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  1. effectivehealthcare-admin.ahrq.gov/sites/default/files/related_files/heart-failure-transition-care_executive.pdf
    May 01, 2014 - authorized by the Affordable Care Act.6 This policy provides incentives for hospitals to develop effective transition … home health, outpatient followup), and symptom monitoring or reinforcement of education during the transition … No clear consensus exists about when the transition period ends. … chronic HF disease management, gaps remain in knowledge about effective interventions to support the transition … care, MDS-HF); home visits; telemonitoring (including remote clinical visits); telephone support; transition
  2. effectivehealthcare-admin.ahrq.gov/sites/default/files/pdf/heart-failure-transition-care_clinician.pdf
    October 01, 2015 - Transitional Care Interventions To Prevent Readmissions for People With Heart Failure Focus of This Summary This is a summary of a systematic review evaluating the evidence regarding the efficacy, comparative effectiveness, and harms of transitional care interventions (defined in Table 1) that aim to reduce readmiss…
  3. effectivehealthcare-admin.ahrq.gov/sites/default/files/pdf/children-special-needs-transition_research-protocol.pdf
    October 01, 2013 - Examples of transition models include the use of a separate clinic for transition activities, a phased … the effectiveness of transition models. … Description of the context for implementing transition care a. … What are the resources needed to implement transition care? c. … Center (Got Transition?)
  4. effectivehealthcare-admin.ahrq.gov/products/children-special-needs-transition/technical-brief
    December 01, 2019 - Fewer than half receive adequate support and services for their transition to adult care. … include use of a separate transition clinic, engagement of a transition coordinator, and a phased transfer … The Got Transition resource provides a framework for transition care that can be adapted to serve the … Common components of care included use of a transition coordinator, a special clinic for young adults … in transition and provision of educational materials, sometimes using computer-based programming.
  5. effectivehealthcare-admin.ahrq.gov/products/heart-failure-transition-care
    March 01, 2021 - https://effectivehealthcare.ahrq.gov/products/heart-failure-transition-care  
  6. effectivehealthcare-admin.ahrq.gov/get-involved/nominated-topics/what-is-the-effectiveness-of-interventions-designed-to-support-children-in-transition-from-pediatric-care-to-adult-care-with-special-health-care-needs-ineffective-transition-planning-can-have-significant-negative-consequence
    November 01, 2017 - Ineffective transition planning can have significant negative consequences on children… … What is the effectiveness of interventions designed to support children in transition from pediatric … For example, poor transition planning can lead to gaps in medical health care, creating more serious … Successful transition from pediatric to adult care is intended to prevent harms. … Ineffective transition planning can have significant negative consequences on children….
  7. effectivehealthcare-admin.ahrq.gov/products/children-special-needs-transition/research-protocol
    December 01, 2019 - Examples of transition models include the use of a separate clinic for transition activities, a phased … effectiveness of transition models. … What are the resources needed to implement transition care? … Center (Got Transition?) … Health care transition for youth with special health care needs.
  8. effectivehealthcare-admin.ahrq.gov/products/heart-failure-transition-care/research
    December 01, 2019 - https://effectivehealthcare.ahrq.gov/products/heart-failure-transition-care/research  
  9. effectivehealthcare-admin.ahrq.gov/sites/default/files/related_files/children-special-needs-transition_disposition-comments.pdf
    June 17, 2014 - Got Transition framework. … on transition readiness). … We have commented on use of technologies for transition in the “Transition Registry”, “Transition … Got Transition framework. … Got Transition framework.
