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  1. www.ahrq.gov/sites/default/files/2025-05/wears2-report.pdf
    January 01, 2025 - , although transitions in care were associated with failures, in a reasonable number of cases the transition
  2. www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/tools/PCMH/pcpf-module-6-pf-process.pdf
    September 01, 2015 - ........................................................................ 5 Stage 6: Completion and Transition … Stage 6: Completion and Transition to Maintenance While most active facilitation interventions last … Finally, you will work with the practice to transition from active facilitation to maintenance where … and Goal Setting Stage 4: Active Facilitation Stage 5: Holding the Gains Stage 6: Completion and Transition
  3. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/pfeprimarycare/advanced-practice-guide-brochure.pdf
    March 01, 2016 - SafeMed model to improve transitions of care module https://www.stepsforward.org/ modules/safemed-transition-care … https://www.stepsforward.org/modules/empathetic-listening https://www.stepsforward.org/modules/safemed-transition-care … https://www.stepsforward.org/modules/safemed-transition-care https://www.stepsforward.org/modules/intensive-primary-care
  4. www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/nicu_toolkit/nicupacket-apa.pdf
    June 02, 2025 - Transitioning Newborns from NICU to Home: Family Information Packet, Appendix A Appendix A: Family Information Packet Getting Care ■ Tips for Finding a Pediatrician ■ Tips About Health Insurance Understanding Signs and Symptoms of Illness ■ Signs and Symptoms of Illness ■ Crying ■ Colic Medicines and Immun…
  5. www.ahrq.gov/sites/default/files/wysiwyg/priority-populations/richardson-et-al-2020.pdf
    January 01, 2020 - The life course trajectory of infantile-onset Pompe disease was captured using a state-transition simulation … This state-transition model was a part of the microsimulation model and tracks individuals as they cycle … We conducted one-way sensitivity analyses of screening parameters, transition probabilities, and cost … Includes one-time transition costs (e.g., environmental changes and extra medical equipment). i14 hours … Includes one-time transition costs (gastrostomy, wheelchair equipment, environmental changes). l8 hours
  6. www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/medicaidreadmitguide/aspire_webinar3/aspire_webinar3.pptx
    December 01, 2014 - Designing & Delivering Whole-Person Transitional Care The Hospital Guide to Reducing Medicaid Readmissions Webinar 3 Designing & Delivering Whole-Person Transitional Care The Hospital Guide to Reducing Medicaid Readmissions Webinar 3: Review & Update Readmission Reduction Efforts Agenda Describe the purpose of co…
  7. www.ahrq.gov/pqmp/implementation-qi/toolkit/h2h/introduction.html
    July 01, 2021 - Quality of Pediatric Hospital-to-Home Transitions Toolkit Introduction Previous Page Next Page Table of Contents Quality of Pediatric Hospital-to-Home Transitions Toolkit Introduction Overview About the Measure Key Driver Diagram Quality Improvement Strategies Improvement Data Other Re…
  8. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/cusp/dailygoals-rounds-facguide.docx
    January 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
  9. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol4/Advances-Devine_83.pdf
    April 06, 2008 - long-term sustainability of the EHR, the Clinic’s board of directors made the deliberate decision to transition … This greatly helped ease the transition from paper to electronic prescribing and reinforced best prescribing … Advance preparation for workflow redesign paid off with a smoother transition. … about auto-faxing is paramount for buy-in of this group of external stakeholders Clinic workflow (transition … can prevent adoption of wireless network • Re-engineering workflow is critical to success of this transition
  10. www.ahrq.gov/sites/default/files/publications/files/ambulatory-safety.pdf
    July 01, 2010 - ambulatory EMR to improve the quality and safety of medication management, focusing particularly on the transition … Advocate To Reduce Ambulatory Adverse Drug Events Estimated Total Funding: $1,180,772 Focuses on the transition … Lincoln, NE Estimated dates: 9/30/2008-9/29/2011 Evaluation of Effectiveness of an HIT- based Care Transition … Information Transfer System Estimated Total Funding: $1,155,371 Develops and evaluates a care transition … : Emory University, Atlanta, GA Estimated dates: 9/30/2008-9/29/2011 E-Coaching: IVR-Enhanced Care Transition
