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digital.ahrq.gov/ahrq-funded-projects/community-shared-clinical-abstract-improve-care-mn
January 01, 2023 - Type of Care
Acute Care
Health Care Theme
Medication Reconciliation
Transitions … The lack of timely transfer of essential clinical information is a major barrier to effective care transitions … plan the use of health information technology (health IT) to improve information transfer during care transitions
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digital.ahrq.gov/ahrq-funded-projects/improving-care-transitions-complex-patients-through-decision-support/annual-summary/2010
January 01, 2010 - Improving Care Transitions for Complex Patients through Decision Support - 2010
Project … Name
Improving Care Transitions for Complex Patients through Decision Support
Principal … utilize an open source clinical decision support (CDS) application called ClinicaCDS to detect 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
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digital.ahrq.gov/ahrq-funded-projects/electronic-medication-adherence-reporting-and-feedback-during-care-transitions
January 01, 2023 - Electronic Medication Adherence Reporting and Feedback During Care Transitions
Project … Health Care Theme
Chronic Disease Management
Medication Adherence
Medication Management
Transitions … Close
Electronic Medication Adherence Reporting and Feedback During Care Transitions … Electronic Medication Adherence Reporting and Feedback During Care Transitions - Final Report. … Jeffrey Lawrence Project Name: Electronic Medication Adherence Reporting and Feedback During Care Transitions
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digital.ahrq.gov/sites/default/files/docs/citation/improving-sickle-cell-transitions-of-care-through-health-it-final-action-report.pdf
January 01, 2015 - Improving Sickle Cell Transitions of Care Through Health Information Technology: Recommendations for … Overview of Care Transitions and Role of Technology in
Care Transitions
Times of care transitions … As with age transitions,
care setting transitions are periods of increased risk for morbidity and mortality … Care setting transitions (especially from home to the ED)
2. … and Role of Technology in Care Transitions.
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digital.ahrq.gov/location/usa-va-falls-church
January 01, 2023 - USA, VA, Falls Church
Improving Sickle Cell Transitions, Focus Group … Year of Survey
2013
Improving Sickle Cell Transitions, Focus Group Moderator … 00033I-2
Principal Investigator(s)
Jain, Anjali
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/sites/default/files/docs/survey/stage3-mu-practice-manager-survey.pdf
June 16, 2021 - - Summary of Care Record sent for
≥65% of transitions of care or referrals
o ≥30% sent electronically … of
care)
- Medication Allergy (for >10% of
transitions)
- Problems (e.g., uncontrolled diabetes … )
(for >10% of transitions)
When you answer the questions in the remainder of the survey, please focus … Summary of
Care Records
Provide a summary
of care record for
more than 50% of
transitions of care … least 30% of transitions
of care and referrals of care and referrals
Include in the Summary
Care
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digital.ahrq.gov/program-overview/research-stories/patient-facing-app-improve-care-transitions-hospital-home
January 01, 2023 - A Patient-Facing App to Improve Care Transitions from Hospital to Home
Theme:
Engaging and … Care transitions from hospital to home can be a vulnerable time for patients
For hospitalized patients … To do this, the research team is developing a care transitions app for patients with multiple chronic … Patricia
Organization Brigham and Women's Hospital Research Profile Care Transitions
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digital.ahrq.gov/health-care-theme/adverse-events
January 01, 2023 - Number
R01 HS029009
Principal Investigator(s)
Sikora, Andrea
Care Transitions … intervention including a mobile health application and digital navigator training to support safe care transitions … Real-Time Symptom Monitoring Using ePROs to Prevent Adverse Events During Care Transitions … multiple chronic conditions to improve understanding of individualized risk of adverse events during care transitions … Patient Engagement in Reporting Medication Events During Transitions of Care
Description
This
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digital.ahrq.gov/sites/default/files/docs/care-transitions-slides-092619.pdf
September 26, 2019 - AHRQ National Web Conference on the Role of Health IT to Improve Care Transitions - Slides … AHRQ National Web Conference on the Role of
Health IT to Improve Care Transitions
Presented … Describe the role of health IT in improving health outcomes
during care transitions for patients with … Describe how mHealth technology can be used to improve
care coordination and transitions.
