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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/technical-brief

5. 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.

6. 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

7. 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

8. 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.

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/policymaker

11. 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

12. 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

13. Topic 0318 Psychiatric Hospital Discharge NSD FINAL (2)_SJ_Clean-2 (pdf file)
    effectivehealthcare.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

14. Transitional Care Interventions to Prevent Heart Failure Readmissions | Effective Health Care (EHC) Program
    effectivehealthcare.ahrq.gov/products/heart-failure-transition-care/research-protocol

15. Future Research Needs: Interventions for Adolescents and Young Adults With Autism Spectrum Disorders (pdf file)
    effectivehealthcare.ahrq.gov/sites/default/files/pdf/autism-interventions-future_research.pdf
    September 01, 2012 - One study addressed interventions targeting the transition process (KQ4). … Researchers should also consider the long-term effects of the transition programs. … Changes in the autism behavioral phenotype during the transition to adulthood. … • How do families define transition? … • How do families define transition?

16. Models of Survivorship Care: Technical Brief | Effective Health Care (EHC) Program
    effectivehealthcare.ahrq.gov/products/cancer-survivor-care-transition/research-protocol

17. Models of Cancer Survivorship Care | Effective Health Care (EHC) Program
    effectivehealthcare.ahrq.gov/products/cancer-survivor-care-transition/technical-brief

18. 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 …

19. psychiatric-readmissions-protocols-140904 (pdf file)
    effectivehealthcare.ahrq.gov/sites/default/files/pdf/psychiatric-readmissions_research-protocol.pdf
    December 31, 2014 - Describe core components for management strategies to reduce readmissions: LOS, transition support … For transition support services: What are the different types or modalities of transition support services … Different transition support services compared with each other b. … Transition support services compared with usual care c. … Care transition interventions in mental health. Curr Opin Psychiatry. 2012 Nov;25(6):551-8.

20. heart-failure-readmission-protocol-130611 (pdf file)
    effectivehealthcare.ahrq.gov/sites/default/files/pdf/heart-failure-transition-care_research-protocol.pdf
    June 10, 2013 - 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 … . hospitals found wide variation in inpatient care processes, education, discharge processes, care 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