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digital.ahrq.gov/ahrq-funded-projects/implementing-personalized-cross-sector-transitional-care-management-promote
January 01, 2024 - Research Story
Using health information exchange to identify high-need patients during care transitions … HS028000
Funding Mechanism(s)
Improving Quality of Care and Patient Outcomes During Care Transitions … The AHRQ-funded Coordinating Transitions Intervention (CTI) project provides evidence that health information … However, failure to consistently identify HNHC patients during care transitions results in high rates … Using health information exchange to support transitions in care
People with multiple complex chronic
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digital.ahrq.gov/sites/default/files/docs/page/2006Rosati_052411comp.pdf
June 05, 2006 - e-transitions: Improving the Transition to Home Health Care Using an Electronic Communication System … Available to Physicians, Discharge Planners, Home Health Nurses and Patients
e-transitions: Improving … HHA Clinical
Record System
Patient/Caregiver
What Is e-transitions? … Web-based System
Web-based System (cont’d)
e-transitions Model
What Is e-transitions? … Process Evaluation of Web-based System (e-transitions)
Acknowledgements
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digital.ahrq.gov/ahrq-funded-projects/electronic-prescribing-and-electronic-transmission-discharge-medication-lists/citation/risk
January 01, 2023 - Risk factors for unexplained medication discrepancies during transitions in care. … Risk factors for unexplained medication discrepancies during transitions in care.
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digital.ahrq.gov/health-it-tools-and-resources/health-it-bibliography/transitions-care/falling-through-cracks
May 10, 2021 - Needs
Every day, patients with continuous, complex care needs make hundreds of thousands of transitions … During transitions between settings, this population is particularly vulnerable to experiencing poor … The many adverse effects of poorly executed transitions on patients and their informal caregivers are … care and then discusses the nature of the problem, its prevalence, manifestations of poorly executed transitions … Necessary elements for effective transitions are then presented, followed by promising new directions
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digital.ahrq.gov/sites/default/files/docs/activity/r18hs017795-eisenstein-annual-summary-2012.pdf
January 01, 2012 - Improving Care Transitions for Complex Patients Through Decision Support
AMBULATORY SAFETY AND QUALITY … MANAGEMENT OF
INDIVIDUALS WITH COMPLEX HEALTHCARE NEEDS THROUGH HEALTH IT (R18)
1 | IMPROVING CARE TRANSITIONS … FOR COMPLEX PATIENTS THROUGH DECISION SUPPORT
Improving Care Transitions for Complex … is sent to patients and clinic-
based caregivers; 2) information on care transitions is sent to patients … Impact and Findings: The decision support system was able to detect care transitions for this study
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digital.ahrq.gov/principal-investigator/gong-yang
January 01, 2024 - Yun
Gong, Yang
Project Name
Patient Engagement in Reporting Medication Events During Transitions … The acceptance and use of digital technologies for self-reporting medication safety events after care transitions … The acceptance and use of digital technologies for self-reporting medication safety events after care transitions … Yun
Gong, Yang
Project Name
Patient Engagement in Reporting Medication Events During Transitions … of Care
Patient Engagement in Reporting Medication Events During Transitions
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digital.ahrq.gov/principal-investigator/jiang-yun
January 01, 2024 - Yun
Gong, Yang
Project Name
Patient Engagement in Reporting Medication Events During Transitions … The acceptance and use of digital technologies for self-reporting medication safety events after care transitions … The acceptance and use of digital technologies for self-reporting medication safety events after care transitions … Yun
Gong, Yang
Project Name
Patient Engagement in Reporting Medication Events During Transitions … of Care
Patient Engagement in Reporting Medication Events During Transitions
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digital.ahrq.gov/principal-investigator/wood-kenneth
January 01, 2023 - Wood, Kenneth
Improving Rural Healthcare Transitions Through Health … Improving Rural Healthcare Transitions Through Health Information Exchange - Final Report. … Principal Investigator
Wood, Kenneth
Project Name
Improving Rural Healthcare Transitions … Principal Investigator
Wood, Kenneth
Project Name
Improving Rural Healthcare Transitions … Through Health Information Exchange
Improving Rural Healthcare Transitions Through
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digital.ahrq.gov/principal-investigator/dalal-anuj-k
September 26, 2019 - Project Name
Interactive Patient-Centered Discharge Toolkit To Promote Self-Management During Transitions … Project Name
Interactive Patient-Centered Discharge Toolkit To Promote Self-Management During Transitions … Project Name
Interactive Patient-Centered Discharge Toolkit To Promote Self-Management During Transitions … Interactive Patient-Centered Discharge Toolkit To Promote Self-Management During Transitions - Final … Role of Health IT to Improve Care Transitions
Event Date
September
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digital.ahrq.gov/sites/default/files/docs/care-transitions-discussion-052313.pdf
December 01, 2013 - Technical Assistance Meeting:
Improving Information Exchange for Care Transitions
Prepared … Different types of care transitions require different data types, and Dr. … Garber’s group defined
five transitions datasets:
1. … IMPROVING INFORMATION EXCHANGE FOR CARE TRANSITIONS | 7
3. … IMPROVING INFORMATION EXCHANGE FOR CARE TRANSITIONS | 8
Question 7: Ms.