3. … Discuss the use of clinical decision support tools to improve
the quality of transitions for adults
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digital.ahrq.gov/principal-investigator/crossdori
January 01, 2024 - Name
Use of Electronic Health Record Metadata to Assess Hospital Discharge Planning for Post-Acute Transitions … Use of Electronic Health Record Metadata to Assess Hospital Discharge Planning for Post-Acute Transitions … tools to monitor and strengthen specific behaviors within discharge workflows that optimize post-acute transitions
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digital.ahrq.gov/sites/default/files/docs/care-transitions-qas-092619.pdf
September 26, 2019 - AHRQ National Web Conference on the Role of Health IT to Improve Care Transitions - Q&As … AHRQ National Web Conference on the Role of Health IT
to Improve Care Transitions … 26, 2019
“Interactive Patient-Centered Discharge Toolkit (PDTK) to Promote Self-
Management During Transitions … QUESTION: Did you think about looking at HCAHPS scores for the Care Transitions questions
as a metric … QUESTION: Did you think about looking at HCAHPS scores for the Care Transitions questions as a metric
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digital.ahrq.gov/sites/default/files/docs/citation/r21hs02257502-hewner-final-report-2017.pdf
January 01, 2017 - Coordinating Transitions: HIT Role in Improving Multiple Chronic Disease Outcomes - Final Report
Final … Progress Report
Coordinating Transitions: HIT Role in Improving
Multiple Chronic Disease Outcomes … Shared the care plan and transitions of care note as a CCD. … The care transitions intervention: Results of a
randomized controlled trial. … Information flow in the Coordinating Transitions Intervention
Figure 6.
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digital.ahrq.gov/sites/default/files/docs/publication/r18hs017795-eisenstein-final-report-2012.pdf
January 01, 2012 - Improving Care Transitions for Complex Patients through Decision Support - Final Report
Grant Final … Report
Grant ID: R18HS017795
Improving Care Transitions for Complex Patients
through Decision … of a HIE network (Aim 1)
3 Implement Decision Support for Augmenting Care Transitions. … These sites
requested we ‘turn off’ the alerts for those transitions at their sites. … Care transitions: a threat and an
opportunity for patient safety.
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digital.ahrq.gov/sites/default/files/docs/citation/r18hs018865-wood-final-report-2015.pdf
January 01, 2015 - Improving Rural Healthcare Transitions through Health Information Exchange Final Progress Report … Improving Rural Healthcare Transitions through
Health Information Exchange
Final Progress … KeyHIE
project and the focus of this investigation, was designed to support safer and more effective transitions … To achieve this, KeyHIE added critical transitions-of-care clinicians as exchange users – case
managers … through Health Information Exchange Final Progress Report
Improving Rural Healthcare Transitions through
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digital.ahrq.gov/sites/default/files/docs/publication/r18hs017837-feldman-final-report-2012.pdf
January 01, 2012 - Improving Medication Management Practices and Care Transitions through Technology - Final Report
Grant … Final Report
Grant ID: R18HS17837
Improving Medication Management Practices and
Care Transitions … understanding purpose of medications and knowledge of administration
(selected items from the Care Transitions … LTCPanelReport9_9_09.pdf
http://www.nahc.org/facts/10HC_Stats.pdf
patient's perspective: the care transitions … Grant Final Report: Improving Medication Management Practices and Care Transitions through Technology
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digital.ahrq.gov/sites/default/files/docs/citation/r21hs024587-schnipper-final-report-2019.pdf
January 01, 2019 - Electronic Medication Adherence Reporting and Feedback During Care Transitions - Final Report
Electronic … Medication Adherence Reporting and Feedback During Care Transitions
Principal Investigator: Jeffrey … Key words: medication safety, health information technology, care transitions, medication adherence, … An electronic pillbox to improve medication safety during care transitions. … Barriers and facilitators to implementing an electronic pillbox intervention during care
transitions
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digital.ahrq.gov/ahrq-funded-projects/improving-medication-management-practices-and-care-transitions-through/annual-summary/2012
January 01, 2012 - Improving Medication Management Practices and Care Transitions through Technology - 2012 … Project Name
Improving Medication Management Practices and Care Transitions through Technology … cost-effectiveness of a health information technology (IT) intervention designed to facilitate high-quality care transitions … evidence and evidence-based tools to support patient-centered care, the coordination of care across transitions
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digital.ahrq.gov/ahrq-funded-projects/ambulatory-safety-and-quality-program/improving-provider-communication-improve-transitions-patient-care
January 01, 2023 - Improving Provider Communication to Improve Transitions in Patient Care
Your
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digital.ahrq.gov/ahrq-funded-projects/evaluation-effectiveness-health-information-technology-based-care-transition/annual-summary/2011
January 01, 2011 - (Ongoing)
Satisfaction with care transitions among rural PCPs. … (Ongoing)
Patient satisfaction with care transitions. … Ciemins embarked on a new collaborative effort with the Community Care Transitions Project (CCTP), led … Ciemins' research in the area of transitions to non-hospital care settings because Billings Clinic Hospital … is widely considered to be one of the most progressive hospitals in the region in terms of care transitions
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digital.ahrq.gov/sites/default/files/docs/citation/r21hs022938-mitchell-final-report-2017.pdf
January 01, 2017 - Treating Comorbid Depression In Care Transitions with Relational Agents - Final Report … Title of Project: Treating Comorbid Depression In Care Transitions … Likert scale, where 1=never to 7=always
Title of Project: Treating Comorbid Depression In Care Transitions