  10. effectivehealthcare-admin.ahrq.gov/products/heart-failure-transition-care/policymaker
    December 01, 2019 - https://effectivehealthcare.ahrq.gov/products/heart-failure-transition-care/policymaker
  11. effectivehealthcare-admin.ahrq.gov/products/heart-failure-transition-care/clinician
    December 01, 2019 - https://effectivehealthcare.ahrq.gov/products/heart-failure-transition-care/clinician  
  12. effectivehealthcare-admin.ahrq.gov/products/cancer-survivor-care-transition/research-protocol
    December 01, 2019 - As described in the Institute of Medicine report From Cancer Care to Cancer Survivor: Lost in Transition … and may be dissatisfied with care following cancer treatment. 9 The challenges associated with the transition … of varying provider types in medical care for survivors, including providers involved in the patient transition … From cancer care to cancer survivor: lost in transition. … https://effectivehealthcare.ahrq.gov/products/cancer-survivor-care-transition/research-protocol
  13. effectivehealthcare-admin.ahrq.gov/sites/default/files/related_files/transitions-care-pediatric-to-adult-services-disposition-comments.pdf
    May 31, 2022 - A discussion of other conceptual models for health care transition and transition interventions may … There are a plethora of studies in transition describing barriers to transition and besides the 147 … transition planning and transition of care.” … You could also use the HCT definition and goals used by Got Transition: “Health care transition, or … ,” the authors could convey that often transition was thought to be just transition preparation on
  14. effectivehealthcare-admin.ahrq.gov/products/cancer-survivor-care-transition/technical-brief
    December 01, 2019 - https://effectivehealthcare.ahrq.gov/products/cancer-survivor-care-transition/technical-brief
  15. effectivehealthcare-admin.ahrq.gov/products/heart-failure-transition-care/research-protocol
    December 01, 2019 - education, self-care) and system factors (i.e., coordination of care across settings) to support the transition … also recommend that “postdischarge systems of care, if available, should be used to facilitate the transition … Heart Failure Disease-Management Interventions and Transition of Care One difficulty in categorizing … population (excluding disease-specific interventions). 33 No clear consensus exists about when the transition … https://effectivehealthcare.ahrq.gov/products/heart-failure-transition-care/research-protocol
  16. effectivehealthcare-admin.ahrq.gov/sites/default/files/related_files/cer-255-transitions-care-pediatric-to-adult-services-evidence-summary.pdf
    May 01, 2022 - • Transition clinics may not improve hemoglobin A1C levels at 12 or 24 months in youth with type … • No globally accepted definition exists for effective transition of care from pediatric to adult … Transition outcomes from these studies included measures ranging from transition readiness to ongoing … Health care transition for youth with special health care needs. … Transition to adulthood for youth with chronic conditions and special health care needs.
  17. TND-612-09-03-2013 (pdf file)

    effectivehealthcare-admin.ahrq.gov/sites/default/files/pdf/TND-612-09-03-2013.pdf
    January 01, 2013 - 2013 1 Results of Topic Selection Process & Next Steps  The topic, Interventions to Transition … Comparator(s): Other transition interventions or no transition intervention Outcome(s): Successful … transition planning to adult care without loss or discontinuity of services, satisfaction with care … If, when and how should CSHCN transition from pediatric to adult services? 2. … Yet there was limited evidence of effective transition strategies for CSHCN and a number of unanswered
  18. effectivehealthcare-admin.ahrq.gov/products/transitions-care-pediatric-adult/research
    October 01, 2022 - Transition clinics may not improve hemoglobin A1C levels at 12 or 24 months in youth with type 1 diabetes … No globally accepted definition exists for effective transition of care from pediatric to adult services … Low-strength evidence shows transition clinics may not improve hemoglobin A1C levels either at 12 or … No globally accepted definition for effective transition of care from pediatric to adult services for … Significant barriers impede implementation of interventions, tools, and trainings to transition CSHCN
  19. effectivehealthcare-admin.ahrq.gov/products/transitions-care-pediatric-adult/protocol
    February 01, 2022 - This approach, called "Six Core Elements of Health Care Transition," includes: transition policy, transition … tracking and monitoring, transition readiness, transition planning, transfer of care and transfer completion … No healthcare transition intervention is explicitly excluded. … However, transition interventions that address the full spectrum of transition to adult life, such as … ediatr* or teen* or young adult* or youth)) AND (transition* N5 care OR transition* N5 plan* OR transition
  20. effectivehealthcare-admin.ahrq.gov/sites/default/files/pdf/TND-0376-140408.pdf
    November 06, 2013 - want to know about the comparative effectiveness of different lengths of Summary: hospital stay and transition … intensive outpatient treatment including outpatient commitment, Assertive Community Treatment [ACT]) Transition … support services after discharge:  Different transition support services compared with each other …  Transition support services compared with usual care Outcome(s):  Readmission rates Topic Number … multiple psychiatric hospitalizations, what is the comparative effectiveness of different models of transition

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