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  1. 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
  2. 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…
  3. 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
  4. 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
  5. 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
  6. 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.
  7. 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
  8. 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
  9. 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
  10. 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
  11. 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
  12. 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
  13. 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
  14. www.ahrq.gov/patient-safety/settings/hospital/resource/guide/web3.html
    December 01, 2017 - Reliably deliver inpatient transition of care practices— Needs assessment.
  15. 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
  16. www.ahrq.gov/pqmp/measures/patient-reported-outcomes.html
    February 01, 2020 - Technical Specifications and Other Supporting Documents † Adolescent Assessment of Preparation for Transition
  17. 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
  18. www.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
  19. www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/howtogetstarted/Ways_To_Learn_More_508.pdf
    October 28, 2009 - Patient Safety organization, provides patients and families the tools that will help smooth their transition … patients with complex care needs and their family caregivers receive specific tools and work with a Transition … CoachTM to learn self- management skills that will ensure that patient needs are met during the transition
  20. www.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

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