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21. Heart-Failure-Transition-Care Executive (pdf file)
    effectivehealthcare-admin.ahrq.gov/sites/default/files/related_files/heart-failure-transition-care_executive.pdf
    May 01, 2014 - authorized by the Affordable Care Act.6 This policy provides incentives for hospitals to develop effective transition … home health, outpatient followup), and symptom monitoring or reinforcement of education during the transition … No clear consensus exists about when the transition period ends. … chronic HF disease management, gaps remain in knowledge about effective interventions to support the transition … care, MDS-HF); home visits; telemonitoring (including remote clinical visits); telephone support; transition

22. Heart-Failure-Transition-Care Clinician (pdf file)
    effectivehealthcare.ahrq.gov/sites/default/files/pdf/heart-failure-transition-care_clinician.pdf
    October 01, 2015 - Transitional Care Interventions To Prevent Readmissions for People With Heart Failure Focus of This Summary This is a summary of a systematic review evaluating the evidence regarding the efficacy, comparative effectiveness, and harms of transitional care interventions (defined in Table 1) that aim to reduce readmiss…

23. Heart-Failure-Transition-Care Clinician (pdf file)
    effectivehealthcare-admin.ahrq.gov/sites/default/files/pdf/heart-failure-transition-care_clinician.pdf
    October 01, 2015 - Transitional Care Interventions To Prevent Readmissions for People With Heart Failure Focus of This Summary This is a summary of a systematic review evaluating the evidence regarding the efficacy, comparative effectiveness, and harms of transitional care interventions (defined in Table 1) that aim to reduce readmiss…

24. A Seasonal Care Transition Failure | PSNet
    psnet.ahrq.gov/web-mm/seasonal-care-transition-failure
    June 01, 2016 - A Seasonal Care Transition Failure Citation Text: Young JQ. … A Seasonal Care Transition Failure. PSNet [internet]. … A Seasonal Care Transition Failure. PSNet [internet]. … symptoms.( 12-14 ) This potentially heightened acuity makes monitoring even more critical during the transition … A Seasonal Care Transition Failure. PSNet [internet].

25. children-special-needs-transition-protocol-131003 (pdf file)
    effectivehealthcare.ahrq.gov/sites/default/files/pdf/children-special-needs-transition_research-protocol.pdf
    October 01, 2013 - Examples of transition models include the use of a separate clinic for transition activities, a phased … the effectiveness of transition models. … Description of the context for implementing transition care a. … What are the resources needed to implement transition care? c. … Center (Got Transition?)

26. children-special-needs-transition-protocol-131003 (pdf file)
    effectivehealthcare-admin.ahrq.gov/sites/default/files/pdf/children-special-needs-transition_research-protocol.pdf
    October 01, 2013 - Examples of transition models include the use of a separate clinic for transition activities, a phased … the effectiveness of transition models. … Description of the context for implementing transition care a. … What are the resources needed to implement transition care? c. … Center (Got Transition?)

27. Recurrent Hypoglycemia: A Care Transition Failure? | PSNet
    psnet.ahrq.gov/web-mm/recurrent-hypoglycemia-care-transition-failure
    December 23, 2020 - SPOTLIGHT CASE Recurrent Hypoglycemia: A Care Transition Failure? … Recurrent Hypoglycemia: A Care Transition Failure?. PSNet [internet]. … Recurrent Hypoglycemia: A Care Transition Failure?. PSNet [internet]. … Even better, the presence of a true EHR would have markedly facilitated the transition of care from the … Recurrent Hypoglycemia: A Care Transition Failure?. PSNet [internet].

28. Transition Care for Children With Special Health Needs | Effective Health Care (EHC) Program
    effectivehealthcare.ahrq.gov/products/children-special-needs-transition
    October 24, 2013 - Transition Care for Children With Special Health Needs Timeline October 03, 2013 … Special Health Care Needs June 17, 2014 Technical Brief Archived Transition

29. 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  

30. Family Experiences with Coordination of Care (FECC) Measure: Child has written transition plan | Agency for Healthcare Research and Quality
    www.monahrq.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  

31. Family Experiences with Coordination of Care (FECC) Measure: Child has written transition plan | Agency for Healthcare Research and Quality
    www.talkingquality.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  

32. Family Experiences with Coordination of Care (FECC) Measure: Child has written transition plan | Agency for Healthcare Research and Quality
    www.innovations.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  

33. Family Experiences with Coordination of Care (FECC) Measure: Child has written transition plan | Agency for Healthcare Research and Quality
    www.cahps.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  

34. Family Experiences with Coordination of Care (FECC) Measure: Child has written transition plan | Agency for Healthcare Research and Quality
    ce.effectivehealthcare.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  

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

36. Transition Care for Children With Special Health Needs | Effective Health Care (EHC) Program
    effectivehealthcare-admin.ahrq.gov/products/children-special-needs-transition/technical-brief
    December 01, 2019 - Fewer than half receive adequate support and services for their transition to adult care. … include use of a separate transition clinic, engagement of a transition coordinator, and a phased transfer … The Got Transition resource provides a framework for transition care that can be adapted to serve the … Common components of care included use of a transition coordinator, a special clinic for young adults … in transition and provision of educational materials, sometimes using computer-based programming.

37. e-Coaching: Interactive Voice Response-Enhanced Care Transition Support for Complex Patients | Digital Healthcare Research
    digital.ahrq.gov/ahrq-funded-projects/e-coaching-interactive-voice-response-enhanced-care-transition-support-complex
    January 01, 2023 - e-Coaching: Interactive Voice Response-Enhanced Care Transition Support for Complex Patients … The Care Transition Intervention (CTI) was developed to address this problem. … The care transition nurses called patients with red flags and helped them with their problems. … e-Coaching: Interactive Voice Response-Enhanced Care Transition Support for Complex Patients - 2012 … The E-Coach technology-assisted care transition system: a pragmatic randomized trial.

38. Transition Care for Children With Special Health Needs | Effective Health Care (EHC) Program
    effectivehealthcare.ahrq.gov/products/children-special-needs-transition/technical-brief
    June 17, 2014 - 2013 Research Protocol Jun. 17, 2014 Technical Brief Sep. 17, 2014 Disposition of Comments Report Transition … Fewer than half receive adequate support and services for their transition to adult care. … include use of a separate transition clinic, engagement of a transition coordinator, and a phased transfer … Methods We had conversations with Key Informants representing clinicians who provide transition care … The Got Transition resource provides a framework for transition care that can be adapted to serve the

39. Medication errors in the care transition of trauma patients | PSNet
    psnet.ahrq.gov/issue/medication-errors-care-transition-trauma-patients
    September 02, 2020 - Study Medication errors in the care transition of trauma patients Citation … Medication errors in the care transition of trauma patients. … Medication errors in the care transition of trauma patients.

40. Failure events in transition of care for surgical patients. | PSNet
    psnet.ahrq.gov/issue/failure-events-transition-care-surgical-patients
    October 19, 2022 - Study Failure events in transition of care for surgical patients. … Failure events in transition of care for surgical patients. … Failure events in transition of care for surgical patients.