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61. Appendix B: Group Panel Call Agenda | Agency for Healthcare Research and Quality
    www.ahrq.gov/research/findings/final-reports/prospectscare/prospectsapb.html
    July 01, 2018 - Measure 2: Percent of practice patients whose referral to a specialist physician was accompanied by core transition … should accompany the patient during all transitions of care and should be appropriate to the type of transition … and accessible throughout the transition. … Preferences relevant to the transition. Advance directive status.

62. Yale Center for Healthcare Innovation, Redesign, and Learning | Agency for Healthcare Research and Quality
    www.ahrq.gov/patient-safety/resources/learning-lab/yale-center-long-desc.html
    June 01, 2020 - The specific aims were to: Improve patient safety at the time of transition through redesign of transfers … Mapping the care transition from hospital to skilled nursing facility. … Conversations Across the Continuum: Communication During the Transition of Care From the Hospital to … Mapping the care transition from hospital to skilled nursing facility .

63. Improving Patient Experience: Data Analysis Methods webcast - VA (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/data-analysis-webcast-examples-3.pdf
    March 03, 2021 - Informed* Cleanliness of Hospital EnvironmentCommunication with Nurses Overall Hospital Rating Care Transition … Communication with Nurses, Cleanliness of Hospital Environment, and Care Transition have direct impacts … | Inpatient IPSOS Bayes Net (IBN) Impact Scores VA National Communication with Nurses 4.6% Care Transition … (includes VA data) Patient discharged from Oct 2018 to Sept 2019 SHEP HCAHPS Star Rating - Care Transition … Tools PX Library SHEP HCAHPS Star Rating -Communication with Nurses SHEP HCAHPS Star Rating -Care Transition

64. Final Progress Report: Transitional Care Medication Safety and Reducing Medical Liability: Closing the Chasm (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/research/findings/final-reports/19552-Corbett-draft-1.pdf
    December 31, 2011 - medication safety and quality of care and reduce medical liability during the hospital-to-community transition … The transition from hospital to community is an exceptionally risky time. … Data suggest that up to 90% of patients experience at least one medication discrepancy in the transition … The transition from hospital to community settings is an exceptionally risky time (Forester et al., … Data suggest that up to 90% of patients experience at least one medication discrepancy in the transition

65. Transitioning to the SOPS™ Hospital Survey Version 2.0: What’s Different and What To Expect, Part I: Main Report (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/hsops2-pt1-transition-updated.pdf
    June 01, 2022 - Transitioning to the SOPS™ Hospital Survey Version 2.0: What’s Different and What To Expect, Part I: Main Report Transitioning to the SOPS™ Hospital Survey Version 2.0: What’s Different and What To Expect Part I: Main Report Prepared for: Agency for Healthcare Research and Quality U.S. Department of Health an…

66. Transitional Care Medication Safety: Stakeholders’ Perspectives | Agency for Healthcare Research and Quality
    www.ahrq.gov/patient-safety/resources/liability/corbett.html
    August 01, 2017 - two case studies about patients experiencing medication discrepancies following a hospital to home transition … The transition from hospital to community settings is an exceptionally risky time for patients. 4-8 … Theme 1: Barriers to medication safety during transition from hospital to home. … due to illness severity and/or functional impairment. 29 During this fragile transition, patients and … Preventing or promptly resolving medication discrepancies during the hospital to home transition are

67. Medication Therapy Tools Help Pharmacists Educate Patients, Improve Adherence and Safety | Agency for Healthcare Research and Quality
    www.ahrq.gov/news/newsroom/case-studies/201714.html
    September 01, 2019 - This helps in the transition-of-care program to assess, intervene, and address any gaps in the patient … ’s knowledge of their condition, according to Jenny Bingham, PharmD, transition of care coordinator. … “Pharmacists are an integral component during the transition-of-care period 30 days after hospital discharge

68. Final Progress Report: Medication List Consistency When Patients Transition from Hospital to Community (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/research/findings/final-reports/21984-Kennelty-report.pdf
    July 31, 2013 - Final Progress Report: Medication List Consistency When Patients Transition from Hospital to Community … TITLE PAGE Medication List Consistency When Patients Transition from Hospital to Community Principal … This study fits into the hospital’s transition-of-care initiatives, because medication discrepancies … Mary Naylor et al. and the Care Transition by Dr. … focuses on using a care manager or nurse to aid in a seamless transition.

