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www.cpsi.ahrq.gov/topics/transitions-care.html
Tools TeamSTEPPS Module on Communication
Toolkit to Engage High-Risk Patients in Safe Transitions … Toolkit (Medications at Transitions and Clinical Handoffs)
Taking Care of Myself: A Guide for When … Care Transitions (PDF, 414 KB)
Potentially Preventable Readmissions: Conceptual Framework To Rethink … of Digital Healthcare Research
AHRQ's Digital Solutions to Support Care Transitions Challenge
The … Role of Health IT to Improve Care Transitions (Video, 1 hour, 25 minutes, 54 seconds)
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www.cpsi.ahrq.gov/challenges/past/care-transitions/index.html
January 01, 2022 - Challenges
Past AHRQ Challenge Competitions
Digital Solutions to Support Care Transitions … AHRQ's Digital Solutions to Support Care Transitions Challenge
In AHRQ's Digital Solutions to … Support Care Transitions Challenge competition, AHRQ sought applications proposing personalized, high-tech … Phase 1 solicited ideas (i.e., solution proposals) for digital solutions that reduce burden in care transitions … https://www.ahrq.gov/challenges/past/care-transitions/index.html
Back
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www.cpsi.ahrq.gov/hai/tools/ambulatory-care/safe-transitions.html
December 01, 2017 - ICU Decolonization Protocol
Toolkit to Engage High-Risk Patients In Safe Transitions … Across Ambulatory Settings
Transitions of care among ambulatory sites are vulnerable to patient … is designed to help staff actively engage patients and their care partners to prevent errors during transitions … The Toolkit to Engage High-Risk Patients in Safe Transitions Across Ambulatory Settings ( PDF , 1.36 … MB) includes a:
Toolkit guide, called Guide for Safe Patient Transitions to New Appointments , with
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www.cpsi.ahrq.gov/patient-safety/resources/improve-discharge/index.html
July 01, 2022 - and Quality supports research on the quality and safety of the hospital discharge process and care transitions … After Hospital Discharge
AHRQ PS Net Primer: Readmissions and Adverse Events After Discharge
Transitions … of Care
Project BOOST (Better Outcomes for Older Adults through Safer Transitions) Toolkit
I-PASS … AHRQ PSNet Perspective: Transitions in Care, In Conversation With Eric Coleman
AHRQ PSNet Primer … : Discharge Planning and Transitions of Care
Related Patient Safety and Quality Resources and
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www.cpsi.ahrq.gov/research/findings/nhqrdr/chartbooks/carecoordination/measure1.html
June 01, 2018 - Research Findings & Reports
National Healthcare Quality & Disparities Reports
Transitions … on Care Coordination
Acknowledgments
Care Coordination
Trends in Care Coordination Measures
Transitions … Transitions increase the risk of adverse events due to the potential for miscommunication as responsibility … Measures of transitions of care include:
Hospitalized adult patients with heart failure who were given … Page last reviewed June 2018
Page originally created July 2016
Internet Citation: Transitions
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www.cpsi.ahrq.gov/ncepcr/care/coordination/atlas/chapter6d.html
June 01, 2014 - Development and testing of a measure designed to assess the quality of care transitions. … Assessing the quality of transitional care: further applications of the care transitions measure. … The Care Transitions Program: Improving Quality and Safety During Care Hand-Offs Web site. … Development and testing of a measure designed to assess the quality of care transitions. … The Care Transitions Program: Improving Quality and Safety During Care Hand-Offs Web site.
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www.cpsi.ahrq.gov/patient-safety/patients-families/engagingfamilies/strategy4/index.html
December 01, 2017 - Guide to Patient and Family Engagement in Hospital Quality and Safety
Strategy 4: Care Transitions … Strategy 4: Care Transitions From Hospital to Home: IDEAL Discharge Planning highlights the key elements … Strategy 4: Care Transitions from Hospital to Home: IDEAL Discharge Planning Implementation Handbook … [ Microsoft Word version - 689.85 KB ; PDF version - 104.82 KB ]
Care Transitions from … December 2017
Page originally created June 2013
Internet Citation: Strategy 4: Care Transitions
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www.cpsi.ahrq.gov/funding/grantee-profiles/grtprofile-dalal.html
January 01, 2024 - “If we want to ensure safe, seamless care transitions for patients recovering from hospitalization, we … Between 19 to 28 percent of patients experience adverse events during care transitions. … Building on his efforts to reduce adverse events during care transitions, Dr. … The discharge preparation checklist promotes self-management by patients and caregivers during transitions … It also will help patients to understand their individualized risks of adverse events during care transitions
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www.cpsi.ahrq.gov/ncepcr/care/coordination/atlas/chapter4tab5.html
June 01, 2014 - Atlas Domains: Information transfer across teams of health care professionals, Facilitate transitions … Atlas Domains: Facilitate transitions across settings, Monitor, follow up, and respond to change … Atlas Domains: Information transfer (across teams of health care professionals), Facilitate transitions … Atlas Domains: Communicate (across teams of health care professionals), Facilitate transitions across … settings, Facilitate transitions as coordination needs change
eMeasure specifications available:
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www.cpsi.ahrq.gov/patient-safety/settings/hospital/match/index.html
April 01, 2023 - Safety News and Events
Education & Training
Resources
Medications at Transitions … Toolkit for Medication Reconciliation
Next Page
Table of Contents
