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  1. healthcare411.ahrq.gov/sites/default/files/wysiwyg/patient-safety/rev-finalreport-update-2021.pdf
    January 01, 2021 - These individual care transition strategies are part of a broader movement in primary care toward the … Evidence on Primary Care Transition Strategies Intervention Outcomes Primary care notifications when … A second theme is that many primary care-initiated care transition programs occurred within the context … This finding contrasts with most hospital-based care transition efforts that can be effective without … As such, primary care-based transition programs may be justified by value added either in experiential
  2. healthcare411.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…
  3. healthcare411.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."
  4. healthcare411.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 .
  5. healthcare411.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
  6. healthcare411.ahrq.gov/cahps/surveys-guidance/item-sets/literacy/suppl-healthlit-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.”
  7. healthcare411.ahrq.gov/hai/tools/ambulatory-care/safe-transitions.html
    December 01, 2017 - Patients who transition from one ambulatory care facility clinician to another are especially vulnerable
  8. healthcare411.ahrq.gov/teamstepps/rrs/rrs_slides/rrsslides.html
    July 01, 2018 - Teamwork & RRS Necessary Teamwork Skills Inter-Team Knowledge Inter-Team Knowledge (continued) Transition … Support ("Boundary Spanning") Transition Support ("Boundary Spanning") (continued) Example of One … Assessment & Stabilization CUS Words Patient Disposition Patient Disposition (continued) RRS Transition … Inter-Team Knowledge Supports effective transitions in care between units Is a prerequisite for transition … Return to Top Transition Support ("Boundary Spanning") Requires inter-team knowledge Combines
  9. healthcare411.ahrq.gov/challenges/past/care-transitions/index.html
    January 01, 2022 - hospital, primary care, and community partner care teams throughout the hospital discharge to home transition … Hospital Discharge   Colorado UTHealth MyInfantCare—A Digilego App to Assist Parents in a Successful Transition
  10. healthcare411.ahrq.gov/news/blog/ahrqviews/boost-health-services-research.html
    June 01, 2022 - As we move to reduce our carbon footprint in healthcare, there will be a transition period. … AHRQ can help the Nation figure out how we make that transition in a way that is affordable, environmentally
  11. healthcare411.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/nyp-webinar-servati-demo-project.pdf
    October 29, 2018 - so we can provide better care and service to our patients. 29 Phase 1 Intervention: Enhanced Transition … Comments Study Design Phase 1 Intervention: Enhanced Invitation Language Phase 1 Intervention: Enhanced Transition
  12. healthcare411.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
  13. healthcare411.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/instructor/reference/modelchange.pdf
    March 01, 2006 - TeamSTEPPS Model for Change Rooted in decades of aviation research, the transition of formal
  14. healthcare411.ahrq.gov/patient-safety/patients-families/engagingfamilies/strategy4/index.html
    December 01, 2017 - Engaging patients and families in the discharge planning process helps make this transition in care safe
  15. healthcare411.ahrq.gov/sites/default/files/wysiwyg/patient-safety/rev-reportaddendum.pdf
    March 01, 2021 - The focus should be on facilitating a smooth transition of patients and their care plans back to the … care practices can benefit from specifying and implementing an effective posthospitalization care transition
  16. healthcare411.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/howtogetstarted/Ways_To_Learn_More_508.docx
    May 21, 2013 - Advancing Patient Safety organization, provides patients and families the tools that will help smooth their transition … patients with complex care needs and their family caregivers receive specific tools and work with a Transition … CoachTM to learn self-management skills that will ensure that patient needs are met during the transition
  17. healthcare411.ahrq.gov/es/tools/index.html?page=4
    June 01, 2023 - This toolkit provides customizable resources for hospitals that wish to improve safety when newborns transition
  18. healthcare411.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/primary-care/workforce-financing/case_example_6.pdf
    October 01, 2016 - 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
  19. healthcare411.ahrq.gov/funding/grantee-profiles/grtprofile-dalal.html
    January 01, 2024 - Care transition or moving from one healthcare setting to another, such as from the hospital to home,
  20. healthcare411.ahrq.gov/patient-safety/resources/improve-discharge/index.html
    July 01, 2022 - Skip to main content An official website of the Department of Health and Human Services Careers Contact Us Español FAQs Search all AHRQ sites Search small Search Menu …

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