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1. TFC6: Transition Record Contents (pdf file)
   www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/pqmp/toolkits/overall-charts.pdf
   January 29, 2021 - TFC6: Transition Record Contents Av er … 19 N ov 20 19 D ec 20 20 J an 0 20 40 60 80 100 0 85 100 TFC6: Transition … 20 19 N ov 20 19 D ec 20 20 J an 0 10 20 30 40 0 12.9 40 TFC6: Transition

2. TFC6: Transition Record Contents (pdf file)
   www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/pqmp/toolkits/tfc6-allsites.pdf
   January 01, 2020 - TFC6: Transition Record Contents … TFC6: Transition Record Contents

3. Family Experiences with Coordination of Care (FECC) Measure: Child has written transition plan | Agency for Healthcare Research and Quality
   www.qualitymeasures.ahrq.gov/pqmp/measures/fecc-child-written-transition-plan.html
   August 01, 2021 - Measures Family Experiences with Coordination of Care (FECC) Measure: Child has written transition … Family Experiences with Coordination of Care (FECC) Measure: Child has written transition … Internet Citation: Family Experiences with Coordination of Care (FECC) Measure: Child has written transition … https://www.ahrq.gov/pqmp/measures/fecc-child-written-transition-plan.html  

4. Children admitted to the hospital should have documentation in their hospital medical record of a transition record | Agency for Healthcare Research and Quality
   www.qualitymeasures.ahrq.gov/pqmp/measures/documentation.html
   August 01, 2021 - Children admitted to the hospital should have documentation in their hospital medical record of a transition … Associated NQF # and Name:  None Measure Technical Specifications and Other Supporting Documents: Transition … Measures MR Abstraction Tool Guidelines  (DOC) Transition Measures MR List of Questions  (DOC) Transition … Measures MR Abstraction Tool  (DOC) Transition Measures MR Scoring Specifications  (DOCX) Transition … Children admitted to the hospital should have documentation in their hospital medical record of a transition

5. Adolescent Assessment of Preparation for Transition (ADAPT) Survey | Agency for Healthcare Research and Quality
   www.qualitymeasures.ahrq.gov/pqmp/measures/adapt-survey.html
   August 01, 2021 - Quality Measures Program PQMP Measures Adolescent Assessment of Preparation for Transition … Quality Improvement PQMP Grantees Adolescent Assessment of Preparation for Transition … Transitions PQMP COE:  CEPQM Associated NQF # and Name:  2789, Adolescent Assessment of Preparation for Transition … originally created August 2021 Internet Citation: Adolescent Assessment of Preparation for Transition

6. Hospitalized children transferred between the intensive care unit and general inpatient floor | Agency for Healthcare Research and Quality
   www.qualitymeasures.ahrq.gov/pqmp/measures/hospitalized.html
   August 01, 2021 - Associated NQF # and Name:  None Measure Technical Specifications and Other Supporting Documents: Transition … Measures MR Abstraction Tool Guidelines  (DOC) Transition Measures MR List of Questions  (DOC) Transition … Measures MR Abstraction Tool  (DOC) Transition Measures MR Scoring Specifications  (DOCX) Transition

7. Children/adolescents admitted to the hospital with psychotic symptoms who are not currently taking antipsychotics | Agency for Healthcare Research and Quality
   www.qualitymeasures.ahrq.gov/pqmp/measures/adolescents-antipsychotic-medications.html
   August 01, 2021 - Measure Technical Specifications and Other Supporting Documents: Transition Measures MR Abstraction Tool … Guidelines  (DOC) Transition Measures MR List of Questions  (DOC) Transition Measures MR Abstraction … Tool  (DOC) Transition Measures MR Scoring Specifications  (DOCX) Transition Measures MR Electronic

8. Adolescent Depression Monitoring | Agency for Healthcare Research and Quality
   www.qualitymeasures.ahrq.gov/pqmp/measures/adolescent-depression.html
   August 01, 2021 - Associated NQF # and Name:  None Measure Technical Specifications and Other Supporting Documents: Transition … Measures MR Abstraction Tool Guidelines  (DOC) Transition Measures MR List of Questions  (DOC) Transition … Measures MR Abstraction Tool  (DOC) Transition Measures MR Scoring Specifications  (DOCX) Transition

9. Adolescents who present to the ED with psychotic symptoms should receive the laboratory tests | Agency for Healthcare Research and Quality
   www.qualitymeasures.ahrq.gov/pqmp/measures/adolescents-psychotic-symptoms.html
   August 01, 2021 - Abuse in the Emergency Department Measure Technical Specifications and Other Supporting Documents: Transition … Measures MR Abstraction Tool Guidelines  (DOC) Transition Measures MR List of Questions  (DOC) Transition … Measures MR Abstraction Tool  (DOC) Transition Measures MR Scoring Specifications  (DOCX) Transition