Medications at Transitions … This toolkit is based on the Medications at Transitions and Clinical Handoffs (MATCH) Web site. … reviewed April 2023
Page originally created August 2012
Internet Citation: Medications at Transitions
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www.cpsi.ahrq.gov/health-literacy/publications/ten-attributes.html
January 01, 2024 - Addresses health literacy in high-risk situations, including care transitions and communications about … Tools for Providers of Medication Therapy Management
Toolkit to Engage High-Risk Patients In Safe Transitions … Addresses health literacy in high-risk situations, including care transitions and communications about … High-risk decisions, situations, and transitions demand more attention to health literacy. … Directives
The Re-Engineered Discharge (RED) Toolkit
Toolkit to Engage High-Risk Patients In Safe Transitions
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www.cpsi.ahrq.gov/ncepcr/care/coordination/atlas/chapter4tab4.html
June 01, 2014 - Atlas Domains: Facilitate transitions across settings, Medication management
eMeasure specifications … available: N/A
The EP/EH performs medication reconciliation for patient transitions of care to the … Atlas Domains: Facilitate transitions across settings, Medication management
eMeasure specifications … available: N/A
3 measures (all required):
(1) EP/EH who transitions or refers their patient … to another setting or provider of care provides a summary of care record
(2) EP/EH who transitions
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www.cpsi.ahrq.gov/ncepcr/care/coordination/atlas/chapter6y.html
June 01, 2014 - Safe Transitions Community Physician Office Best Practice Measures
Care Coordination Measure Mapping … Safe Transitions Community Physician Office Best Practice Measures
Purpose: To measure successful … communication and timely transfer of clinical information at the time of patient transitions to and from … Several other related versions of this measure set exist, each tailored to transitions to and from a … Partnering to improve hospital-physician office communication through implementing care transitions best
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www.cpsi.ahrq.gov/news/events/conference/2011/jack/index.html
October 01, 2014 - Community Based Care Transitions Program (CCTP or 3026): New payment policies to encourage improved … transitions. … "Transitions" morphing into "care of complex patients". … Slide 22
Barriers to High Quality Transitions Lack of resources. "Heads on Beds". … Step 12: Adapt transitions of care for low health literacy and LEP patients.
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www.cpsi.ahrq.gov/patient-safety/news-events/psaw-2020/index.html
December 01, 2023 -
Participate in the Twitter Chat co-hosted by AHRQ and IHI: Effective Approaches for Safer Care Transitions … Learn more about AHRQ's work in Transitions of Care and the Care Transitions App Challenge . … Safety
Listening to Patient's Needs to Improve Patient Care
Analyzing Patient Data to Improve Transitions
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www.cpsi.ahrq.gov/ncepcr/care/coordination/atlas/chapter4fig5txt.html
June 01, 2014 - Types of Cross-Setting Transitions Evaluated by EHR-based Measures (Text Description) … Types of Cross-Setting Transitions Evaluated by EHR-based Measures (Text Description)
Previous … Types of Cross-Setting Transitions Evaluated by EHR-based Measures (Text Description).
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www.cpsi.ahrq.gov/ncepcr/care/coordination/atlas/chapter6n.html
June 01, 2014 -
Interpersonal communication
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Information transfer
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Facilitate transitions …
Interpersonal communication
Information transfer
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Facilitate transitions …
Interpersonal communication
Information transfer
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Facilitate transitions … patient/family: 4b
Across health care teams or settings: 1, 6, 7a, 8c, 10, 12a
Facilitate transitions …
Interpersonal communication
Information transfer
■
Facilitate transitions
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www.cpsi.ahrq.gov/ncepcr/care/coordination/atlas/chapter6t.html
June 01, 2014 -
Interpersonal communication
Information transfer
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Facilitate transitions … Care Transitions Performance Measurement Set (Phase I: Inpatient discharges and emergency department …
Interpersonal communication
Information transfer
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Facilitate transitions … Between health care professional(s) and patient/family
Facilitate Transitions
Across settings … Care Transitions Performance Measurement Set (Phase I: Inpatient discharges and emergency department
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www.cpsi.ahrq.gov/news/newsletters/e-newsletter/868.html
June 01, 2023 - New Issue Brief Addresses Diagnostic Safety During Transitions of Care . … New Issue Brief Addresses Diagnostic Safety During Transitions of Care
AHRQ’s new issue brief, Diagnostic … Safety Across Transitions of Care Throughout the Healthcare System: Current State and a Call to Action … , highlights the greater potential for diagnostic errors during transitions in care, such as from the … The brief describes factors that can contribute to diagnostic errors during transitions in care and strategies
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www.cpsi.ahrq.gov/ncepcr/care/coordination/atlas/chapter6s.html
June 01, 2014 -
Interpersonal communication
Information transfer
□
Facilitate transitions … Facilitate transitions
Across settings
Monitor, follow up and respond to change
Development and … Care Transitions Performance Measurement Set (Phase I: Inpatient discharges and emergency department … Facilitate Transitions
Across settings. … Care Transitions Performance Measurement Set (Phase I: Inpatient discharges and emergency department