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1. A Resource Toolkit | Agency for Healthcare Research and Quality
   www.cpsi.ahrq.gov/patient-safety/settings/hospital/resource/nicu/toolkit.html
   December 01, 2013 - 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 provider … During the discharge planning and transition process, a Health Coach can help prepare the family to meet … tested as the "Safe Passages" program at Texas Children’s Hospital in Houston, is to facilitate care transition

2. Transitioning to the SOPS™ Hospital Survey Version 2.0: What’s Different and What To Expect, Part I: Main Report (pdf file)
   www.cpsi.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…

3. Chapter 6. Measure Maps and Profiles (continued, 21) | Agency for Healthcare Research and Quality
   www.cpsi.ahrq.gov/ncepcr/care/coordination/atlas/chapter6t.html
   June 01, 2014 - Timely Transmission of Transition Record Care Coordination Measure Mapping Table   Measurement … Timely Transmission of Transition Record Purpose: To measure the percentage of patients, regardless … of age, discharged from an inpatient facility to home or any other site of care, for whom a transition … Transition Record with Specified Elements Received by Discharged Patients (Emergency Department Discharges … Transition Record with Specified Elements Received by Discharged Patients (Emergency Department Discharges

4. Supplemental Items for the CAHPS Hospital Survey: Interpreter Services | Agency for Healthcare Research and Quality
   www.cpsi.ahrq.gov/cahps/surveys-guidance/item-sets/literacy/suppl-interpreter-service-items.html
   October 01, 2023 - Add a transition statement to indicate a transition from the HCAHPS questions. … To find CMS’s mandatory transition statement, please refer to the HCAHPS Quality Assurance Guidelines … on HCAHPS and search for "mandatory transition statement."

5. Transitional Care Medication Safety: Stakeholders' Perspectives | Agency for Healthcare Research and Quality
   www.cpsi.ahrq.gov/patient-safety/reports/liability/corbett.html
   August 01, 2017 - 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 … The hospital discharge: A review of high risk care transition with highlights of a reengineered discharge

6. Transitioning Newborns from NICU to Home: A Resource Toolkit (pdf file)
   www.cpsi.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

7. Transitions of Care | Agency for Healthcare Research and Quality
   www.cpsi.ahrq.gov/research/findings/nhqrdr/chartbooks/carecoordination/measure1.html
   June 01, 2018 - Records References The Centers for Medicare & Medicaid Services (CMS) defines a transition … A common transition of care is hospital discharge. … A successful transition depends on whether hospitals have adequately educated patients about key elements … quality care, prevent complications, teach patients at discharge, and ensure that patients make a smooth transition … quality care, prevent complications, teach patients at discharge, and ensure that patients make a smooth transition

8. Chapter 6. Measure Maps and Profile | Agency for Healthcare Research and Quality
   www.cpsi.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 ( across … Index of Measures . ‡ All measure items addressing transitions were mapped to one of the specific transition … Transition Record with Specified Elements Received by Discharged Patients (Inpatient Discharges) 59 … Timely Transmission of Transition Record 60. … Transition Record with Specified Elements Received by Discharged Patients (Emergency Department Discharges

9. Tool 9: Transitional Care Planning (doc file)
   www.cpsi.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

10. TeamSTEPPS Rapid Response Systems Module | Agency for Healthcare Research and Quality
    www.cpsi.ahrq.gov/teamstepps/rrs/instructor_slides/rrsinstructmod.html
    October 01, 2014 - Support ("Boundary Spanning") Transition Support ("Boundary Spanning") (continued) Example of One … How did the response team know when and where to transition the patient to another care unit? … Did the Responders understand the role of the nursing staff in easing transition? … Return to Top Transition Support ("Boundary Spanning") Say: Transition support, or "boundary … This transition of care can include: Transferring the patient to another unit.