  11. www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy4/Strat4_Implement_Hndbook_508_v2.docx
    April 01, 2011 - Engaging patients and families in the discharge planning process helps make this transition in care safe … strategy The goal of the IDEAL Discharge Planning strategy is to engage patients and family members in the transition … Foundation and the Institute for Healthcare Improvement, developed the How-to Guide: Creating an Ideal Transition … discharge Coordinate home-based care and special equipment needs Prepare the patient and family for transition
  12. www.ahrq.gov/ncepcr/care/coordination/atlas/chapter4tab5.html
    June 01, 2014 - Care Coordination Measures Atlas Update Table 5. Other EHR-based Care Coordination Measures Previous Page Next Page Table of Contents Care Coordination Measures Atlas Update Chapter 1: Background Chapter 2. What is Care Coordination? Chapter 3. Care Coordination Measurement Framework Chapter…
  13. www.ahrq.gov/sites/default/files/2025-02/woods-report.pdf
    January 01, 2025 - Transfer of pediatric patients from an ED to another hospital repeatedly has been shown to be a high-risk transition … generic communication, coordination, and assessment risks across institutions related to the high-risk transition … patients from an emergency department to another hospital has been shown repeatedly to be a high-risk transition … flawless communication between caregivers, particularly in the context of the high-acuity, high-risk transition … The partnership with Image Trend, an external IT company, enabled the transition of standardized elements
  14. www.ahrq.gov/ncepcr/care/coordination/atlas/chapter6y.html
    June 01, 2014 - Care Coordination Measures Atlas Update Chapter 6. Measure Maps and Profiles (continued, 26) Previous Page Next Page Table of Contents Care Coordination Measures Atlas Update Chapter 1: Background Chapter 2. What is Care Coordination? Chapter 3. Care Coordination Measurement Framework Chapte…
  15. www.ahrq.gov/sites/default/files/wysiwyg/research/findings/making-healthcare-safer/mhs3/anticoagulants-1.pdf
    March 01, 2020 - ED. 7.3.1 Practice Description Any intervention, service, or program that focuses on the safe transition … • Three studies of education and pill packs for rivaroxaban on dose transition (transitioning to daily … • No significant difference between the two groups on any outcomes: adherence, proper transition … However, the paucity of studies may be a function of most care transition programs focusing on all of … Proper transition to daily administration on Day 22 was no different between the groups (p=0.891).
  16. www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/chipra-131-section-5-table-8-9.pdf
    January 01, 2013 - of Evidence Key Findings Citation Readmission and Quality of Care Coordination, Discharge, and Care Transition … strategies consistently associated with reduced readmissions were (1) intense self-management and transition … Preventing the rebound: improving care transition in hospital discharge processes. … trial 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
  17. www.ahrq.gov/pqmp/implementation-qi/toolkit/h2h/improvement-data.html
    July 01, 2021 - Quality of Pediatric Hospital-to-Home Transitions Toolkit Improvement Data Previous Page Next Page Table of Contents Quality of Pediatric Hospital-to-Home Transitions Toolkit Introduction Overview About the Measure Key Driver Diagram Quality Improvement Strategies Improvement Data Othe…
  18. www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/empowering-nurses-transcript.pdf
    April 01, 2022 - conversation because it was always there, so I didn't even have to think about that, that there is a transition … It was that transition occurred in the physicians to challenge themselves from their typical habit of
  19. www.ahrq.gov/sites/default/files/wysiwyg/takeheart/training/affinity-details-emerging-strategies-cr.pdf
    January 01, 2021 - • According to Jessi Hyduk, the transition from 60 minutes twice a week to 90 minutes once per … Meanwhile, the education department has experienced a transition from “more fragmented staff” to
  20. www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/settings/ambulatory/6bb-toolkit-monitor.pdf
    April 20, 2021 - It is a time to thoughtfully transition to a less intensive focus on opioid management improvement while … Toolkit 6 Launch the New Stage of Work: Monitor and Sustain Improvements You should now be able to transition

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