Population Data Mart, 2003-2013.
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www.ahrq.gov/hai/cauti-tools/ena-slides/part2a.html
October 01, 2015 - I have someone who’s got four patients and an upcoming discharge. … How are data being collected?
Is there a handoff tool for reporting to the inpatient nurse? … Has the handoff tool enhanced communication with the inpatient staff? If so, how? … Is there a handoff tool for reporting to the inpatient nurse? … Emergency nurse and inpatient nurse share the goal of CAUTI reduction.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy4/Strat4_Implement_Hndbook_508_v2.docx
April 01, 2011 - the discharge process? … reconciling medication; identifying roles and responsibilities for medication reconciliation; collecting data … quality-patient-safety/patient-safety-resources/
resources/match/index.html
Discontinuity between inpatient … , making continuity of care more difficult between inpatient and outpatient settings.4
Changes or discrepancies … Identify a way to collect and analyze data collected, such as an spreadsheet (e.g., Excel ) or a database
-
www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/chartbooks/carecoordination/qdr2015-chartbook-carecoordination.pptx
June 16, 2016 - A Data Query tool provides access to all data tables (https://nhqrnet.ahrq.gov/inhqrdr/data/query). … is a marker of inpatient quality of care and a significant contributor to rising health care costs ( … Agency for Healthcare Research and Quality (AHRQ), Healthcare Cost and Utilization Project, Nationwide Inpatient … Center for Delivery, Organization, and Markets, Healthcare Cost and Utilization Project, Nationwide Inpatient … Ready for discharge?
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Shimada_65.pdf
April 04, 2008 - PSIs can be used to screen for potential patient safety
events in hospital discharge data and are potentially … Methods
Data
Data were obtained from two VHA administrative databases: the VHA Medical SAS Inpatient … VHA hospital discharge data
(PTF) from FY2001-FY2005 were modified in preparation for running the PSI … of inpatient and outpatient race data to obtain one race
value for each individual. … If self-reported race data were available in the inpatient data
and were consistent over multiple records
-
www.ahrq.gov/hai/pfp/interimhacrate2014.html
January 01, 2018 - in the Partnership for Patients: Estimates and Projected and Measured Impact
Interim Data … The details of these methods and the resulting data for the prior periods are online. 1
Interim estimates … Cumulative deaths averted from 2010 through 2014 (interim data) are estimated at nearly 87,000. … to 12.1% of patients experiencing HACs because some patients experience more than one HAC during an inpatient … by fewer than 100 patients among 1,000 discharges (10 percent of inpatients).
4.
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www.ahrq.gov/sites/default/files/wysiwyg/takeheart/training/module-3-slides.pdf
February 09, 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
-
www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2014chartbooks/hispanichealth/2014nhqdr-hispanichealth-pt2.pdf
July 01, 2015 - non-Federal community hospital in the United States with acute myocardial infarction as
principal discharge … non-Federal community hospital in the United States with acute myocardial infarction as
principal discharge … until
1976, most other common measures of alcohol-related problems such as arrest and
hospital discharge … Set, Discharge Data Set, 2005-2011. … Set, Discharge Data Set, 2005-2011.
-
www.ahrq.gov/sites/default/files/wysiwyg/takeheart/training/implementing-automatic-referral-slides.pptx
December 31, 2022 - are important, TAKEheart is focused on the design and implementation of automatic referral from the inpatient … Studies show including AR in the discharge order set is the best way to boost utilization. … closely with your IT team to understand your system’s abilities and limitations.
32
HOW: AR from Inpatient … Setting
Inpatient Setting:
Align your AR process with your existing workflow as much as possible
Insert … This slide lists steps for approaching this part of the implementation process for an inpatient setting
-
www.ahrq.gov/sites/default/files/wysiwyg/cpi/about/impact/ahrq-works.pdf
April 01, 2017 - Nation’s leading tools
for hospitals to reduce avoidable readmission
rates, the RED (Re-Engineered Discharge … RED (Re-Engineered Discharge) Toolkit
Initially developed through research conducted by AHRQ
grantee … Jack, M.D., of the Boston University Medical
Center, the RED toolkit is a standardized approach to
discharge … RESEARCH AND PRACTICE 4
HCUP analyses have also tracked trends in readmission
rates by payer type; inpatient … www.ahrq.gov
Goal: Keep Patients Safe
Goal: Help Doctors and Nurses Improve Quality
RED (Re-Engineered Discharge
-
www.ahrq.gov/sites/default/files/publications/files/ptflowguide.pdf
January 01, 2014 - require a fast track nurse who understands the steps that each
patient goes through from admission to discharge … Managers and staff from all inpatient units were invited to review
a new Inpatient Report Tool, a one-page … days observing and creating a value stream map of all tasks that occur between
patients' arrival and discharge … waiting
room and direct them immediately to the fast track.
n Enabling all fast track computers to print discharge … Conceptually, we realized that adding more space would not necessarily address the core problem:
inpatients
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol4/Advances-fairbanks_20.pdf
February 21, 2008 - In these chaotic conditions—where inpatients,
outpatients, and critically ill patients coexist—few, … Identified themes by which the data could be further exam
3. Indexed (coded) the data.
4. … Sorted the data by these themes (charting).
