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21. Transitioning to the SOPS™ Hospital Survey Version 2.0: What’s Different and What To Expect, Part II: Appendixes (pdf file)
    preventiveservices.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/hsops2-pt2_transition_apx.pdf
    September 01, 2019 - Transitioning to the SOPS™ Hospital Survey Version 2.0: What’s Different and What To Expect, Part II: Appendixes Transitioning to the SOPS™ Hospital Survey Version 2.0: What’s Different and What To Expect Part II: Appendixes Appendix A – Differences in Scores Between HSOPS 2.0 and HSOPS 1.0 Appendix B – How T…

22. Resources for Advanced Practices (pdf file)
    preventiveservices.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/pfeprimarycare/advanced-practice-guide.pdf
    March 01, 2016 - SafeMed model to improve transitions of care module https://www.stepsforward.org/modules/safemed- transition-care … https://www.stepsforward.org/modules/empathetic-listening https://www.stepsforward.org/modules/safemed-transition-care … https://www.stepsforward.org/modules/safemed-transition-care https://www.stepsforward.org/modules/intensive-primary-care

23. Section 1: Overview of Key Concepts and Tools | Agency for Healthcare Research and Quality
    preventiveservices.ahrq.gov/teamstepps-program/curriculum/communication/overview/index.html
    June 01, 2023 - "watcher," unstable Patient Summary Summary statement Events leading up to admission or care transition

24. AHRQ's Quality & Patient Safety Programs by Setting: Ambulatory Care | Agency for Healthcare Research and Quality
    preventiveservices.ahrq.gov/patient-safety/settings/ambulatory/index.html
    July 01, 2022 - Readmissions addresses the role of primary care in improving the quality and safety of care as patients transition

25. Tool: I-PASS | Agency for Healthcare Research and Quality
    preventiveservices.ahrq.gov/teamstepps-program/curriculum/communication/tools/ipass.html
    July 01, 2023 - "watcher," unstable P atient Summary Summary Statement Events leading up to admission or care transition

26. Cellulitis-One-Page (doc file)
    preventiveservices.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/best-practices/cellulitis-one-page.docx
    November 01, 2019 - treatment recommendations here] · Narrowing and oral therapy · Narrow based on available culture results · Transition

27. Patient Centered Medical Home (PCMH) | Agency for Healthcare Research and Quality
    preventiveservices.ahrq.gov/ncepcr/research/care-coordination/pcmh/index.html
    August 01, 2022 - Practice Facilitation Practice facilitation is one of the most promising strategies to support the transition

28. Measuring What Matters: Catalyzing Conversations on the Quality of Long-Term Care | Agency for Healthcare Research and Quality
    preventiveservices.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?

29. Strategy 4: IDEA Discharge Planning (Implementation Handbook) (pdf file)
    preventiveservices.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy4/Strat4_Implement_Hndbook_508_v2.pdf
    April 01, 2011 - Engaging patients and families in the discharge planning process helps make this transition in care … The goal of the IDEAL Discharge Planning strategy is to engage patients and family members in the transition … Foundation and the Institute for Healthcare Improvement, developed the How-to Guide: Creating an Ideal Transition … discharge • Coordinate home-based care and special equipment needs • Prepare the patient and family for transition

30. CAHPS Nursing Home Surveys | Agency for Healthcare Research and Quality
    preventiveservices.ahrq.gov/cahps/surveys-guidance/nh/index.html
    August 01, 2023 - difference is that the Discharged Resident Instrument also covers therapy services (and may cover the transition

31. Implementation and Impact of Medicare’s Voluntary Ambulatory Care Quality Reporting Program (pdf file)
    preventiveservices.ahrq.gov/sites/default/files/publications/files/dowdstudysnapshot.pdf
    November 01, 2015 - bonuses may be necessary early on to gain acceptance of a voluntary reporting program, a timely transition

32. Resources for Advanced Practices (pdf file)
    preventiveservices.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/pfeprimarycare/advanced-practice-guide-brochure.pdf
    March 01, 2016 - SafeMed model to improve transitions of care module https://www.stepsforward.org/ modules/safemed-transition-care … https://www.stepsforward.org/modules/empathetic-listening https://www.stepsforward.org/modules/safemed-transition-care … https://www.stepsforward.org/modules/safemed-transition-care https://www.stepsforward.org/modules/intensive-primary-care

33. Society of Hospital Medicine Uses Two AHRQ Products in Hospital Discharge Toolkit | Agency for Healthcare Research and Quality
    preventiveservices.ahrq.gov/news/newsroom/case-studies/cquips1002.html
    October 01, 2014 - readmission rates by providing clinicians with proven resources and expert mentoring to improve the discharge transition

34. Transforming Primary Care Practice (pdf file)
    preventiveservices.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/primary-care/tpc/tpc-profile-driscoll.pdf
    April 01, 2015 - and providing direct assistance with identifying a primary care team helped patients make a smoother transition

35. Four Moments of Antibiotic Decision Making | Agency for Healthcare Research and Quality
    preventiveservices.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

36. Helping Healthcare Systems Reduce Carbon Pollution: A New Primer from AHRQ | Agency for Healthcare Research and Quality
    preventiveservices.ahrq.gov/news/blog/ahrqviews/reduce-carbon-pollution-primer.html
    October 01, 2022 - Reduction Act provides billions of dollars for organizations to become more energy efficient and make the transition

37. Johns Hopkins Children’s Center Uses AHRQ-Funded I-PASS Tool to Boost Patient Safety | Agency for Healthcare Research and Quality
    preventiveservices.ahrq.gov/news/newsroom/case-studies/201903.html
    April 01, 2019 - changes by closely adhering—sometimes by as much as 100 percent—to the AHRQ-supported and proven care transition

38. Guide to Patient and Family Engagement in Hospital Quality and Safety | Agency for Healthcare Research and Quality
    preventiveservices.ahrq.gov/patient-safety/patients-families/engagingfamilies/guide.html
    December 01, 2017 - Discharge Planning helps reduce preventable readmissions by engaging patients and family members in the transition

39. Two Indiana Facilities Use AHRQ Toolkit to Revise Medication Reconciliation | Agency for Healthcare Research and Quality
    preventiveservices.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

40. Forms and Electronic Applications | Agency for Healthcare Research and Quality
    preventiveservices.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