10. Children/adolescents admitted to the hospital with a diagnosis of psychotic disorder should have documentation in their medical record of a baseline metabolic | Agency for Healthcare Research and Quality
    www.qualitymeasures.ahrq.gov/pqmp/measures/adolescents-psychotic-disorder.html
    August 01, 2021 - Measure Technical Specifications and Other Supporting Documents: Transition Measures MR Abstraction Tool … Guidelines  (DOC) Transition Measures MR List of Questions  (DOC) Transition Measures MR Abstraction … Tool  (DOC) Transition Measures MR Scoring Specifications  (DOCX) Transition Measures MR Electronic

11. Children/adolescents admitted to the hospital with psychotic symptoms should have a psychiatric consult (in person or tele-psychiatry) within 24 hours of admission | Agency for Healthcare Research and Quality
    www.qualitymeasures.ahrq.gov/pqmp/measures/adolescents-psychiatric-consult.html
    August 01, 2021 - Associated NQF # and Name:  None Measure Technical Specifications and Other Supporting Documents: Transition … Measures MR Abstraction Tool Guidelines  (DOC) Transition Measures MR List of Questions  (DOC) Transition … Measures MR Abstraction Tool  (DOC) Transition Measures MR Scoring Specifications  (DOCX) Transition

12. Children discharged from the hospital should have documentation in their hospital medical record that the receiving outpatient follow–up provider was contacted by a hospital provider between 24 hours before and 48 hours following the patient’s discharge | Agency for Healthcare Research and Quality
    www.qualitymeasures.ahrq.gov/pqmp/measures/outpatient-follow-up.html
    August 01, 2021 - Associated NQF # and Name:  None Measure Technical Specifications and Other Supporting Documents: Transition … Measures MR Abstraction Tool Guidelines    (DOC) Transition Measures MR List of Questions    (DOC) Transition … Measures MR Abstraction Tool    (DOC) Transition Measures MR Scoring Specifications    (DOCX) Transition

13. Potentially Preventable Readmissions: Conceptual Framework To Rethink the Role of Primary Care: Final Report (pdf file)
    www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/patient-safety/rev-finalreport-update-2021.pdf
    January 01, 2021 - These individual care transition strategies are part of a broader movement in primary care toward the … Evidence on Primary Care Transition Strategies Intervention Outcomes Primary care notifications when … A second theme is that many primary care-initiated care transition programs occurred within the context … This finding contrasts with most hospital-based care transition efforts that can be effective without … As such, primary care-based transition programs may be justified by value added either in experiential

14. The Medical Home Index: Revised Short Form: Pediatric. Measuring the Organization and Delivery of Pediatric Primary Care for All Children, Youth, and Families (pdf file)
    www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/demoeval/what-we-learned/mhi-rsf.pdf
    May 29, 2013 - Transition to adulthood indicator #2.5 revised 2006; Medical Home Index revised to create MHI-RSF 2012 … Transition to adulthood indicator #2.5 revised 2006; Medical Home Index revised to create MHI-RSF 2012 … Transition to adulthood indicator #2.5 revised 2006; Medical Home Index revised to create MHI-RSF 2012 … Transition to adulthood indicator #2.5 revised 2006; Medical Home Index revised to create MHI-RSF 2012 … Adult providers offer an initial "welcome" visit and a review of transition goals.

15. Primarycareeffortstoreducereadmissions-Envscan (pdf file)
    www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/patient-safety/PrimaryCareEffortsToReduceReadmissions-envscan.pdf
    March 01, 2020 - Key Findings • The primary care-based literature on care transition programs is less developed than … Care transition programs in the context of more general primary care transformation efforts, such as … Primary care may play a small to large role in care transition interventions, and the complexity of … In both cases, a care navigator meets the patient face to face to assist in the care transition, but … Impact of an integrated transition management program in primary care on hospital readmissions.

16. Design Guide for Implementing Warm Handoffs (pdf file)
    www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/pfeprimarycare/warmhandoff-designguide.pdf
    December 01, 2017 - Identify all patient transition points within the practice ...................................2 Step … In each transition, opportunities arise for breakdowns in communication that may lead to medical errors … Identify all patient transition points within the practice. … For each transition identified in Step 1, determine: � Who the sender is. � Who the receiver is. … Example Table To Document Patient Transition Points Person Giving Information?

17. Introducing the CAHPS Child Hospital Survey (pdf file)
    www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/20150122/4_zoe_vecchio_and_sandra_schultz.pdf
    February 11, 2015 - Customer Service Zoë Vecchio Director of Service Excellence 49 Agenda 1.CHOC’s choice to transition … to Child HCAHPS 2.Our approach to physician engagement 50 CHOC’s choice to transition to Child … CAHPS Webcast Agenda CHOC’s Choice to Transition to Child HCAHPS Our Approach to Physician Engagement

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

19. Chapter 6. Measure Maps and Profiles (continued, 21) | Agency for Healthcare Research and Quality
    www.qualitymeasures.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

20. Supplemental Items for the CAHPS Hospital Survey: Interpreter Services | Agency for Healthcare Research and Quality
    www.qualitymeasures.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."