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21. Section 7.A, Tables 11 and 12 (pdf file)
    www.monahrq.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-166-fecc-tables-11-12.pdf
    March 09, 2018 - Protocols/Plans Child has shared care plan FECC-16 36.4 52.4*** 65.9*** 41.2 Child has written transition … Protocols/Plans Child has shared care plan FECC-16 37.5 53.7*** 62.6*** 40.8 Child has written transition

22. Supplemental Items for the CAHPS Hospital Adult Survey: Health Literacy | Agency for Healthcare Research and Quality
    www.monahrq.ahrq.gov/cahps/surveys-guidance/item-sets/literacy/suppl-healthlit-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.”

23. About the Measure | Agency for Healthcare Research and Quality
    www.monahrq.ahrq.gov/pqmp/implementation-qi/toolkit/h2h/about.html
    July 01, 2021 - 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

24. THE MEDICAL HOME INDEX: (doc file)
    www.monahrq.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/demoeval/what-we-learned/mhi-rsf.docx
    March 25, 2009 - Pediatric and adolescent PCPs support youth & family to manage their health using a transition time line … Adult providers offer an initial "welcome" visit and a review of transition goals. … In addition to level 3, progressively from age 12, youth, family and PCP develop a written transition … Youth and families receive coordination support to link their health and transition plans with other … Transition to adulthood indicator #2.5 revised 2006; Medical Home Index revised to create MHI-RSF 2012

25. The Medical Home Index: Revised Short Form: Pediatric | Agency for Healthcare Research and Quality
    www.monahrq.ahrq.gov/policymakers/chipra/demoeval/what-we-learned/mhi-rsf.html
    May 01, 2013 - COMPLETE __ PARTIAL __ COMPLETE __ PARTIAL __ COMPLETE __ PARTIAL __ COMPLETE 7 #2.5 Supporting the Transition … Pediatric and adolescent PCPs support youth & family to manage their health using a transition time … Adult providers offer an initial "welcome" visit and a review of transition goals. … In addition to level 3, progressively from age 12, youth, family and PCP develop a written transition … Youth and families receive coordination support to link their health and transition plans with other

26. TeamSTEPPS Rapid Response Systems Module | Agency for Healthcare Research and Quality
    www.monahrq.ahrq.gov/teamstepps/rrs/rrs_slides/rrsslides.html
    July 01, 2018 - Teamwork & RRS Necessary Teamwork Skills Inter-Team Knowledge Inter-Team Knowledge (continued) Transition … Support ("Boundary Spanning") Transition Support ("Boundary Spanning") (continued) Example of One … Assessment & Stabilization CUS Words Patient Disposition Patient Disposition (continued) RRS Transition … Inter-Team Knowledge Supports effective transitions in care between units Is a prerequisite for transition … Return to Top Transition Support ("Boundary Spanning") Requires inter-team knowledge Combines

27. Toolkit to Engage High-Risk Patients In Safe Transitions Across Ambulatory Settings | Agency for Healthcare Research and Quality
    www.monahrq.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

28. Medication Discrepancies and Potential Adverse Drug Events During Transfer of Care from Hospital to Home | Agency for Healthcare Research and Quality
    www.monahrq.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

29. AHRQ's Digital Solutions to Support Care Transitions Challenge | Agency for Healthcare Research and Quality
    www.monahrq.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

30. SITUATION MONITORING (ppt file)
    www.monahrq.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/rrs/rrsinstructmod.ppt
    January 01, 2008 - 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? … An example of transition support is an individual who serves on more than one team in an assembly line … ”) SAY: In the context of the RRS, transition support applies to the liaison roles taken on by nurses … This transition of care can include: Transferring the patient to another unit.

31. Implementing the New CAHPS® Protocol for Obtaining Patient Comments About Their Care (pdf file)
    www.monahrq.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

32. Publications and Additional Materials | Agency for Healthcare Research and Quality
    www.monahrq.ahrq.gov/pqmp/publications/search.html?page=2
    August 01, 2016 - with disabilities Development and validation of the adolescent assessment of preparation for transition … Development and validation of the adolescent assessment of preparation for transition: a novel patient … Keywords: Quality measure The effectiveness of family-centered transition processes from hospital … The effectiveness of family-centered transition processes from hospital settings to home: a review of

33. Creative Strategies to Improve Patient Care Experience - Part 3 Nemhard (pdf file)
    www.monahrq.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/cahps-creative-strategies-nembhard.pdf
    January 01, 2014 - 1 hour Topic 2 Care Coordination Documentation 1 hour Topic 3 Panel Management 1 hour Topic 4 Transition … Care Part 1 2 hours Topic 5 Transition Care Part 2 2 hours Topic 6 Transition Care Part 3/Medication

34. Caregivers of children discharged from the hospital who report receiving written discharge instructions | Agency for Healthcare Research and Quality
    www.monahrq.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

35. Caregivers of children discharged from the hospital | Agency for Healthcare Research and Quality
    www.monahrq.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

36. Caregivers of children discharged from the hospital should report being offered assistance in scheduling within 72 hours of discharge from the hospital | Agency for Healthcare Research and Quality
    www.monahrq.ahrq.gov/pqmp/measures/offered-assistance-scheduling.html
    August 01, 2021 -   (PDF) Quality of Pediatric Emergency Department-to-Home Transitions Survey Spanish Version  (PDF) Transition

37. Caregivers of children discharged from the hospital should report that, prior to their child’s most recent discharge, they had an opportunity to ask questions | Agency for Healthcare Research and Quality
    www.monahrq.ahrq.gov/pqmp/measures/opportunity-ask-questions.html
    August 01, 2021 -    (PDF) Quality of Pediatric Emergency Department-to-Home Transitions Survey Spanish Version  (PDF) Transition

38. Caregivers of children discharged from the hospital should report that prior to discharge, they received a copy of or access to discharge instructions | Agency for Healthcare Research and Quality
    www.monahrq.ahrq.gov/pqmp/measures/access-discharge-instructions.html
    August 01, 2021 -    (PDF) Quality of Pediatric Emergency Department-to-Home Transitions Survey Spanish Version  (PDF) Transition

39. A Boost for Health Services Research | Agency for Healthcare Research and Quality
    www.monahrq.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

40. Caregivers of children discharged from the hospital whose preferred language is other than English should report that they received discharge education in their preferred language | Agency for Healthcare Research and Quality
    www.monahrq.ahrq.gov/pqmp/measures/preferred-language.html
    August 01, 2021 -    (PDF) Quality of Pediatric Emergency Department-to-Home Transitions Survey Spanish Version  (PDF) Transition