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281. Nursing Home Resources | Agency for Healthcare Research and Quality
     www.ahrq.gov/es/nursing-home/resources/search.html?page=8
     January 01, 2022 - importance of communication during care transitions; 2. define the characteristics of an ideal care transition

282. Frequently Asked Questions About AHRQ's Digital Solutions to Support Care Transitions Challenge | Agency for Healthcare Research and Quality
     www.ahrq.gov/mcctransitions-challenge/faq.html
     April 01, 2020 - recently added questions and answers are marked with an asterisk *   Does this challenge cover the transition … constrained the challenge to any particular use case, but instead seeks to spur innovation to address the transition

283. Chapter 6. Measure Maps and Profiles (continued, 7) | Agency for Healthcare Research and Quality
     www.ahrq.gov/ncepcr/care/coordination/atlas/chapter6f.html
     June 01, 2014 - coordination are Section 5 — Care Coordination, Section 6A — Family Centered Care, and Section 6B — Transition … to care coordination (Section 5— Care Coordination, Section 6A — Family Centered Care, Section 6B — Transition

284. Table 3. Relation Between the Care Coordination Measurement Framework and Other Key Sources | Agency for Healthcare Research and Quality
     www.ahrq.gov/ncepcr/care/coordination/atlas/chapter3tab3.html
     June 01, 2014 - Some care processes during transition deserve particular attention, including involvement of team during

285. ONC Agency Specific Plan for the 2014 National Quality Strategy (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/workingforquality/onc-specific-plan-nqs2014.pdf
     January 01, 2014 - Stage 3(MU3), the Department of Health and Human Services Health Information Technology objectives transition

286. Carroll Hospital Center Uses AHRQ Resources to Help Improve Patient Care and Recovery | Agency for Healthcare Research and Quality
     www.ahrq.gov/news/newsroom/case-studies/201410.html
     August 01, 2014 - The hospital also assigns registered nurses who serve as care navigators and care transition coaches

287. Using Federal grants to build intellectual capital at the State level | Agency for Healthcare Research and Quality
     www.ahrq.gov/policymakers/chipra/demoeval/what-we-learned/finalsummary/finalsummary7.html
     September 01, 2015 - In South Carolina , demonstration staff will work with other State staff to transition PCMH responsibilities

288. Checklist to Prepare Patients for New Appointments (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/safetransitions/safetrans_checklist.pdf
     December 01, 2017 - For additional background, evidence, and resources to support patient engagement in a transition to

289. Pennsylvania Psychiatric Institute Slashes Readmission Rates with AHRQ-based Discharge Program | Agency for Healthcare Research and Quality
     www.ahrq.gov/news/newsroom/case-studies/201706.html
     May 01, 2017 - Seiders added, "The followup calls offer support during the first month after discharge, when patients' transition

290. Improving Healthcare Using Engineering Principles | Agency for Healthcare Research and Quality
     www.ahrq.gov/funding/grantee-profiles/grtprofile-gurses.html
     November 01, 2023 - developed and implemented a risk assessment tool to improve medication safety for patients as they transition

291. Four Moments of Antibiotic Decision Making | Agency for Healthcare Research and Quality
     www.ahrq.gov/antibiotic-use/acute-care/four-moments/index.html
     November 01, 2019 - and oral antibiotic therapy can be tolerated and is appropriate for the type of infection diagnosed, transition

292. Diverticulitis (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/best-practices/diverticulitis-one-page.docx
     November 01, 2019 - recommendations here] · Narrowing and oral therapy · Narrow based on available culture data · Consider transition

293. PowerPoint Presentation
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/pfeprimarycare/warm-handoff-slides-final508.pptx
     April 12, 2018 - First, the PCT-to-clinician transition of care will be a Warm Handoff Plus. … Our second type of transition will be a handoff to the lab.

294. Final Progress Report: Medications at Transitions and Clinical Handoffs (MATCH) (pdf file)
     www.ahrq.gov/sites/default/files/2024-01/noskin-report.pdf
     January 01, 2024 - physician upon discharge may pose an additional risk for safe care.10-11 At each of these interfaces or transition … medication reconciliation processes, MedMARx has added “reconciliation-admission,” “reconciliation- transition

295. Warm Handoff Plus (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/pfeprimarycare/warm-handoff-slides-final508.pdf
     April 12, 2018 - First, the PCT-to-clinician transition of care will be a Warm Handoff Plus. … Our second type of transition will be a handoff to the lab.

296. Webinar 6: Enhance Services for High-Risk Patients | Agency for Healthcare Research and Quality
     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…

297. Planning Grants Final Evaluation Report: Longitudinal Evaluation of the PSML Reform Demonstration Program (pdf file)
     www.ahrq.gov/sites/default/files/publications/files/psml-planning-grants-final-report.pdf
     May 01, 2016 - To fill a gap in existing tools, two surveys were developed and tested to assess care transition quality … Of the 230 claims examined, 13 (5.7%) were determined to involve a potential transition of care event … (tasks, organization, patient/caregiver, provider, technology and tools, and environment) and care transition … Of the 230 claims examined, 13 (5.7%) were determined to involve a potential transition of care event … To examine existing tools for assessing care transition quality, the project team reviewed articles

298. Planning Grants Final Evaluation Report: Longitudinal Evaluation of the PSML Reform Demonstration Program (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/psml-planning-grants-final-report.pdf
     May 01, 2016 - To fill a gap in existing tools, two surveys were developed and tested to assess care transition quality … Of the 230 claims examined, 13 (5.7%) were determined to involve a potential transition of care event … (tasks, organization, patient/caregiver, provider, technology and tools, and environment) and care transition … Of the 230 claims examined, 13 (5.7%) were determined to involve a potential transition of care event … To examine existing tools for assessing care transition quality, the project team reviewed articles

299. Measuring What Matters: Catalyzing Conversations on the Quality of Long-Term Care | Agency for Healthcare Research and Quality
     www.ahrq.gov/news/blog/ahrqviews/ltc-quality-measures.html
     December 01, 2022 - What frustrates patients transitioning to long-term care, and how can we improve this transition?

300. References | Agency for Healthcare Research and Quality
     www.ahrq.gov/ncepcr/research-transform-primary-care/transform/synthesis-report/refs.html
     October 01, 2015 - Multi-Method Evaluation of Physician Group Incentive Programs for Patient-Centered Medical Home Transition … Becoming a patient-centered medical home: a 9-year transition for a network of Federally Qualified Health