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21. The Medical Home Index: Revised Short Form: Pediatric. Measuring the Organization and Delivery of Pediatric Primary Care for All Children, Youth, and Families (pdf file)
    ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/demoeval/what-we-learned/mhi-rsf.pdf
    May 29, 2013 - Transition to adulthood indicator #2.5 revised 2006; Medical Home Index revised to create MHI-RSF 2012 … Transition to adulthood indicator #2.5 revised 2006; Medical Home Index revised to create MHI-RSF 2012 … Transition to adulthood indicator #2.5 revised 2006; Medical Home Index revised to create MHI-RSF 2012 … Transition to adulthood indicator #2.5 revised 2006; Medical Home Index revised to create MHI-RSF 2012 … Adult providers offer an initial "welcome" visit and a review of transition goals.

22. OR-to-ICU Transitions | Agency for Healthcare Research and Quality
    ce.effectivehealthcare.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-care-transitions4.html
    June 01, 2023 - OR-to-ICU Handoff-Specific Contributors to Diagnostic Errors and Uncertainty The transition … This transition is prone to technical and diagnostic error due to not only the high patient acuity and … could be directed at understanding the best way to evaluate diagnostic safety during the OR-to-ICU transition … In conclusion, the OR-to-ICU transition is inherently high risk, and the growing body of evidence on … to mitigate the impact of cognitive biases and reduce the risk of diagnostic error in the OR-to-ICU transition

23. Primarycareeffortstoreducereadmissions-Envscan (pdf file)
    ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/patient-safety/PrimaryCareEffortsToReduceReadmissions-envscan.pdf
    March 01, 2020 - Key Findings • The primary care-based literature on care transition programs is less developed than … Care transition programs in the context of more general primary care transformation efforts, such as … Primary care may play a small to large role in care transition interventions, and the complexity of … In both cases, a care navigator meets the patient face to face to assist in the care transition, but … Impact of an integrated transition management program in primary care on hospital readmissions.

24. Design Guide for Implementing Warm Handoffs (pdf file)
    ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/pfeprimarycare/warmhandoff-designguide.pdf
    December 01, 2017 - Identify all patient transition points within the practice ...................................2 Step … In each transition, opportunities arise for breakdowns in communication that may lead to medical errors … Identify all patient transition points within the practice. … For each transition identified in Step 1, determine: � Who the sender is. � Who the receiver is. … Example Table To Document Patient Transition Points Person Giving Information?

25. Transitioning to the SOPS™ Hospital Survey Version 2.0: What’s Different and What To Expect, Part I: Main Report (pdf file)
    ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/hsops2-pt1-transition-updated.pdf
    June 01, 2022 - Transitioning to the SOPS™ Hospital Survey Version 2.0: What’s Different and What To Expect, Part I: Main Report Transitioning to the SOPS™ Hospital Survey Version 2.0: What’s Different and What To Expect Part I: Main Report Prepared for: Agency for Healthcare Research and Quality U.S. Department of Health an…

26. Introducing the CAHPS Child Hospital Survey (pdf file)
    ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/20150122/4_zoe_vecchio_and_sandra_schultz.pdf
    February 11, 2015 - Customer Service Zoë Vecchio Director of Service Excellence 49 Agenda 1.CHOC’s choice to transition … to Child HCAHPS 2.Our approach to physician engagement 50 CHOC’s choice to transition to Child … CAHPS Webcast Agenda CHOC’s Choice to Transition to Child HCAHPS Our Approach to Physician Engagement

27. Chapter 6. Measure Maps and Profiles (continued, 21) | Agency for Healthcare Research and Quality
    ce.effectivehealthcare.ahrq.gov/ncepcr/care/coordination/atlas/chapter6t.html
    June 01, 2014 - Timely Transmission of Transition Record Care Coordination Measure Mapping Table   Measurement … Timely Transmission of Transition Record Purpose: To measure the percentage of patients, regardless … of age, discharged from an inpatient facility to home or any other site of care, for whom a transition … Transition Record with Specified Elements Received by Discharged Patients (Emergency Department Discharges … Transition Record with Specified Elements Received by Discharged Patients (Emergency Department Discharges

28. Improving Patient Experience: Data Analysis Methods webcast - VA (pdf file)
    ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/data-analysis-webcast-examples-3.pdf
    March 03, 2021 - Informed* Cleanliness of Hospital EnvironmentCommunication with Nurses Overall Hospital Rating Care Transition … Communication with Nurses, Cleanliness of Hospital Environment, and Care Transition have direct impacts … | Inpatient IPSOS Bayes Net (IBN) Impact Scores VA National Communication with Nurses 4.6% Care Transition … (includes VA data) Patient discharged from Oct 2018 to Sept 2019 SHEP HCAHPS Star Rating - Care Transition … Tools PX Library SHEP HCAHPS Star Rating -Communication with Nurses SHEP HCAHPS Star Rating -Care Transition

29. Supplemental Items for the CAHPS Hospital Survey: Interpreter Services | Agency for Healthcare Research and Quality
    ce.effectivehealthcare.ahrq.gov/cahps/surveys-guidance/item-sets/literacy/suppl-interpreter-service-items.html
    October 01, 2023 - Add a transition statement to indicate a transition from the HCAHPS questions. … To find CMS’s mandatory transition statement, please refer to the HCAHPS Quality Assurance Guidelines … on HCAHPS and search for "mandatory transition statement."