69. Tool 9: Transitional Care Planning (doc file)
    www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/medicaidreadmitguide/mcaidread_tool9_trans_care.docx
    July 28, 2016 - problem, fix a problem,” the easier it will be for your hospital staff to execute a safe, effective transition … Whole-Person Transitional Care Planning Tool Readmissions rarely result from a singular breakdown in the transition

70. Transitioning Newborns from NICU to Home: A Resource Toolkit (pdf file)
    www.ahrq.gov/sites/default/files/publications/files/nicutoolkit.pdf
    January 01, 2004 - from NICU to Home: A Resource Toolkit Table of Contents Overview: Improving the Quality of the Transition … This toolkit includes resources for hospitals that wish to improve safety when newborns transition home … Although the transition of the fragile infant from intensive care specialist to the ambulatory care … During the discharge planning and transition process, a Health Coach can help prepare the family to … The primary goal of a NICU discharge education program is to have a safe transition from the NICU to

71. Transitioning Newborns from NICU to Home: A Resource Toolkit (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/settings/hospitals/nicutoolkit.pdf
    January 01, 2004 - Table of Contents Overview: Improving the Quality of the Transition … This toolkit includes resources for hospitals that wish to improve safety when newborns transition home … Although the transition of the fragile infant from intensive care specialist to the ambulatory care … During the discharge planning and transition process, a Health Coach can help prepare the family to … The primary goal of a NICU discharge education program is to have a safe transition from the NICU to

72. ARRA Delivery System Initiative | Agency for Healthcare Research and Quality
    www.ahrq.gov/practiceimprovement/delivery-initiative/arragrantee-swigonski.html
    December 01, 2017 - A primary care quality improvement approach to health care transition.

73. Chapter 6. Measure Maps and Profile | Agency for Healthcare Research and Quality
    www.ahrq.gov/ncepcr/care/coordination/atlas/chapter6.html
    June 01, 2014 - ‡ All measure items addressing transitions were mapped to one of the specific transition types ( … ‡ All measure items addressing transitions were mapped to one of the specific transition types ( … ‡ All measure items addressing transitions were mapped to one of the specific transition types ( … Transition Record with Specified Elements Received by Discharged Patients (Inpatient Discharges) … Timely Transmission of Transition Record 60.

74. Agency for Healthcare Research and Quality
    www.ahrq.gov/research/findings/studies/index.html?page=100
    January 01, 2024 - Findings showed that pharmacist transition-of-care intervention is an effective strategy to reduce medication … Hospital to home transition for patients with stroke under bundled payments. … Using HCUP data, they found that the ICD-10-CM transition did not appear to affect NAS. … However, coding of maternal OUD alone may not capture the same population across the transition, potentially … Neonatal abstinence syndrome and maternal opioid-related diagnoses: analysis of ICD-10-CM transition,

75. Guide for Safe Transitions to New Appointments (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/safetransitions/safetrans_guide.pdf
    December 01, 2017 - Patients who transition from one clinician to another (e.g., primary care clinician to specialist clinician … medical and non-medical conditions that can affect the patient’s plan of care, especially during a transition … Primary Care Guide for Transition Interventions. https://www.jointcommission.org/assets/1/6/TOC_ Hot_Topics.pdf

76. Ten Considerations for Easing the Transition to a Web-based Patient Safety Reporting System (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Ulep.pdf
    January 01, 2004 - Ten Considerations for Easing the Transition to a Web-based Patient Safety Reporting System 207 … Ten Considerations for Easing the Transition to a Web-based Patient Safety Reporting System Sharon … with additional insights and lessons gleaned from the Henry Ford Health System and its successful transition … Even if the organization scores low in some areas, it may be time to start planning for this transition … Start to investigate the solutions on the market that can ease the transition to a Web-based event

77. Quality of Pediatric Hospital-to-Home Transitions Toolkit (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/pqmp/toolkits/h2h-toolkit.pdf
    January 01, 2020 - An effective transition will support the likelihood of reducing the incidence of inappropriate care … a starting place for identifying best practices for improving performance on the hospital-to-home transition … and content of discharge instructions to families/caregivers are essential for ensuring a successful transition … The measures for this toolkit were developed to capture the quality of care coordination in transition

78. Environmental Scan of Primary Care-Based Efforts To Reduce Readmissions | Agency for Healthcare Research and Quality
    www.ahrq.gov/patient-safety/settings/ambulatory/reduce-readmissions-prim-envscan.html
    March 01, 2020 - While emerging literature addresses primary care-based transition programs, a gap remains in what is

79. Caregivers of children discharged from the hospital | Agency for Healthcare Research and Quality
    www.ahrq.gov/pqmp/measures/caregivers-children-discharged.html
    August 01, 2021 - Quality of Pediatric Emergency Department-to-Home Transitions Survey Spanish Version  (PDF, 108 KB) Transition

80. Caregivers of children discharged from the hospital who report receiving written discharge instructions | Agency for Healthcare Research and Quality
    www.ahrq.gov/pqmp/measures/written-discharge-instructions.html
    August 01, 2021 - PDF) Quality of Pediatric Emergency Department-to-Home Transitions Survey Spanish Version  (PDF) Transition