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digital.ahrq.gov/ahrq-funded-projects/using-health-information-technology-improve-health-care-quality-primary-care-va
January 01, 2023 - Using Health Information Technology to Improve Health Care Quality in Primary Care Practices and in Transitions … Using Health Information Technology to Improve Health Care Quality in Primary Care Practices and in Transitions … Using Health Information Technology to Improve Health Care Quality in Primary Care Practices and in Transitions … Using Health Information Technology to Improve Health Care Quality in Primary Care Practices and in Transitions … Using Health Information Technology to Improve Health Care Quality in Primary Care Practices and in Transitions
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digital.ahrq.gov/organizations/lewin-group-inc
January 01, 2023 - Improving Sickle Cell Transitions, Focus Group Moderator Guide: IT Developers
Description
This … Year of Survey
2013
Improving Sickle Cell Transitions, Focus Group Moderator … Year of Survey
2013
Improving Sickle Cell Transitions of Care through Health … 2012
Principal Investigator
Jain, Anjali
Project Name
Improving Sickle Cell Transitions … created recommendations for the development of a health information technology enabled tool to support transitions
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digital.ahrq.gov/organization/university-oklahoma-health-sciences-center
January 01, 2023 - Using Health Information Technology to Improve Health Care Quality in Primary Care Practices and in Transitions … Using Health Information Technology to Improve Health Care Quality in Primary Care Practices and in Transitions … Using Health Information Technology to Improve Health Care Quality in Primary Care Practices and in Transitions … Using Health Information Technology to Improve Health Care Quality in Primary Care Practices and in Transitions … Using Health Information Technology to Improve Health Care Quality in Primary Care Practices and in Transitions
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digital.ahrq.gov/ahrq-funded-projects/improving-care-transitions-complex-patients-through-decision-support/annual-summary/2012
January 01, 2012 - Improving Care Transitions for Complex Patients through Decision Support - 2012
Project … Name
Improving Care Transitions for Complex Patients through Decision Support
Principal … is sent to patients and clinic-based caregivers; 2) information on care transitions is sent to patients … in care and can conveniently communicate valuable, timely information regarding these care transitions … Impact and Findings: The decision support system was able to detect care transitions for this study’
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digital.ahrq.gov/ahrq-funded-projects/tele-toc-telehealth-education-leveraging-electronic-transitions-care-copd-patients
January 01, 2023 - TELE-TOC Telehealth Education Leveraging Electronic Transitions of Care for COPD Patients … HS027804
Funding Mechanism(s)
Improving Quality of Care and Patient Outcomes During Care Transitions … Pharmacist
Physician
Health Care Theme
Care Coordination
Medication Errors
Transitions … in Care
Transitions of care (TOC) for high-risk, frequently hospitalized adults with chronic … This intervention, called the Telehealth Education Leveraging Electronic Transitions of Care for COPD
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digital.ahrq.gov/health-it-tools-and-resources/evaluation-resources/health-it-survey-compendium/improving-sickle-cell-transitions-moderator-guide-patients
January 01, 2023 - Improving Sickle Cell Transitions, Focus Group Moderator Guide: Patients
This is a focus … Survey Document
Improving Sickle Cell Transitions, Focus Group Moderator Guide: Patients … Location
USA, VA, Falls Church
Related Project
Improving Sickle Cell Transitions of Care
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digital.ahrq.gov/organization/university-massachusetts-medical-school
January 01, 2023 - )
Cutrona, Sarah Leleiko
Using Health Information Technology to Improve Transitions … Investigator
Field, Terry
Project Name
Using Health Information Technology to Improve Transitions … Nursing Facilities (SNF) to Home
Using Health Information Technology to Improve Transitions … Investigator
Field, Terry
Project Name
Using Health Information Technology to Improve Transitions … Health Information Technology
Using Health Information Technology to Improve Transitions
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digital.ahrq.gov/sites/default/files/docs/activity/improving_care_transitions_for_complex_patients_through_decision_support_2010_pdf__2.pdf
January 01, 2010 - Improving Care Transitions for Complex Patients through Decision Support
1 | ImprovIng Care TransITIons … for Complex paTIenTs
Through DeCIsIon supporT
2010 Grant Summary
Improving Care Transitions for … is sent to patients and clinic-
based caregivers; 2) information on care transitions is sent to patients … Information-augmented care transitions between sites are expected to improve care coordination,
quality … (Upcoming)
2 | ImprovIng Care TransITIons for Complex paTIenTs
Through DeCIsIon supporT
2010 Grant
-
digital.ahrq.gov/sites/default/files/docs/activity/2011_017795_eisenstein_pdf_3.pdf
January 01, 2011 - Improving Care Transitions for Complex Patients through Decision Support
1 | ImprovIng Care TransITIons … imProving mAnAgement of
individuAlS with ComPlex heAlthCAre needS through heAlth it (r18)
Improving Care Transitions … is sent to
patients and clinic-based caregivers; 2) information on care transitions is sent to patients … Information-augmented care transitions
between sites are expected to improve care coordination, quality … (Upcoming)
2 | ImprovIng Care TransITIons for Complex paTIenTs Through DeCIsIon supporT
AmbulAtory
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digital.ahrq.gov/ahrq-funded-projects/using-health-information-technology-improve-health-care-quality-primary-care-ok
January 01, 2023 - Using Health Information Technology to Improve Health Care Quality in Primary Care Practices and in Transitions … Care
Family Medicine
Health Care Theme
Interoperability
Quality Improvement
Transitions … Using Health Information Technology to Improve Health Care Quality in Primary Care Practices and in Transitions … Using Health Information Technology to Improve Health Care Quality in Primary Care Practices and in Transitions … Using Health Information Technology to Improve Health Care Quality in Primary Care Practices and in Transitions