11. Design Guide for Warm Handoff Plus (pdf file)
    www.cpsi.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/pfeprimarycare/warm-handoff-design-guide-final508.pdf
    April 03, 2018 - In each transition, opportunities arise for breakdowns in communication that may lead to medical errors … A Warm Handoff Plus is a transition conducted in person between two members of the healthcare team in … Identify patient transition points within the practice. … For each transition identified in Step 1, determine: � Who is handing off the patient or information

12. Chapter 6. Measure Maps and Profiles (continued, 20) | Agency for Healthcare Research and Quality
    www.cpsi.ahrq.gov/ncepcr/care/coordination/atlas/chapter6s.html
    June 01, 2014 - report. 1 This measure is intended for use in conjunction with two other PCPI measures (Measure #58, Transition … Transition Record with Specified Elements Received by Discharged Patients (Inpatient Discharges) Care … Transition Record with Specified Elements Received by Discharged Patients (Inpatient Discharges) Purpose … from an inpatient facility to home or any other site of care, or their caregiver(s), who received a transition … Reconciled Medication List Received by Discharged Patients; and Measure #59, Timely Transmission of Transition

13. Toolkit to Engage High-Risk Patients In Safe Transitions Across Ambulatory Settings | Agency for Healthcare Research and Quality
    www.cpsi.ahrq.gov/hai/tools/ambulatory-care/safe-transitions.html
    December 01, 2017 - Patients who transition from one ambulatory care facility clinician to another are especially vulnerable

14. Medication Discrepancies and Potential Adverse Drug Events During Transfer of Care from Hospital to Home | Agency for Healthcare Research and Quality
    www.cpsi.ahrq.gov/patient-safety/reports/liability/neumiller.html
    August 01, 2017 - costs associated with preventable ADEs occurring in both inpatient and outpatient settings. 8,9 The transition … patients may result in ADEs. 29 Such human factors resulting in ADEs are particularly common during transition … that can help identify patients who may be at risk for experiencing medication-related ADEs during transition … Conclusion Medication discrepancies frequently occur during the transition from hospital to home care … The hospital discharge: a review of high risk care transition with highlights of a reengineered discharge

15. AHRQ's Digital Solutions to Support Care Transitions Challenge | Agency for Healthcare Research and Quality
    www.cpsi.ahrq.gov/challenges/past/care-transitions/index.html
    January 01, 2022 - hospital, primary care, and community partner care teams throughout the hospital discharge to home transition … Hospital Discharge   Colorado UTHealth MyInfantCare—A Digilego App to Assist Parents in a Successful Transition

16. Transitioning Newborns from NICU to Home | Agency for Healthcare Research and Quality
    www.cpsi.ahrq.gov/patient-safety/settings/hospital/resource/nicu/index.html
    June 01, 2021 - Resource Toolkit This toolkit includes resources for hospitals that wish to improve safety when newborns transition

17. Transitions of Care | Agency for Healthcare Research and Quality
    www.cpsi.ahrq.gov/topics/transitions-care.html
    Skip to main content An official website of the Department of Health and Human Services Careers Contact Us Español FAQs Search all AHRQ sites Search small Search Menu …

18. Implementing the New CAHPS® Protocol for Obtaining Patient Comments About Their Care (pdf file)
    www.cpsi.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/nyp-webinar-servati-demo-project.pdf
    October 29, 2018 - so we can provide better care and service to our patients. 29 Phase 1 Intervention: Enhanced Transition … Comments Study Design Phase 1 Intervention: Enhanced Invitation Language Phase 1 Intervention: Enhanced Transition

19. A Boost for Health Services Research | Agency for Healthcare Research and Quality
    www.cpsi.ahrq.gov/news/blog/ahrqviews/boost-health-services-research.html
    June 01, 2022 - As we move to reduce our carbon footprint in healthcare, there will be a transition period. … AHRQ can help the Nation figure out how we make that transition in a way that is affordable, environmentally

20. NICU Toolkit: Family Information Packet Cover Sheet (pdf file)
    www.cpsi.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/nicu_toolkit/nicupacket-cover.pdf
    December 13, 2013 - discharged, your Health Coach should follow up with you by phone within a few days to make sure the transition