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1. TFC6: Transition Record Contents (pdf file)
   www.ahrq.gov/sites/default/files/wysiwyg/pqmp/toolkits/overall-charts.pdf
   June 02, 2025 - TFC6: Transition Record Contents Av er ag … 19 N ov 20 19 D ec 20 20 J an 0 20 40 60 80 100 0 85 100 TFC6: Transition … 20 19 N ov 20 19 D ec 20 20 J an 0 10 20 30 40 0 12.9 40 TFC6: Transition

2. TFC6: Transition Record Contents (pdf file)
   www.ahrq.gov/sites/default/files/wysiwyg/pqmp/toolkits/tfc6-allsites.pdf
   January 01, 2020 - TFC6: Transition Record Contents … TFC6: Transition Record Contents

3. ICU-to-Ward Transitions | Agency for Healthcare Research and Quality
   www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-care-transitions3.html
   June 01, 2023 - Transitions Next Steps and a Call to Action References Similar to the ED-to-inpatient transition … At this transition, patients with complex life-threatening problems transition from the care of a critical … Standardized ICU discharge criteria are lacking, and the transition to a lower resourced setting with … recalled at least one adverse event specifically related to communication failures in the ICU-to-ward transition … from the ICU to the ward despite it being a high-risk transition of care.

4. Children admitted to the hospital should have documentation in their hospital medical record of a transition record | Agency for Healthcare Research and Quality
   www.ahrq.gov/pqmp/measures/documentation.html
   August 01, 2021 - Children admitted to the hospital should have documentation in their hospital medical record of a transition … Associated NQF # and Name:  None Measure Technical Specifications and Other Supporting Documents: Transition … Measures MR Abstraction Tool Guidelines  (DOC) Transition Measures MR List of Questions  (DOC) Transition … Measures MR Abstraction Tool  (DOC) Transition Measures MR Scoring Specifications  (DOCX) Transition

5. Adolescent Assessment of Preparation for Transition (ADAPT) to Adult-Focused Health Care (pdf file)
   www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/outcomes/chipra-146-fullreport.pdf
   January 01, 2020 - (1) transition policy, (2) transition tracking and monitoring, (3) transition readiness assessment, … for health care transition. … , transition preparation, and health insurance during transition. … In groups of post-transition young adults or parents/guardians of post-transition young adults, the … Center for Health Care Transition Improvement. Got Transition. Web page; 2014.

6. Measure: Adolescent Assessment of Preparation for Transition (ADAPT) to Adult-Focused Health Care (pdf file)
   www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/chipra_1415-p012-ef.pdf
   January 01, 2015 - Measure: Adolescent Assessment of Preparation for Transition (ADAPT) to Adult-Focused Health Care Measure … : Adolescent Assessment of Preparation for Transition (ADAPT) to Adult-Focused Health Care Measure … Measure Importance ● The lack of effective transition from pediatric to adult-focused health care may … highlight the pervasiveness of poor transition preparation. … uniformly implement transition preparation.

7. Inpatient-to-Outpatient Transitions | Agency for Healthcare Research and Quality
   www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-care-transitions5.html
   June 01, 2023 - Next Steps and a Call to Action References The hospital discharge, when patients transition … Deficits occur in both communication and information transfer at the inpatient-to-outpatient transition … in general is robust, the literature specifically focusing on diagnostic error at this transition is … AHRQ developed an evidence-based resource to improve the safety of the inpatient-to-outpatient transition … In conclusion, while the inpatient-to-outpatient transition poses challenges when it comes to diagnostic

8. Next Steps and a Call to Action | Agency for Healthcare Research and Quality
   www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-care-transitions6.html
   June 01, 2023 - families with high potential for diagnostic error, regardless of the care contexts between which the transition … Table 1 highlights and summarizes specific strategies that can help mitigate diagnostic error at each transition … Care transitions, sources of error, and potential mitigating strategies Care Transition … has had some research focusing on improving the transition of care between contexts, the explicit goal … Moreover, interventions focused on mitigating diagnostic error at each transition have largely not scaled

9. Family Experiences with Coordination of Care (FECC) Measure: Child has written transition plan | Agency for Healthcare Research and Quality
   www.ahrq.gov/pqmp/measures/fecc-child-written-transition-plan.html
   August 01, 2021 - Family Experiences with Coordination of Care (FECC) Measure: Child has written transition plan

10. Adolescent Assessment of Preparation for Transition (ADAPT) Survey | Agency for Healthcare Research and Quality
    www.ahrq.gov/pqmp/measures/adapt-survey.html
    August 01, 2021 - Adolescent Assessment of Preparation for Transition (ADAPT) Survey Measure Domain:  Patient-Reported … Transitions PQMP COE:  CEPQM Associated NQF # and Name:  2789, Adolescent Assessment of Preparation for Transition

11. Hospitalized children transferred between the intensive care unit and general inpatient floor | Agency for Healthcare Research and Quality
    www.ahrq.gov/pqmp/measures/hospitalized.html
    August 01, 2021 - Associated NQF # and Name:  None Measure Technical Specifications and Other Supporting Documents: Transition … Measures MR Abstraction Tool Guidelines  (DOC) Transition Measures MR List of Questions  (DOC) Transition … Measures MR Abstraction Tool  (DOC) Transition Measures MR Scoring Specifications  (DOCX) Transition

