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Necessary But Not Sufficient: The HITECH Act and Health Information Technology’s Potential to Build Medical Homes - Table 2 | PCMH Resource Center

pcmh.ahrq.gov/page/necessary-not-sufficient-hitech-act-and-health-information-technologys-potential-build-medic-1

June 01, 2010 - electronic prescription fill data - Produce and share electronic summary of care record for every transition
Two Indiana Facilities Use AHRQ Toolkit to Revise Medication Reconciliation | Agency for Healthcare Research and Quality

pcmh.ahrq.gov/news/newsroom/case-studies/ktcquips91.html

October 01, 2014 - educated its residents on the importance of maintaining an accurate medication list in the event that they transition
Forms and Electronic Applications | Agency for Healthcare Research and Quality

pcmh.ahrq.gov/funding/process/app-forms/index.html

November 01, 2015 - Grant Application Forms Sign up: Grants Review Process Email updates AHRQ has begun its transition
Information to Help Hospitals Get Started (pdf file)

pcmh.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/howtogetstarted/About_the_Guide_508.pdf

May 13, 2013 - Discharge Planning helps reduce preventable readmissions by engaging patients and family members in the transition
Slide 1 (ppt file)

pcmh.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/rrs/rrsslides.ppt

January 01, 2008 - Inter-Team Knowledge Supports effective transitions in care between units Is a prerequisite for transition … Administration Quality Improvement Responders TEAMSTEPPS 05.2 Mod 1 05.2 Page * Page * RRS Transition … support Example: Activator becoming Responder TEAMSTEPPS 05.2 Mod 1 05.2 Page * Page * RRS Transition … team, stroke team, etc) A revised plan of care TEAMSTEPPS 05.2 Mod 1 05.2 Page * Page * RRS RRS Transition
Four Moments of Antibiotic Decision Making | Agency for Healthcare Research and Quality

pcmh.ahrq.gov/antibiotic-use/acute-care/four-moments/index.html

November 01, 2019 - and oral antibiotic therapy can be tolerated and is appropriate for the type of infection diagnosed, transition
Measuring What Matters: Catalyzing Conversations on the Quality of Long-Term Care | Agency for Healthcare Research and Quality

pcmh.ahrq.gov/news/blog/ahrqviews/ltc-quality-measures.html

December 01, 2022 - What frustrates patients transitioning to long-term care, and how can we improve this transition?
Information to Help Hospitals Get Started (doc file)

pcmh.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/howtogetstarted/About_the_Guide_508.docx

May 13, 2013 - Discharge Planning helps reduce preventable readmissions by engaging patients and family members in the transition
Webinar 6: Enhance Services for High-Risk Patients | Agency for Healthcare Research and Quality

pcmh.ahrq.gov/patient-safety/settings/hospital/resource/guide/web6.html

December 01, 2017 - SHARE: More topics in this section Patient Safety Patient Safety Research Summaries Patient Safety Resources by Setting Hospital Fall Prevention in Hospitals Training Program Hospital Resources CANDOR Family-Centered Rounds …
Medications at Transitions and Clinical Handoffs (MATCH) Toolkit for Medication Reconciliation | Agency for Healthcare Research and Quality

pcmh.ahrq.gov/patient-safety/settings/hospital/match/index.html

April 01, 2023 - SHARE: More topics in this section Patient Safety Patient Safety Research Summaries Patient Safety Resources by Setting Hospital Fall Prevention in Hospitals Training Program Hospital Resources CANDOR Family-Centered Rounds …
Planning Grants Final Evaluation Report: Longitudinal Evaluation of the PSML Reform Demonstration Program (pdf file)

pcmh.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/psml-planning-grants-final-report.pdf

May 01, 2016 - To fill a gap in existing tools, two surveys were developed and tested to assess care transition quality … Of the 230 claims examined, 13 (5.7%) were determined to involve a potential transition of care event … (tasks, organization, patient/caregiver, provider, technology and tools, and environment) and care transition … Of the 230 claims examined, 13 (5.7%) were determined to involve a potential transition of care event … To examine existing tools for assessing care transition quality, the project team reviewed articles
Designing and Delivering Whole-Person Transitional Care | Agency for Healthcare Research and Quality

pcmh.ahrq.gov/patient-safety/settings/hospital/resource/guide/index.html

June 01, 2017 - SHARE: More topics in this section Patient Safety Patient Safety Research Summaries Patient Safety Resources by Setting Hospital Fall Prevention in Hospitals Training Program Hospital Resources CANDOR Family-Centered Rounds …
Five Nebraska Hospitals Use AHRQ Toolkit to Improve Medication Reconciliation Across Care Settings | Agency for Healthcare Research and Quality

pcmh.ahrq.gov/news/newsroom/case-studies/ktcquips82.html

October 01, 2014 - These providers concentrated on examining the transition in care when a patient is discharged from the
Helping to Answer Pressing Policy Questions with Data and Analytics | Agency for Healthcare Research and Quality

pcmh.ahrq.gov/news/blog/ahrqviews/answer-policy-questions-data.html

March 01, 2021 - During this time of transition, AHRQ is preparing to provide empirical input on critical health policy
Designing and Delivering Whole-Person Transitional Care: The Hospital Guide to Reducing Medicaid Readmissions - Toolbox (pdf file)

pcmh.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/medicaidreadmitguide/medread-tools.pdf

July 28, 2016 - ]   Accountable care organization with care management or transition care [high-risk-care management … 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 … Transitional Services: Temporary housing for adults (18+) with diagnosed mental illness during their transition
Slide 1

pcmh.ahrq.gov/sites/default/files/wysiwyg/news/events/conference/2011/naylor/naylor.pptx

January 01, 2011 - Slide 1 AHRQ 2011 Annual Conference Leading Through Innovation & Collaboration September 19, 2011 The Transitional Care Model Mary D. Naylor, PhD, RN, FAAN Marian S. Ware Professor in Gerontology Director, NewCourtland Center for Transitions and Health University of Pennsylvania School of Nursing Translating Resear…
Early Evidence on the Patient-Centered Medical Home - Table 1 | PCMH Resource Center

pcmh.ahrq.gov/page/early-evidence-patient-centered-medical-home-table-1

February 01, 2012 - identify high-risk patients, design patient-centered care plans, provide care coordination and care transition
Ten Attributes of Health Literate Health Care Organizations | Agency for Healthcare Research and Quality

pcmh.ahrq.gov/health-literacy/publications/ten-attributes.html

January 01, 2024 - SHARE: More topics in this section Health Literacy About Health Literacy Health Literacy Improvement Tools Professional Education and Training Health Literacy Publications Patient Engagement and Education Research Tools, Data, and…
Care Coordination Accountability Measures for Primary Care Practice (pdf file)

pcmh.ahrq.gov/sites/default/files/attachments/care%20coord%20account%20measures%20for%20pc.pdf

January 01, 2012 - It does not provide information about the transition of care. … To date, most of the focus in the literature on changing coordination needs has centered on the transition … Examples include the transition from pediatric to adult care, transitions over the course of a woman … Record 60 Transition Record with Specified Elements Received by Discharged Patients (Emergency Department … Record 60 Transition Record with Specified Elements Received by Discharged Patients (Emergency Department
Patient Safety Awareness Week 2020 | Agency for Healthcare Research and Quality

pcmh.ahrq.gov/patient-safety/news-events/psaw-2020/index.html

December 01, 2023 - SHARE: More topics in this section Patient Safety Patient Safety Research Summaries Patient Safety Resources by Setting Quality Measures Reports Engaging Patients and Families About AHRQ's Quality & Patient Safety Work Patie…