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1. Heart-Failure-Transition-Care Executive (pdf file)
   effectivehealthcare.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. Heart-Failure-Transition-Care Clinician (pdf file)
   effectivehealthcare.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. children-special-needs-transition-protocol-131003 (pdf file)
   effectivehealthcare.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. Transition Care for Children With Special Health Needs | Effective Health Care (EHC) Program
   effectivehealthcare.ahrq.gov/products/children-special-needs-transition
   October 24, 2013 - Transition Care for Children With Special Health Needs Timeline October 03, 2013 … Special Health Care Needs June 17, 2014 Technical Brief Archived Transition

5. Transition Care for Children With Special Health Needs | Effective Health Care (EHC) Program
   effectivehealthcare.ahrq.gov/products/children-special-needs-transition/technical-brief
   June 17, 2014 - 2013 Research Protocol Jun. 17, 2014 Technical Brief Sep. 17, 2014 Disposition of Comments Report Transition … 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 … Methods We had conversations with Key Informants representing clinicians who provide transition care … The Got Transition resource provides a framework for transition care that can be adapted to serve the

6. Transitional Care Interventions To Prevent Readmissions for People With Heart Failure | Effective Health Care (EHC) Program
   effectivehealthcare.ahrq.gov/products/heart-failure-transition-care
   June 10, 2013 - Transitional Care Interventions To Prevent Readmissions for People With Heart Failure Timeline February 20, 2013 Topic Initiated June 10, 2013 Research Protocol Archived Transitional Care Interventions to Prevent Heart Failure Readmissions May 27, 2…

7. Models of Cancer Survivorship Care | Effective Health Care (EHC) Program
   effectivehealthcare.ahrq.gov/products/cancer-survivor-care-transition
   March 29, 2013 - Models of Cancer Survivorship Care Timeline March 22, 2013 Topic Initiated March 29, 2013 Research Protocol Archived Models of Survivorship Care: Technical Brief March 18, 2014 Technical Brief Archived Models of Cancer Survi…

8. Transitions of Care for Children with Special Health Care Needs | Effective Health Care (EHC) Program
   effectivehealthcare.ahrq.gov/products/children-special-needs-transition/research-protocol
   October 24, 2013 - 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.

9. Transitional Care Interventions To Prevent Readmissions for People With Heart Failure | Effective Health Care (EHC) Program
   effectivehealthcare.ahrq.gov/products/heart-failure-transition-care/research/

10. Transitional Care Interventions To Prevent Readmissions for People With Heart Failure | Effective Health Care (EHC) Program
    effectivehealthcare.ahrq.gov/products/heart-failure-transition-care/clinician
    October 16, 2015 - Transitional Care Interventions To Prevent Readmissions for People With Heart Failure Clinician Summary Archived October 16, 2015 Download Main Document PDF 153.8 KB Archived: This summary is based on a report that is greater than 3 years old. Findings should not be considered current. Focus of This …

11. Disposition of Comments Report for Technical Brief 15 Transition Care for Children With Special Health Needs (pdf file)
    effectivehealthcare.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.

12. Models of Survivorship Care: Technical Brief | Effective Health Care (EHC) Program
    effectivehealthcare.ahrq.gov/products/cancer-survivor-care-transition/research-protocol
    March 29, 2013 - 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 … Setting Organizational structure of the health care entities involved in survivorship care and in the transition … From cancer care to cancer survivor: lost in transition.

13. Transitional Care Interventions to Prevent Heart Failure Readmissions | Effective Health Care (EHC) Program
    effectivehealthcare.ahrq.gov/products/heart-failure-transition-care/research-protocol
    June 10, 2013 - suboptimal quality of care during the index hospitalization and lack of support or coordination in the transition … 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

14. Transition of Care for Acute Stroke and Myocardial Infarction Patients: From Hospitalization to Rehabilitation, Recovery, and Secondary Prevention | Effective Health Care Program
    effectivehealthcare.ahrq.gov/products/stroke-transitions-of-care/research
    October 31, 2011 - 2011 Topic Initiated Oct. 31, 2011 Systematic Review Feb. 16, 2012 Disposition of Comments Report Transition … Transition of care interventions were grouped into four categories: (1) hospital -initiated support for … discharge was the initial stage in the transition of care process, (2) patient and family education … There was inconsistency in the definition of what constituted a component of transition of care compared … The adoption of a standard set of definitions, a refinement in the methodology used to study transition

15. Disposition of Comments_Comparative Effectiveness Review 255: Transitions of Care From Pediatric to Adult Services for Children With Special Healthcare Needs (pdf file)
    effectivehealthcare.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

16. Evidence Summary_Comparative Effectiveness Review No. 255: Transitions of Care From Pediatric to Adult Services for Children With Special Healthcare Needs (pdf file)
    effectivehealthcare.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. Topic Suggestion Description | Effective Health Care Program
    effectivehealthcare.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-consequences
    January 07, 2013 - What is the effectiveness of interventions designed to support children in transition from pediatric … Ineffective transition planning can have significant negative consequences on children with special health … For example, poor transition planning can lead to gaps in medical health care, creating more serious … Successful transition planning to adult care without loss or discontinuity of services, satisfaction … Successful transition from pediatric to adult care is intended to prevent harms.

18. Models of Cancer Survivorship Care | Effective Health Care (EHC) Program
    effectivehealthcare.ahrq.gov/products/cancer-survivor-care-transition/technical-brief
    March 18, 2014 - Current Page Topic Timeline Jun. 1, 2011 Topic Suggestion Mar. 29, 2013 Research Protocol Mar. 18, 2014 Technical Brief Jul. 2, 2014 Disposition of Comments Report Models of Cancer Survivorship Care Technical Brief Archived March 18, 2014 Web Version [NLM Site] Download Main Document PDF 820.5 KB Rel…

19. TND-612-09-03-2013 (pdf file)
    effectivehealthcare.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

20. Transitional Care Interventions To Prevent Readmissions for People With Heart Failure (pdf file)
    effectivehealthcare.ahrq.gov/sites/default/files/pdf/heart-failure-transition-care_policymaker.pdf
    August 01, 2016 - Transitional Care Interventions To Prevent Readmissions for People With Heart Failure B A C K G R O U N D Heart failure (HF) is a major clinical and public health problem and a leading cause of hospitalization and health care costs in the United States. Despite a decline in HF-related hospitalizations during the …