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  1. www.ahrq.gov/ncepcr/tools/self-mgmt/what-script.html
    February 01, 2016 - from start all the way through older adulthood in providing care, providing support, helping people transition
  2. www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/resources/resources/PS-tools-2024.pdf
    January 01, 2024 - Optimizing Safe Transitions) provides hospitals a comprehensive set of interventions to improve the care transition … Readmissions addresses the role of primary care in improving the quality and safety of care as patients transition
  3. www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/medicaidreadmitguide/aspire_webinar6/aspire_webinar6.pptx
    June 02, 2025 - Designing & Delivering Whole-Person Transitional Care The Hospital Guide to Reducing Medicaid Readmissions Webinar 6 Designing & Delivering Whole-Person Transitional Care The Hospital Guide to Reducing Medicaid Readmissions Webinar 6: Enhance Services for High-Risk Patients Agenda Describe strategies to enhance …
  4. 0129Table8 (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/0129table8.pdf
    January 01, 2013 - Evidence Key Findings Citation Readmission and Quality of Care Coordination, Discharge, and Care Transition … Preventing the rebound: improving care transition in hospital discharge processes. … Intense self-management and transition coaching of patients at high risk of readmission, and the use … patients at the time of hospitalization and randomized them to receive routine care or a care transition … to take a more active role in self-care; and 3) continuity across settings and guidance from a transition
  5. www.ahrq.gov/pqmp/publications/search.html
    January 01, 2021 - 02770903.2020.1741612 Keywords: In-patient care, Asthma Effect of an Electronic Health Record Transition … Effect of an Electronic Health Record Transition on the Provision of Recommended Well Child Services
  6. www.ahrq.gov/pqmp/publications/search.html?page=0
    January 01, 2021 - 02770903.2020.1741612 Keywords: In-patient care, Asthma Effect of an Electronic Health Record Transition … Effect of an Electronic Health Record Transition on the Provision of Recommended Well Child Services
  7. www.ahrq.gov/es/patient-safety/settings/hospital/red/toolkit/redtool1ref.html
    March 01, 2025 - The hospital discharge: a review of a care transition with a high potential for errors and highlights
  8. www.ahrq.gov/patient-safety/settings/hospital/red/toolkit/redtool1ref.html
    March 01, 2025 - The hospital discharge: a review of a care transition with a high potential for errors and highlights
  9. www.ahrq.gov/patient-safety/settings/hospital/resource/guide/web6.html
    December 01, 2017 - Webinar 6: Enhance Services for High-Risk Patients Designing & Delivering Whole-Person Transitional Care: The Hospital Guide to Reducing Medicaid Readmissions Text version of Webinar slide presentation. Slide 1: Designing & Delivering Whole-Person Transitional Care Designing & Delivering Whole-Person Tr…
  10. www.ahrq.gov/sites/default/files/2024-01/coburn-report.pdf
    January 01, 2024 - could significantly impair appropriate and safe care for elderly nursing facility residents as they transition … could significantly impair appropriate and safe care for elderly nursing facility residents as they transition … information can significantly impair appropriate, safe care for elderly nursing facility residents as they transition … Lost in transition: Challenges and opportunities for improving the quality of transitional care. … Communication and coordination during transition of older persons between nursing homes and hospital
  11. www.ahrq.gov/sites/default/files/wysiwyg/pqmp/lessons/lessons-challenges-successes.pdf
    January 01, 2019 - continuous enrollment criteria (Christenson, 2017, p.190) Based on challenges and complexity around the transition … While the authors contend that the transition to ICD-10-CM should lead to an increased level of clinical … ⇒ In scenarios that require changes or updates to measure specifications – such as the transition … The Transition to ICD-10-CM: Challenges for Pediatric Practice. Pediatrics, 134(1), 31–36.
  12. www.ahrq.gov/policymakers/chipra/chipra-publications.html
    July 01, 2015 - Excellence for Children with Complex Needs (COE4CCN)   The Effectiveness of Family-Centered Transition
  13. www.ahrq.gov/hai/tools/mvp/modules/cusp/daily-goals-rounds-fac-guide.html
    February 01, 2017 - Any change or transition in team members affects operational flow and how you communicate. … has improved outcomes in the medical, surgical, trauma, burn, and pediatric ICUs and also aids in the transition
  14. www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/chipra_15-p001-1-ef.pdf
    January 01, 2015 - records, these measures may be calculated jointly for Medicaid and CHIP and will take into account transition … administrative records, these measures may be calculated separately for Medicaid and CHIP, but will not reflect transition
  15. www.ahrq.gov/funding/policies/polnotice/index.html
    February 01, 2025 - September 30, 2025 Notice Number: NOT- HS-25-008   10/29/24 AHRQ’s Implementation of HHS 2 CFR Part 200 Transition … for consortia located at foreign institutions Notice Number: NOT-HS-18-006 2/20/18 Advance Notice of Transition … Awarding Component and Peer Review Requests Notice Number: NOT-OD-16-008 10/13/15 NIH & AHRQ Announce Transition … Progress Report (RPPR) for AHRQ Fellowship Grantees Notice Number: NOT-HS-14-003 11/5/13 AHRQ Awards to Transition
  16. www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-care-transitions.html
    June 01, 2023 - Diagnostic Safety Across Transitions of Care Throughout the Healthcare System: Current State and a Call to Action Next Page Table of Contents Diagnostic Safety Across Transitions of Care Throughout the Healthcare System: Current State and a Call to Action Introduction ED-to-Hospital Transitions …
  17. www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/surgery/8-building-core-team.docx
    June 01, 2023 - Commitment may lessen as efforts transition to sustaining ISCR.)
  18. Cellulitis-One-Page (doc file)

    www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/best-practices/cellulitis-one-page.docx
    November 01, 2019 - treatment recommendations here] · Narrowing and oral therapy · Narrow based on available culture results · Transition
  19. www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-166-fecc-table-1-tech-specs.pdf
    June 02, 2025 - age 15 years or older) should report that their SCP4 child’s main provider created a written transition … Q33=1 (Child age 15 or older) Q34 (MP created transition plan for child) Q34=1 (Yes): 100 points
  20. Heart Health NOW (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/results/research/recruitment-brochure-nc.pdf
    January 01, 2003 - Assess patient and staff satisfaction • Help improve throughput and billing (e.g. chronic care codes, transition

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