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81. Tool 6 (continued) | Agency for Healthcare Research and Quality
    ce.effectivehealthcare.ahrq.gov/patient-safety/settings/hospital/red/toolkit/redtool-other.html
    March 01, 2013 - Additional self-report surveys, such as the 3-Item Care Transition Measure (CTM-3), may be considered … Panel (TEP) on Benchmarking of Hospital Discharge was formed to study and make recommendations about transition … Elements of transition. All-cause 30-day readmission rates.

82. Pre-intervention Assessment: Adapting and Implementing Patient Safety Practices in Ambulatory Care (xls file)
    ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/safetransitions/hret-preinterventionasst.xlsx
    November 28, 2017 - 0 0 It is important to devote time and resources to patient education, self-care support, transition … 0 0 It is important to devote time and resources to patient education, self-care support, transition … needs, limited health literacy, and social vulnerabilities of risk that could impact a patient’s safe transition … The team documents the patient's goals, priorities, observations, and concerns prior to the patient's transition

83. AHRQ Training Projects Funded by PCOR Trust Fund | Agency for Healthcare Research and Quality
    ce.effectivehealthcare.ahrq.gov/pcor/ahrq-pcor-trust-fund-training-projects/index.html
    January 01, 2024 - Independence in Patient-Centered Outcomes Research The Pathway to Independence Award facilitates the transition … The expected output of these grants is accelerated transition to tenure and productivity of PCOR researchers

84. Part 3: National Quality Strategy Priority—Care Affordability | Agency for Healthcare Research and Quality
    ce.effectivehealthcare.ahrq.gov/research/findings/nhqrdr/chartbooks/blackhealth/part3-nqs7.html
    June 01, 2018 - partnership between Methodist Le Bonheur Healthcare and 512 congregations in Memphis, supports the transition … then works with a church-based volunteer liaison to arrange postdischarge services and facilitate the transition

85. Background Report for the Request for Public Comment on Initial, Recommended Core Set of Children's Healthcare Quality Measures for Voluntary Use by Medicaid and CHIP Programs | Agency for Healthcare Research and Quality
    ce.effectivehealthcare.ahrq.gov/policymakers/chipra/overview/background/appendix-b2.html
    December 01, 2009 - patients 6 5-7 19 4 3-5 19 7 6-8 19 AC-22 Care transitions—timely transmission of transition … record (from input) 6 4-7 18 5 4-6 18 6 5-7 18 ED Care AC-21 Care transition—transition

86. Focusing on Patients to Reduce Healthcare-Associated Infections During Transitions to Home Care | Agency for Healthcare Research and Quality
    ce.effectivehealthcare.ahrq.gov/funding/grantee-profiles/grtprofile-keller.html
    September 01, 2022 - Keller received an AHRQ grant to identify barriers to antimicrobial stewardship in the hospital-to-home transition … targeted interventions may lead to more effective outcomes for antibiotic use during the hospital-to-home transition

87. Opioid Prescribing, Adverse Outcomes Increase Significantly When Patients Turn 18 | Agency for Healthcare Research and Quality
    ce.effectivehealthcare.ahrq.gov/news/newsletters/e-newsletter/799.html
    February 01, 2022 - ED) data published in Health Affairs suggests that, despite medical similarities, adolescents who transition … Medication-related interventions to improve medication safety and patient outcomes on transition from

88. Slide Presentation: An Introduction to Safe Transitions for Patients to New Appointments
    ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/safetransitions/safetransitions.pptx
    November 29, 2017 - team to determine how to use the tools and resources Use the Appointment Aide with patients who will transition … team to determine how to use the tools and resources; Use the Appointment Aide with patients who will transition

89. Case Example #6: Henry Ford Health System | Agency for Healthcare Research and Quality
    ce.effectivehealthcare.ahrq.gov/ncepcr/tools/workforce-financing/case-example-6.html
    July 01, 2019 - Academic activities include the Continuity, A-PCTC (K15), and Transition of care clinics, and research … A team of resident physicians and MAs manages the care transition, usually in a single visit, and hands … MAs call patients after discharge following a protocol for transition care management. … Care and transition management of high-risk patients Care management is by RN case managers. … An MA and backup MA are dedicated to following up and scheduling patients for care-transition visits,