12. Section 5, Table 1 (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/outcomes/chipra-146-section-5.pdf
    January 01, 2014 - transition support. … Receipt of health care transition counseling in the national survey of adult transition and health … guidelines, a pre-transition questionnaire and post-transition interview were used to assess the … visit or receiving written transition materials. … The Readiness for Transition Questionnaire (RTQ-teen; RTQ-parent) was created to assess overall transition

13. Children discharged from the hospital should have documentation in their hospital medical record that the receiving outpatient follow–up provider was contacted by a hospital provider between 24 hours before and 48 hours following the patient’s discharge | Agency for Healthcare Research and Quality
    www.ahrq.gov/pqmp/measures/outpatient-follow-up.html
    August 01, 2021 - Associated NQF # and Name:  None Measure Technical Specifications and Other Supporting Documents: Transition … Measures MR Abstraction Tool Guidelines    (DOC) Transition Measures MR List of Questions    (DOC) … Transition Measures MR Abstraction Tool    (DOC) Transition Measures MR Scoring Specifications     … (DOCX) Transition Measures MR Electronic Abstraction and Scoring Tool    (XLSM in ZIP) Toolkit: 

14. Figure 1. Confirmatory Factor Analysis (CFA) Two-Factor Model Structure (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/outcomes/chipra-146-section-6-figure-1.pdf
    June 02, 2025 - AmeriHealth Caritas Pennsylvania model Texas Children’s Health Plan model Legend f1= Counseling on Transition … Two-tailed T-test P-value Counseling on Transition Self-Management Q4 .516 .097 5.300 <.001 … Two-tailed T-test P-value Counseling on Transition Self-Management Q4 .332 .075 4.442 <.001 … Two-tailed T-test P-value Counseling on Transition Self-Management Q4 .527 .092 5.702 <.001 … .52 Transfer Planning 3% 11% .045 AmeriHealth Caritas Pennsylvania n=350 n=426 Counseling on Transition

15. Adolescent Depression Monitoring | Agency for Healthcare Research and Quality
    www.ahrq.gov/pqmp/measures/adolescent-depression.html
    August 01, 2021 - Associated NQF # and Name:  None Measure Technical Specifications and Other Supporting Documents: Transition … Measures MR Abstraction Tool Guidelines  (DOC) Transition Measures MR List of Questions  (DOC) Transition … Measures MR Abstraction Tool  (DOC) Transition Measures MR Scoring Specifications  (DOCX) Transition

16. Children/adolescents admitted to the hospital with psychotic symptoms who are not currently taking antipsychotics | Agency for Healthcare Research and Quality
    www.ahrq.gov/pqmp/measures/adolescents-antipsychotic-medications.html
    August 01, 2021 - Measure Technical Specifications and Other Supporting Documents: Transition Measures MR Abstraction … Tool Guidelines  (DOC) Transition Measures MR List of Questions  (DOC) Transition Measures MR Abstraction … Tool  (DOC) Transition Measures MR Scoring Specifications  (DOCX) Transition Measures MR Electronic

17. Children/adolescents admitted to the hospital with psychotic symptoms should have a psychiatric consult (in person or tele-psychiatry) within 24 hours of admission | Agency for Healthcare Research and Quality
    www.ahrq.gov/pqmp/measures/adolescents-psychiatric-consult.html
    August 01, 2021 - Associated NQF # and Name:  None Measure Technical Specifications and Other Supporting Documents: Transition … Measures MR Abstraction Tool Guidelines  (DOC) Transition Measures MR List of Questions  (DOC) Transition … Measures MR Abstraction Tool  (DOC) Transition Measures MR Scoring Specifications  (DOCX) Transition

18. Children/adolescents admitted to the hospital with a diagnosis of psychotic disorder should have documentation in their medical record of a baseline metabolic | Agency for Healthcare Research and Quality
    www.ahrq.gov/pqmp/measures/adolescents-psychotic-disorder.html
    August 01, 2021 - Measure Technical Specifications and Other Supporting Documents: Transition Measures MR Abstraction … Tool Guidelines  (DOC) Transition Measures MR List of Questions  (DOC) Transition Measures MR Abstraction … Tool  (DOC) Transition Measures MR Scoring Specifications  (DOCX) Transition Measures MR Electronic

19. Adolescents who present to the ED with psychotic symptoms should receive the laboratory tests | Agency for Healthcare Research and Quality
    www.ahrq.gov/pqmp/measures/adolescents-psychotic-symptoms.html
    August 01, 2021 - Abuse in the Emergency Department Measure Technical Specifications and Other Supporting Documents: Transition … Measures MR Abstraction Tool Guidelines  (DOC) Transition Measures MR List of Questions  (DOC) Transition … Measures MR Abstraction Tool  (DOC) Transition Measures MR Scoring Specifications  (DOCX) Transition

20. A Resource Toolkit | Agency for Healthcare Research and Quality
    www.ahrq.gov/es/patient-safety/settings/hospital/resource/nicu/toolkit.html
    December 01, 2013 - This toolkit includes resources for hospitals that wish to improve safety when newborns transition home … Although the transition of the fragile infant from intensive care specialist to the ambulatory care provider … During the discharge planning and transition process, a Health Coach can help prepare the family to meet … tested as the "Safe Passages" program at Texas Children’s Hospital in Houston, is to facilitate care transition