30. Transitional Care Medication Safety: Stakeholders' Perspectives | Agency for Healthcare Research and Quality
    ce.effectivehealthcare.ahrq.gov/patient-safety/reports/liability/corbett.html
    August 01, 2017 - The transition from hospital to community settings is an exceptionally risky time for patients. 4-8 … Theme 1: Barriers to medication safety during transition from hospital to home. … due to illness severity and/or functional impairment. 29 During this fragile transition, patients and … Preventing or promptly resolving medication discrepancies during the hospital to home transition are … The hospital discharge: A review of high risk care transition with highlights of a reengineered discharge

31. Yale Center for Healthcare Innovation, Redesign, and Learning | Agency for Healthcare Research and Quality
    ce.effectivehealthcare.ahrq.gov/patient-safety/resources/learning-lab/yale-center-long-desc.html
    June 01, 2020 - The specific aims were to: Improve patient safety at the time of transition through redesign of transfers … Mapping the care transition from hospital to skilled nursing facility. … Conversations Across the Continuum: Communication During the Transition of Care From the Hospital to … Mapping the care transition from hospital to skilled nursing facility .

32. Table C-1. Pediatric Primary Care Measures | Agency for Healthcare Research and Quality
    ce.effectivehealthcare.ahrq.gov/research/findings/final-reports/pcpaccountability/pcpacctabc1.html
    July 01, 2018 - Setting 56 Biopsy Follow Up 57 Reconciled Medication List Received by Discharged Patients 58 Transition … Specified Elements Received by Discharged Patients (Inpatient Discharges) 59 Timely Transmission of Transition … Record 60 Transition Record with Specified Elements Received by Discharged Patients (Emergency Department

33. Transitions of Care | Agency for Healthcare Research and Quality
    ce.effectivehealthcare.ahrq.gov/research/findings/nhqrdr/chartbooks/carecoordination/measure1.html
    June 01, 2018 - Records References The Centers for Medicare & Medicaid Services (CMS) defines a transition … A common transition of care is hospital discharge. … A successful transition depends on whether hospitals have adequately educated patients about key elements … quality care, prevent complications, teach patients at discharge, and ensure that patients make a smooth transition … quality care, prevent complications, teach patients at discharge, and ensure that patients make a smooth transition

34. Pathway to Independence in Patient-Centered Outcomes Research (PCOR) | Agency for Healthcare Research and Quality
    ce.effectivehealthcare.ahrq.gov/pcor/ahrq-pcor-trust-fund-training-projects/pcortf-tcdhs12007.html
    June 01, 2018 - Trust Fund RFA-HS-12-007 and RFA-HS-13-002 The Pathway to Independence Award facilitates the transition … The expected output of these grants is accelerated transition to tenure and productivity of PCOR researchers

35. High-Hanging Fruit: Improving Transitions in Health Care (pdf file)
    ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Perry_49.pdf
    March 27, 2008 - in most health care settings, new paperwork or software would have to be created for this type of transition … variation on readbacks, the “teachback,” has been considered as a tool for including patients in the transition … Because of pragmatic challenges involved in timing a transition update to include patients, particularly … have been noted: (1) pre-turnover, during which the individuals involved begin to prepare for transition … ; (2) arrival, where incoming and off-going workers gather; (3) meeting, during which the transition

36. Table C-9. Adult Primary Care Measures Applicable to Patients with General Chronic Conditions* | Agency for Healthcare Research and Quality
    ce.effectivehealthcare.ahrq.gov/research/findings/final-reports/pcpaccountability/pcpacctabc9.html
    July 01, 2018 - from an Outpatient Setting 57 Reconciled Medication List Received by Discharged Patients 58 Transition … Specified Elements Received by Discharged Patients (Inpatient Discharges) 59 Timely Transmission of Transition … Record 60 Transition Record with Specified Elements Received by Discharged Patients (Emergency Department

37. Section 7.E, Tables 15 and 16 (pdf file)
    ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-166-fecc-tables-15-16.pdf
    March 12, 2018 - 26.2 50*** Protocols/Plans Child has shared care plan FECC-16 40.8 61.8*** Child has written transition … 26.9 49.4*** Protocols/Plans Child has shared care plan FECC-16 40.9 64.8*** Child has written transition

38. Chapter 6. Measure Maps and Profile | Agency for Healthcare Research and Quality
    ce.effectivehealthcare.ahrq.gov/ncepcr/care/coordination/atlas/chapter6.html
    June 01, 2014 - . ‡ All measure items addressing transitions were mapped to one of the specific transition types ( across … Index of Measures . ‡ All measure items addressing transitions were mapped to one of the specific transition … Transition Record with Specified Elements Received by Discharged Patients (Inpatient Discharges) 59 … Timely Transmission of Transition Record 60. … Transition Record with Specified Elements Received by Discharged Patients (Emergency Department Discharges

39. Tool 9: Transitional Care Planning (doc file)
    ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/medicaidreadmitguide/mcaidread_tool9_trans_care.docx
    July 28, 2016 - problem, fix a problem,” the easier it will be for your hospital staff to execute a safe, effective transition … Whole-Person Transitional Care Planning Tool Readmissions rarely result from a singular breakdown in the transition

40. Ten Considerations for Easing the Transition to a Web-based Patient Safety Reporting System (pdf file)
    ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Ulep.pdf
    January 01, 2004 - Ten Considerations for Easing the Transition to a Web-based Patient Safety Reporting System 207 … Ten Considerations for Easing the Transition to a Web-based Patient Safety Reporting System Sharon … with additional insights and lessons gleaned from the Henry Ford Health System and its successful transition … Even if the organization scores low in some areas, it may be time to start planning for this transition … Start to investigate the solutions on the market that can ease the transition to a Web-based event