-
digital.ahrq.gov/sites/default/files/docs/citation/r01hs024537-sockolow-final-report-2020.pdf
January 01, 2020 - Problems exist with information transfer during the transition to HHC(5, 8, 10-
15) and HHC clinicians … The Joint Commission defines accurate communication of medication information
across the transition … Getting to complete and accurate medication lists during the transition to home health care. … Hospital to nursing home transition challenges: perceptions of
nursing home staff. … Transition to home care:
Quality of mental health, pharmacy, and medical history information.
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digital.ahrq.gov/sites/default/files/docs/coordination-patients-complex-needs-slides-022014.pdf
February 20, 2014 - Discharge Process: Response Always or Usually (n = 150)
Baseline Intervention p-value
The care transition … February 20, 2014
28
Background
• Managing medications during the transition to home
health … Summary: to patient’s medical home
o Letter: to patient
o Release of information request: to care transition … • Sites already receiving patient care transition
information requested interventions turned off. … necessary; 69% were completed.
65
Discussion
• Conclusions
► Demonstrated CDS facilitated care transition
-
www.ahrq.gov/ncepcr/reports/grants-transform/references.html
March 01, 2017 - Multi-Method Evaluation of Physician Group Incentive Programs for Patient-Centered Medical Home Transition … Becoming a patient-centered medical home: a 9-year transition for a network of Federally Qualified Health
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www.ahrq.gov/patient-safety/resources/learning-lab/index.html
April 01, 2025 - The project 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 . … Improve transition of care outcomes after the ED encounter was complete by reducing: (a) unnecessary … Re-engineering Postnatal Unit Care and the Transition Home to Reduce Perinatal Morbidity and Mortality … Re-engineering Postnatal Unit Care and the Transition Home to Reduce Perinatal Morbidity and Mortality
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psnet.ahrq.gov/primer/patient-safety-indicators
June 15, 2024 - PSIs have since been updated and refined annually to stay current with coding updates (such as the transition … This transition has prompted a body of research on evaluating, measuring, and preventing patient safety … In 2022, CMS published the Digital Quality Measures Strategic Roadmap , which outlines its transition
-
psnet.ahrq.gov/issue/developing-standard-handoff-process-operating-room-icu-transitions-multidisciplinary
February 06, 2019 - July 5, 2023
Care transition of trauma patients: processes with articulation work before
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psnet.ahrq.gov/web-mm/admission-drug-dose-too-low
September 01, 2011 - orders to all of the medications that the patient has been taking.( 2 ) This should be done at every transition … Safety Goal, focusing nationwide attention on the issue of inpatient medication errors as patients transition … called to the floor was not appropriately acted upon, perhaps secondary to nursing inexperience, a transition
-
hcup-us.ahrq.gov/tech_assist/toolstutorial/508/508course.jsp
January 01, 2020 - provide information about the International Classification of Diseases (ICD) coding system, including the transition … The transition replaced the ICD-9-CM diagnosis and procedure coding system with the ICD-10-CM diagnosis … The number of both diagnosis and procedure codes increased with the transition to ICD-10-CM/PCS. … Key Difference 2: Diagnostic information is removed from procedure codes
With the transition … In addition, the tutorial provided a high-level overview of how the transition from ICD-9-CM to ICD-10
-
psnet.ahrq.gov/issue/effectiveness-pharmacist-intervention-reduce-medication-errors-and-health-care-resources
August 04, 2021 - Medication-related interventions to improve medication safety and patient outcomes on transition
-
digital.ahrq.gov/location/usa-oh-columbus
January 01, 2023 - A Randomized Clinical Trial of Smartphone Virtual Reality for Pain Management During Burn Care Transition
-
www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/20150317/christopher_sellers.pdf
January 01, 2014 - between 100-146% FPL
• CHIP-funded
• AL Medicaid administered
Medicaid/CHIP Churning
• As relates to transition
-
www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/0129table8.pdf
January 01, 2013 - Evidence Key Findings Citation
Readmission and Quality of Care Coordination, Discharge, and Care
Transition … Preventing the
rebound: improving care
transition in hospital
discharge processes. … Intense self-management
and transition coaching of
patients at high risk of
readmission, and the use … patients at the time of
hospitalization and
randomized them to receive
routine care or a care
transition … to take a
more active role in self-care;
and 3) continuity across
settings and guidance from
a transition
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psnet.ahrq.gov/issue/toolkit-using-ahrq-quality-indicators-how-improve-hospital-quality-and-safety
August 01, 2012 - The updated toolkit represents adjustments made to the AHRQ Quality Indicators to support the transition
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psnet.ahrq.gov/web-mm/sepsis-resulting-delays-treatment-and-miscommunication-among-specialists
February 26, 2025 - complex surgical patients to follow up with the provider who saw them in the hospital to improve the transition … benefit from dedicating resources to develop a robust post-discharge follow-up program that supports the transition … post-discharge follow-up programs require bundled care changes that span the inpatient and outpatient transition
-
datatools.ahrq.gov/nhqdr/
January 01, 2023 - Measures of care coordination include measures of transition of care, sharing medication information, … Measures of care coordination include measures of transition of care, sharing medication information, … Measures of care coordination include measures of transition of care, sharing medication information, … It also looks at short-term post-acute care to safely transition people from the hospital to independent
-
www.ahrq.gov/teamstepps-program/curriculum/communication/overview/index.html
June 01, 2023 - watcher," unstable
Patient Summary
Summary statement
Events leading up to admission or care transition
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/howtogetstarted/Ways_To_Learn_More_508.pdf
October 28, 2009 - Patient Safety organization,
provides patients and families the tools that will help smooth their transition … patients with complex care needs and their family
caregivers receive specific tools and work with a Transition … CoachTM to learn self-
management skills that will ensure that patient needs are met during the transition
-
www.ahrq.gov/ncepcr/care/coordination/atlas/chapter5.html
June 01, 2014 - The program aims to achieve this by actively facilitating the transition from the inpatient to outpatient … setting, using a patient-centered case management approach to facilitate care during this transition … Intervention mechanism: Facilitate transition from inpatient to outpatient setting → Domain: Facilitate
-
www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/highlights/ps-project-highlights-care-coordination.pdf
June 01, 2024 - 2008
$191,840
Purpose: To improve the quality, safety, and continuity of patient care during the
transition … Patients who transition from one ambulatory care facility clinician
to another are especially vulnerable … The Index of Home Health Care Transition Quality, a 12-item count of safe transition
practices available … Wisconsin - Madison
Madison, Wisconsin
R36 HS21984
[Grant]
Medication List
Consistency When
Patients Transition … Techniques
for Transitions of
Care in Integrated
Delivery Systems
2002-2003
$99,916
Purpose: To examine transition
-
psnet.ahrq.gov/issue/disparate-perspectives-exploring-healthcare-professionals-misaligned-mental-models-older
May 11, 2022 - May 11, 2022
Care transition of trauma patients: processes with articulation work before