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101. 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

102. Design Guide for Warm Handoff Plus (pdf file)
     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

103. Appendix A: Brief History of CMEs | Agency for Healthcare Research and Quality
     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

104. Seamless Care: Safe Patient Transitions from Hospital to Home (pdf file)
     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

105. TeamSTEPPS: Rapid Response Systems (pdf file)
     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.

106. Tool 6 (continued) | Agency for Healthcare Research and Quality
     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.

107. Timeliness of Follow-up Visits Following a Hospital Discharge for Children with a Primary Mental Health Diagnosis: Sources (pdf file)
     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.

108. Tool 6 (continued) | Agency for Healthcare Research and Quality
     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.

109. Tool 6 (continued) | Agency for Healthcare Research and Quality
     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.

110. Opioid Prescribing by Oral Surgeons Decreased From 2016 to 2019, but More Intervention Is Needed | Agency for Healthcare Research and Quality
     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.

111. Grant Closeout Requirements | Agency for Healthcare Research and Quality
     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

112. Coaching in the Hospital | Agency for Healthcare Research and Quality
     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

113. Coaching in the Hospital | Agency for Healthcare Research and Quality
     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

114. Publications and Additional Materials | Agency for Healthcare Research and Quality
     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

115. Transitioning Newborns from NICU to Home | Agency for Healthcare Research and Quality
     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

116. Transitioning Newborns from NICU to Home | Agency for Healthcare Research and Quality
     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

117. Medication Discrepancies and Potential Adverse Drug Events During Transfer of Care from Hospital to Home | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/resources/liability/neumiller.html
     August 01, 2017 - costs associated with preventable ADEs occurring in both inpatient and outpatient settings. 8,9 The transition … patients may result in ADEs. 29 Such human factors resulting in ADEs are particularly common during transition … analysis was to evaluate the potential for medication discrepancies to contribute to ADEs during care transition … Conclusion Medication discrepancies frequently occur during the transition from hospital to home care … The hospital discharge: a review of high risk care transition with highlights of a reengineered discharge

118. Intervention Leads to Increase in Lung Cancer Screenings | Agency for Healthcare Research and Quality
     www.ahrq.gov/news/newsletters/e-newsletter/924.html
     August 01, 2024 - Development and validation of the hospital-to-home-health transition quality (H3TQ) index: a novel measure … to engage patients and home health providers in evaluating hospital-to-home care transition quality: … a novel measure to engage patients and home health providers in evaluating hospital-to-home care transition

119. Focusing on Patients to Reduce Healthcare-Associated Infections During Transitions to Home Care | Agency for Healthcare Research and Quality
     www.ahrq.gov/funding/grantee-profiles/grtprofile-keller.html
     September 01, 2022 - Keller received an AHRQ grant to identify barriers to antimicrobial stewardship in the hospital-to-home transition … targeted interventions may lead to more effective outcomes for antibiotic use during the hospital-to-home transition

120. THE MEDICAL HOME INDEX: (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/demoeval/what-we-learned/mhi-rsf.docx
     March 25, 2009 - Pediatric and adolescent PCPs support youth & family to manage their health using a transition time line … Adult providers offer an initial "welcome" visit and a review of transition goals. … In addition to level 3, progressively from age 12, youth, family and PCP develop a written transition … Youth and families receive coordination support to link their health and transition plans with other … Transition to adulthood indicator #2.5 revised 2006; Medical Home Index revised to create MHI-RSF 2012