90. Making Healthcare Safer III Patient Safety Practices | Agency for Healthcare Research and Quality
    ce.effectivehealthcare.ahrq.gov/research/findings/making-healthcare-safer/mhs3/practices.html
    April 01, 2020 - Transitions of Care Models BOOST: Better Outcomes for Older Adults Through Safe Transitions CTI: Care Transition

91. Appendix I. Measure Mapping Strategy | Agency for Healthcare Research and Quality
    ce.effectivehealthcare.ahrq.gov/ncepcr/care/coordination/atlas/appendix1.html
    June 01, 2014 - Care Assessment Tool-Child Edition (PCAT-CE))] As Coordination Needs Change In preparation for transition … adulthood), does your provider have a process to share information with the adult care provider including: transition … Measures that focus on a particular transition point are mapped to both the before and after setting … (e.g., a measure of the transition from hospital discharge to outpatient care would map to Inpatient … were able to map all measures related to transitions to one or the other of the subdomains specifying transition

92. Understanding SOPS Surveys: A Primer for New Users (Webcast) - Ginsberg (pdf file)
    ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/02-SOPS_101_Webcast-GINSBERG.pdf
    September 01, 2020 - : ► HSOPS 2.0 and HSOPS 1.0 – Last year for HSOPS 1.0; see SOPS website for suggestions on how to transition

93. AHRQ Webcast Introducing the New SOPS Hospital Survey 2.0 - Ginsberg (pdf file)
    ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/2-ginsberg-sops-hospital-survey-2-0-webcast.pdf
    June 01, 2020 - HSOPS 1.0) • How patient safety culture scores will be affected by changes in the survey • How to transition

94. Final Progress Report: Medications at Transitions and Clinical Handoffs (MATCH) (pdf file)
    ce.effectivehealthcare.ahrq.gov/sites/default/files/2024-01/noskin-report.pdf
    January 01, 2024 - physician upon discharge may pose an additional risk for safe care.10-11 At each of these interfaces or transition … medication reconciliation processes, MedMARx has added “reconciliation-admission,” “reconciliation- transition

95. AHRQ's Quality & Patient Safety Programs by Setting: Hospital | Agency for Healthcare Research and Quality
    ce.effectivehealthcare.ahrq.gov/patient-safety/settings/hospital/index.html
    March 01, 2024 - Optimizing Safe Transitions provides hospitals a comprehensive set of interventions to improve the care transition … to Home: A Resource Toolkit provides customizable resources to help hospitals and families safely transition

96. Models of High Value Care for Persons with Multiple Chronic Conditions: Slide Presentation (pdf file)
    ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/patient-safety/settings/mcc-summit/mcc-summit-bayliss.pdf
    September 28, 2021 - Frequent components ► Coordination/ communication, tailored assessment and care, social support, transition

97. A Toolkit to Engage High-Risk Patients in Safe Transitions Across Ambulatory Settings (pdf file)
    ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/safetransitions/safetrans_toolkit.pdf
    December 01, 2017 - Patients who transition from one ambulatory care facility clinician to another are especially vulnerable … Patients who transition from one clinician to another are especially vulnerable to patient-safety errors … ■ Synchronous communication ■ Interoperability ■ Information that moves with the patient during transition … .4 This model, while designed for an inpatient setting, outlines the key components of a successful transition … The proposed workflow assumed the sites could identify patients who would need transition of care support

98. Findings | Agency for Healthcare Research and Quality
    ce.effectivehealthcare.ahrq.gov/patient-safety/reports/candor-demo-program/plan-grants/findings.html
    August 01, 2022 - Of the 230 claims examined, 13 (5.7%) were determined to involve a potential transition of care event … hospital’s clinical and administrative documents to identify potential failures occurring during the transition … (tasks, organization, patient/caregiver, provider, technology and tools, and environment) and care transition … This project also found that of the 13 claims judged to have potentially involved a suboptimal care transition

99. Measure: Pediatric All-Condition Readmission Measure (pdf file)
    ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/chipra_14-p008-1-ef.pdf
    October 01, 2014 - have demonstrated that QI interventions focused on improving the quality of the discharge process, the transition … Preventing the rebound: improving care transition in hospital discharge processes.

100. Resources and Tools on Patient and Healthcare Workforce Safety | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/action-alliance/resources/index.html
     April 01, 2024 - Transitions) This resource provides hospitals a comprehensive set of interventions to improve the care transition … readmissions by addressing the role of primary care in improving the quality and safety of care as patients transition … Resource Toolkit This toolkit provides customizable resources to help hospitals and families safely transition