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  1. www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-166-fecc-tables-11-12.pdf
    March 09, 2018 - Protocols/Plans Child has shared care plan FECC-16 36.4 52.4*** 65.9*** 41.2 Child has written transition … Protocols/Plans Child has shared care plan FECC-16 37.5 53.7*** 62.6*** 40.8 Child has written transition
  2. www.ahrq.gov/research/findings/nhqrdr/chartbooks/blackhealth/part3-nqs7.html
    June 01, 2018 - partnership between Methodist Le Bonheur Healthcare and 512 congregations in Memphis, supports the transition … then works with a church-based volunteer liaison to arrange postdischarge services and facilitate the transition
  3. Module-8-Slides (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/takeheart/training/module-8-slides.pdf
    November 18, 2021 - Clinician-to-clinician hand-off to inpatient/rehab CR Programs  Phase II collaboration Phase I transition … to Phase II PARTICIPANTS 30 Phase I GOAL: Strive for a smooth, timely transition Phase II Develop … education visit – Inpatient CR  Time from Referral to Enrollment and/or attendance at first session --Transition …  Percentage of referrals who enroll -- Transition  Percent of patients attending CR orientation
  4. www.ahrq.gov/policymakers/chipra/demoeval/what-we-learned/implementation-guides/implementation-guide2/implguide2appa.html
    September 01, 2014 - to serve youth with complex behavioral health needs, the concept is rooted in the broader historical transition
  5. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/pfeprimarycare/warm-handoff-design-guide-final508.pdf
    April 03, 2018 - In each transition, opportunities arise for breakdowns in communication that may lead to medical errors … A Warm Handoff Plus is a transition conducted in person between two members of the healthcare team in … Identify patient transition points within the practice. … For each transition identified in Step 1, determine: � Who is handing off the patient or information
  6. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Spehar.pdf
    April 18, 2004 - Baker, Brad Bjornstad, Jay Wolfson Abstract Background: “Seamless care” is a smooth and safe transition … Continuity of care is most critical during the patient’s transition from the institutional acute care … Many studies have examined the transition of patients from the hospital to the home, and have focused … Communication issues Understanding the patient’s care transition story is important to our ability … to design practical and effective interventions for smoothing the transition from the hospital to the
  7. www.ahrq.gov/patient-safety/settings/hospital/hai/red/toolkit/redtool-other.html
    March 01, 2013 - Additional self-report surveys, such as the 3-Item Care Transition Measure (CTM-3), may be considered … Panel (TEP) on Benchmarking of Hospital Discharge was formed to study and make recommendations about transition … Elements of transition. All-cause 30-day readmission rates.
  8. www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-0176-sources.pdf
    February 06, 2015 - Courtney, Addressing the mental health service needs of foster youth during the transition to adulthood … Shemesh, Tackling the spectrum of transition: what can be done in pediatric settings? … Crystal, Care transition interventions in mental health.
  9. www.ahrq.gov/es/patient-safety/settings/hospital/red/toolkit/redtool-other.html
    March 01, 2013 - Additional self-report surveys, such as the 3-Item Care Transition Measure (CTM-3), may be considered … Panel (TEP) on Benchmarking of Hospital Discharge was formed to study and make recommendations about transition … Elements of transition. All-cause 30-day readmission rates.
  10. www.ahrq.gov/patient-safety/settings/hospital/red/toolkit/redtool-other.html
    March 01, 2013 - Additional self-report surveys, such as the 3-Item Care Transition Measure (CTM-3), may be considered … Panel (TEP) on Benchmarking of Hospital Discharge was formed to study and make recommendations about transition … Elements of transition. All-cause 30-day readmission rates.
  11. www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/rrs/instructor_slides/rrsinstructmod.pdf
    January 01, 2008 - How did the response team know when and where to transition the patient to another care unit? … Did the Responders know the role of the ICU team when making the decision to transition the patient … Did the Responders understand the role of the nursing staff in easing transition? … Transition support can also enhance the safety and effectiveness of patient transfers by ensuring … This transition of care can include: •Transferring the patient to another unit.
  12. www.ahrq.gov/es/patient-safety/settings/hospital/resource/nicu/index.html
    June 01, 2021 - Resource Toolkit This toolkit includes resources for hospitals that wish to improve safety when newborns transition
  13. www.ahrq.gov/patient-safety/settings/hospital/resource/nicu/index.html
    June 01, 2021 - Resource Toolkit This toolkit includes resources for hospitals that wish to improve safety when newborns transition
  14. www.ahrq.gov/news/newsletters/e-newsletter/834.html
    October 01, 2022 - AHRQ Grantee Identifies Barriers to Antimicrobial Stewardship in the Hospital-to-Home Transition . … AHRQ Grantee Identifies Barriers to Antimicrobial Stewardship in the Hospital-to-Home Transition AHRQ … Keller identified barriers to antimicrobial stewardship in the hospital-to-home transition.
  15. www.ahrq.gov/funding/grant-mgmt/closeout.html
    October 01, 2024 - Notice NOT-HS-24-020 that informed the grants community that beginning October 1, 2024, AHRQ will transition … Guide Notice NOT-HS-24-020 that informed the grant community that beginning October 1, 2024, AHRQ will transition
  16. www.ahrq.gov/faqs/index.html?page=22
    Because of the transition to ICD-10-CM/PCS, risk adjustment is not supported in the v2018 software. … measures that use the ICD-10 CM/PCS coding standards may see some variation in rates resulting from the transition … Further information about the ICD-10- CM/PCS transition and use of administrative data is available at
  17. www.ahrq.gov/pqmp/publications/search.html?page=2
    August 01, 2016 - with disabilities Development and validation of the adolescent assessment of preparation for transition … Development and validation of the adolescent assessment of preparation for transition: a novel patient … Keywords: Quality measure The effectiveness of family-centered transition processes from hospital … The effectiveness of family-centered transition processes from hospital settings to home: a review of
  18. www.ahrq.gov/es/patient-safety/settings/hospital/resource/nicu/coaching.html
    December 01, 2013 - provide families with the tools and support they need to promote knowledge and management of their baby's transition … The primary goal of a NICU discharge education program is to have a safe transition from the NICU to … will need equipment to create a PHR, family information, and bedside reminders to support the care transition
  19. www.ahrq.gov/patient-safety/settings/hospital/resource/nicu/coaching.html
    December 01, 2013 - provide families with the tools and support they need to promote knowledge and management of their baby's transition … The primary goal of a NICU discharge education program is to have a safe transition from the NICU to … will need equipment to create a PHR, family information, and bedside reminders to support the care transition
  20. www.ahrq.gov/es/patient-safety/settings/hospital/red/toolkit/redtool3.html
    March 01, 2025 - caregivers with questions about the AHCP, hospitalization, and followup plan in order to help patient transition … Discussion with family members and other caregivers is also important to a successful transition. … Caregivers' understanding of the discharge plan will be critical to a safe transition home. … The DE will help you learn the essential new information you will need to make a safe transition from … Encourage patients to identify someone who can support them during their transition to include in the

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