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241. How to Implement Self-Management Support in your Practice | Agency for Healthcare Research and Quality
     www.ahrq.gov/ncepcr/tools/self-mgmt/how.html
     February 01, 2016 - Clinicians can ease the transition of implementing a self-management support program by learning how

242. Appendix A. Atlas Perspective and Domain Definitions | Agency for Healthcare Research and Quality
     www.ahrq.gov/research/findings/final-reports/pcpaccountability/pcpaccapa.html
     July 01, 2018 - Examples include the transition from pediatric to adult care, transitions over the course of a woman's

243. The California Quality Collaborative | Agency for Healthcare Research and Quality
     www.ahrq.gov/workingforquality/priorities-in-action/california-quality-collaborative.html
     March 01, 2017 - between providers is facilitated through information exchanges between the hospital, clinics, and care transition

244. Michigan Health and Hospital Association Keystone Center | Agency for Healthcare Research and Quality
     www.ahrq.gov/workingforquality/priorities-in-action/michigan-health-and-hospital-association-keystone-center.html
     March 01, 2017 - The MHA Keystone Center supports hospitals' transition into the CUSP by offering more than 3,000 annual

245. New Models of Primary Care Workforce - Case Example #6: Henry Ford Health System (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/primary-care/workforce-financing/case_example_6.pdf
     October 01, 2016 - Academic activities include the Continuity, A-PCTC (K15), and Transition of care clinics, and research … A team of resident physicians and MAs manages the care transition, usually in a single visit, and hands … MAs call patients after discharge following a protocol for transition care management. … Care and transition management of high- risk patients Care management is by RN case managers. … An MA and backup MA are dedicated to following up and scheduling patients for care-transition visits

246. Executive Summary | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/capacity/candor/demo-program/plan-grants/summary.html
     May 01, 2016 - Patient Safety Washington State University The project found that medication discrepancies in the transition … To fill a gap in existing tools, two surveys were developed and tested to assess care transition quality

247. New AHRQ Views Blog Posts: AHRQ at AcademyHealth’s 2018 Annual Research Meeting | Agency for Healthcare Research and Quality
     www.ahrq.gov/news/newsletters/e-newsletter/620.html
     June 01, 2018 - Transition to a new electronic health record and pediatric medication safety: lessons learned in pediatrics … End-of-life care transition patterns of Medicare beneficiaries.

248. Table 1a. ADAPT Survey Respondent Characteristics (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/outcomes/chipra-146-section-6-tables-1a.pdf
     January 17, 2018 - AmeriHealth Caritas Pennsylvania Texas Children’s Health Plan Ordinal alpha Counseling on Transition … Amerihealth Caritas Pennsylvania (n=780) Texas Children’s Health Plan (n=575) P* Counseling on Transition

249. Children/Adolescents | Agency for Healthcare Research and Quality
     www.ahrq.gov/topics/childrenadolescents.html
     January 01, 2011 - Topic: Children/Adolescents Background Report for the Request for Public Comment on Initial, Recommended Core Set of Children's Healthcare Quality Measures for Voluntary Use by Medicaid and CHIP Programs CAHPS Child Hospital Survey (Child HCAHPS) Toolkit Cente…

250. Agency for Healthcare Research and Quality
     www.ahrq.gov/research/findings/studies/index.html?page=413
     January 01, 2024 - Garvey KC , Toomey SL Development and validation of the adolescent assessment of preparation for transition … The authors developed an adolescent-reported measure of the quality of health care transition (HCT) preparation … They found that the Adolescent Assessment of Preparation for Transition (ADAPT) is a reliable, validated … Development and validation of the adolescent assessment of preparation for transition: a novel patient

251. Excelling on CAHPS: Lessons from Top-Performing Medicaid and CHIP Health Plans (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/20150317/christopher_sellers.pdf
     January 01, 2014 - between 100-146% FPL • CHIP-funded • AL Medicaid administered Medicaid/CHIP Churning • As relates to transition

252. Information to Help Hospitals Get Started (pdf file)
     www.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

253. Slide 1 (ppt file)
     www.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

254. Rethinking the Role of Primary Care in Reducing Hospital Readmissions | Agency for Healthcare Research and Quality
     www.ahrq.gov/news/blog/ahrqviews/rethinking-role-of-primary-care.html
     March 01, 2020 - And finally, patients themselves weighed in on the potential breakdowns that can occur during the transition

255. Next Steps | Agency for Healthcare Research and Quality
     www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-patient-role4.html
     September 01, 2024 - remains in the efforts for patients to become partners and coleaders of research. 72 As we navigate this transition

256. Webinar 3: Review & Update Readmission Reduction Efforts: Slide Presentation | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/hospital/resource/guide/web3.html
     December 01, 2017 - Reliably deliver inpatient transition of care practices— Needs assessment.

257. Patient-Reported Outcomes (Health Outcomes and Patient Experiences of Care) | Agency for Healthcare Research and Quality
     www.ahrq.gov/pqmp/measures/patient-reported-outcomes.html
     February 01, 2020 - Technical Specifications and Other Supporting Documents † Adolescent Assessment of Preparation for Transition

258. A Conceptual Framework for Studying the Safety of Transitions in Emergency Care (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Behara.pdf
     January 01, 2004 - The transition of care did not simply involve the sharing of information, but also included expectations … whose assessment has started, but whose problem cannot be adequately characterized at the time of the transition

259. Information to Help Hospitals Get Started (doc file)
     www.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

260. AHRQ’s Digital Solutions to Support Care Transitions Challenge (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/mcctransitions-challenge/digital-solutions-overview-slides.pdf
     April 06, 2020 - NICU to Home: This toolkit includes resources for hospitals that wish to improve safety when newborns transition