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ce.effectivehealthcare.ahrq.gov/pqmp/measures/hospitalized.html
August 01, 2021 - general inpatient floor
Measure Domain: Management of Acute Conditions Measure Sub-Domain: Transitions
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ce.effectivehealthcare.ahrq.gov/news/events/conference/2011/naylor/index.html
October 01, 2014 - Ware Professor in Gerontology
Director, NewCourtland Center for Transitions and Health
University of … Community-Based Care Transitions Program.
Patient Centered Medical Homes. … Slide 26
What do we know about effects of transitions among elderly long-term care recipients over … Focuses on transitions of high-risk cognitively intact and impaired older adults across multiple settings … At National Level
National goals, endorsed measures and public reporting platforms that focus on transitions
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ce.effectivehealthcare.ahrq.gov/ncepcr/care/coordination/atlas/chapter6l.html
June 01, 2014 -
Interpersonal communication
Information transfer
■
Facilitate transitions … professional(s) and patient/family: 18, 21
Across health care teams or settings: 16
Facilitate transitions …
Interpersonal communication
Information transfer
■
Facilitate transitions …
Interpersonal communication
■
Information transfer
■
Facilitate transitions … □
Interpersonal communication
Information transfer
□
Facilitate transitions
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ce.effectivehealthcare.ahrq.gov/ncepcr/care/coordination/atlas/chapter6o.html
June 01, 2014 -
Interpersonal communication
Information transfer
■
Facilitate transitions …
Interpersonal communication
□
Information transfer
□
Facilitate transitions …
Interpersonal communication
□
Information transfer
■
Facilitate transitions … ) and patient/family: 1, 6, 7, 14-23
Across health care teams or settings: 2-4
Facilitate transitions …
Interpersonal communication
■
Information transfer
■
Facilitate transitions
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ce.effectivehealthcare.ahrq.gov/ncepcr/care/coordination/atlas/chapter6u.html
June 01, 2014 - Safe Transitions Community Physician Office Best Practice Measures
79. …
Interpersonal communication
Information transfer
□
Facilitate transitions … Communicate
Information transfer
Across health care teams or settings
Facilitate transitions … month old bracket); 6.18 (10-18 month old bracket); 6.15 (19-48 month old bracket)
Facilitate transitions … transfer:
Across health care teams or settings: HZ_Q02, HZ_Q08B, EP_Q04, EP_Q06
Facilitate transitions
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ce.effectivehealthcare.ahrq.gov/news/newsroom/case-studies/202001.html
April 01, 2020 - Our goal was to improve handoffs and transitions from the ED to inpatient units, which affects patient … LincolnHealth also aimed to increase scores on two survey composite measures: "Handoffs and Transitions … In addition, the hospital’s survey scores improved in the domain of "Handoffs and Transitions" by 8 percent
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/news/events/conference/2011/naylor/naylor.pptx
January 01, 2011 - Ware Professor in Gerontology
Director, NewCourtland Center for Transitions and Health
University of … Major Affordable Care Act Provisions
Center for Medicare and Medicaid Innovation
Community-Based Care Transitions … 0.620000000000002 0.42 0.29 0.2 Days
Mean No Rehosp Days
What do we know about effects of transitions … Hillman Foundation and the Jonas Center for Excellence
www.transitionalcare.info
The TCM…
Focuses on transitions … Drivers
At National Level
National goals, endorsed measures and public reporting platforms that focus on transitions
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ce.effectivehealthcare.ahrq.gov/pqmp/measures/index.html?page=2
May 01, 2024 - Measure Domain
Management of Acute Conditions
(54)
Overuse of Imaging
(8)
Transitions … (2)
Pediatric Intensive Care Unit (PICU)
(2)
Temperatures of Low Birthweight Neonates
(2)
Transitions … of Care)
(5)
Pediatric Oral Health
(2)
Health Outcomes
(1)
Patient Experience
(1)
Transitions
-
ce.effectivehealthcare.ahrq.gov/sites/default/files/publications/files/caremgmt-brief.pdf
April 01, 2015 - It is well understood that poorly executed transitions of care between different locations (e.g.,
from … present
the greatest risks and targeting CM services to patients undergoing those transitions should … Promoting effective transitions of care at hospital
discharge: a review of key issues for hospitalists … Impact of an integrated transitions management
program in primary care on hospital readmissions. … Preparing patients and caregivers to participate in care delivered
across settings: The Care Transitions
-
ce.effectivehealthcare.ahrq.gov/pqmp/measures/outpatient-follow-up.html
August 01, 2021 - the patient’s discharge
Measure Domain: Management of Acute Conditions Measure Sub-Domain: Transitions
-
ce.effectivehealthcare.ahrq.gov/pqmp/measures/adapt-survey.html
August 01, 2021 - : Patient-Reported Outcomes (Health Outcomes and Patient Experiences of Care) Measure Sub-Domain: Transitions
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ce.effectivehealthcare.ahrq.gov/patient-safety/settings/hospital/match/figure-4.html
July 01, 2022 - Safety News and Events
Education & Training
Resources
Medications at Transitions … Process Map After Redesign
Previous Page Next Page
Table of Contents
Medications at Transitions
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ce.effectivehealthcare.ahrq.gov/patient-safety/settings/hospital/match/figure-6.html
July 01, 2022 - Safety News and Events
Education & Training
Resources
Medications at Transitions … Nursing—Medication Reconciliation
Previous Page Next Page
Table of Contents
Medications at Transitions
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ce.effectivehealthcare.ahrq.gov/patient-safety/settings/hospital/match/figure-5.html
July 01, 2022 - Safety News and Events
Education & Training
Resources
Medications at Transitions … Medication Management Essentials
Previous Page Next Page
Table of Contents
Medications at Transitions
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ce.effectivehealthcare.ahrq.gov/patient-safety/settings/hospital/match/figure-1.html
July 01, 2022 - Safety News and Events
Education & Training
Resources
Medications at Transitions … Process Map Before Redesign
Previous Page Next Page
Table of Contents
Medications at Transitions
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ce.effectivehealthcare.ahrq.gov/patient-safety/settings/hospital/match/figure-3.html
July 01, 2022 - Safety News and Events
Education & Training
Resources
Medications at Transitions … Process Map After Redesign
Previous Page Next Page
Table of Contents
Medications at Transitions
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ce.effectivehealthcare.ahrq.gov/patient-safety/settings/hospital/match/figure-2.html
July 01, 2022 - Safety News and Events
Education & Training
Resources
Medications at Transitions … Process Map Before Redesign
Previous Page Next Page
Table of Contents
Medications at Transitions
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ce.effectivehealthcare.ahrq.gov/patient-safety/settings/hospital/match/table-5.html
July 01, 2022 - Safety News and Events
Education & Training
Resources
Medications at Transitions … and Addressing Barriers
Previous Page Next Page
Table of Contents
Medications at Transitions
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ce.effectivehealthcare.ahrq.gov/patient-safety/settings/hospital/match/figure-7.html
July 01, 2022 - Safety News and Events
Education & Training
Resources
Medications at Transitions … Pharmacy—Medication Reconciliation
Previous Page Next Page
Table of Contents
Medications at Transitions
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/pfeprimarycare/warmhandoff-designguide.pdf
December 01, 2017 - In some cases, transitions may not even be conducted in person. … Next, you need to understand how the many types of transitions currently occur. … Although your ultimate goal may be to make all transitions warm
handoffs, you may want to start with … Once you have selected your target transitions, you need to understand the workflow of everyone
involved … in those transitions.