5. … Staff perceived that emergency pharmacists’ involvemen
with routine medication issues for inpatients … • Provide patient-specific medication use teaching for discharge medications when appropriate.
-
www.ahrq.gov/sites/default/files/2024-09/khare-report.pdf
January 01, 2024 - A national
database of hospital discharge data that had been stratified by operational characteristics … Data from the 2008 CMS Medicare files were used for outcomes for inpatient and
30-day mortality rates … ED with the primary discharge diagnosis of AMI
(obtained from the MedPar files and Medicare inpatient … Results:
For Aim 1, CMS, University HealthSystem (UHC) Consortium, and American Hospital Association data … to develop and
implement any of the recommended improvements and were unable to provide consistent data
-
www.ahrq.gov/ncepcr/care/coordination/atlas/chapter6o.html
June 01, 2014 - (2) adequacy of discharge plan/transmission. … Principal component analysis identified 2 components (timeliness of communication and adequacy of discharge … Patient Age: Adults
Patient Condition: General Population/Not Condition Specific
Setting: Inpatient … Discharge planning scale: Community physicians' perspective. J Hosp Med 2008;3(6):455-64. … Patient Age: Adults
Patient Condition : Combined Chronic Conditions, Cancer/Oncology
Setting: Inpatient
-
www.ahrq.gov/sites/default/files/2024-01/bailey-kilbridge-report.pdf
January 01, 2024 - The validation period was conducted on
inpatients due to the ready accessibility of data, and we simultaneously … The validation period was conducted on inpatients due to the ready accessibility of data, while we simultaneously … The validation period was conducted on inpatients due to the ready accessibility of data, while we simultaneously … The validation period was conducted on inpatients due to the ready accessibility of data, while we simultaneously … The validation period was conducted on inpatients due to the ready accessibility of data, while we simultaneously
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/howtogetstarted/How_to_Use_Guide_Ldr_Slide_508.pptx
July 23, 2010 - emotional health, functioning, and pain control
Patient experiences of care
[Insert hospital goal / data … ]
References
Sentinel event root cause and trend data. … and patient understanding
Discontinuity between in-patient and out-patient providers
[Add hospital data … disconnect between clinician information-giving and patient understanding; and discontinuity between inpatient … As for our hospital,
[Add your own hospital data/goals related to discharge]
15
Guide to Patient and
-
www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/chipra-1416-p006-2-ef.pdf
December 01, 2015 - Hybrid of
administrative claims
data and medical
records (paper or
electronic) data. … Measure Importance
Hypothermia is associated with the death of the infant prior to discharge from the … Program (PQMP)
2
Advantages of the Measure
● This measure addresses a key safety and quality gap in inpatient … An electronic medical record or electronic data capture form could
be used to collect temperature data … stress was common, and that it puts low birth weight infants at risk for devastating outcomes
before discharge
-
www.ahrq.gov/patient-safety/settings/hospital/resource/guide/web3.html
December 01, 2017 - Discharge Process Checklist.
Community Resource Guide.
Cross Continuum Collaboration. … Post-discharge follow up calls.
Centralized appointment scheduling. … Discharge planning from all levels of care.
Disease Management.
Complex Case Management. … Clinics provide post-discharge follow up <7-10 days for anyone.
IT: ACO patients flagged. … Reliably deliver inpatient transition of care practices—
Needs assessment.
-
www.ahrq.gov/research/findings/nhqrdr/chartbooks/blackhealth/part3-nqs2.html
June 01, 2018 - Agency for Healthcare Research and Quality (AHRQ), Healthcare Cost and Utilization Project, Nationwide Inpatient … Although patient safety initiatives focus mainly on inpatient hospital events, adverse effects of medical … Events treated in ambulatory settings may be less severe than those occurring in inpatient settings. … Source: Centers for Medicare & Medicaid Services, Minimum Data Set 3.0, 2014. … Source: Centers for Medicare & Medicaid Services, Minimum Data Set 3.0, 2014.