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www.cpsi.ahrq.gov/ncepcr/care/coordination/atlas/chapter3.html
June 01, 2014 - , and Facilitate Transitions (Transitions between which participants? Across which settings?). … For further discussion of types of transitions, go to Points of Transition in Chapter 2. … Facilitate transitions. … Facilitate specific transitions, which occur when information about or accountability for some aspect … offices); or transitions between ambulatory care settings (i.e., primary care to specialty clinics).
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www.cpsi.ahrq.gov/ncepcr/research/health-it/index.html
September 01, 2022 - consumer-focused digital healthcare, clinical decision support, safety, patient-reported outcomes, and care transitions … Initiatives
Digital Health Care Transitions : This challenge competition encouraged solvers to develop … IT) solutions to engage patients with multiple chronic conditions and family caregivers during care transitions
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www.cpsi.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/howtogetstarted/Ways_To_Learn_More_508.pdf
October 28, 2009 - ) Care Transitions resource room
These materials developed by the Society of Hospital Medicine to help … Available at: http://www.patientsafety.org/page/transtoolkit/
The Care Transitions Intervention
During … improving patient- and family-
centered care practices
Medication reconciliation
Medications at Transitions … Available at:
http://www.ahrq.gov/legacy/fund/informedconsent/
Medications at Transitions and Clinical … ) Care Transitions resource room
RED (Re-Engineered Discharge)
Taking Care of Myself: A Guide for When
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www.cpsi.ahrq.gov/funding/grantee-profiles/grtprofile-xiao.html
November 01, 2022 - Medication errors that occur at home, especially during transitions of care such as patient discharge … human factors engineer, has studied and identified strategies to improve medication safety during care transitions … Xiao also identified hazards or preventable risks to medication safety for older adults during care transitions … Related AHRQ resources :
AHRQ COVID-19 Resources
Medication Safety
Transitions of Care
Principal
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www.cpsi.ahrq.gov/patient-safety/settings/hospital/match/chapter-8.html
July 01, 2022 - Safety News and Events
Education & Training
Resources
Medications at Transitions … Reconciliation
Conclusion
Previous Page Next Page
Table of Contents
Medications at Transitions … The process must encompass all areas where patient transitions occur in your facility: admission, transfer
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www.cpsi.ahrq.gov/ncepcr/care/coordination/atlas/chapter6f.html
June 01, 2014 -
Interpersonal communication
□
Information transfer
□
Facilitate transitions … patient/family: 31, 35
Information transfer:
Participants not specified: 13
Facilitate transitions …
Interpersonal communication
■
Information transfer
□
Facilitate transitions …
Interpersonal communication
Information transfer
■
Facilitate transitions … ■
Interpersonal communication
Information transfer
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Facilitate transitions
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www.cpsi.ahrq.gov/ncepcr/care/coordination/atlas/chapter6.html
June 01, 2014 - 32, 33, 35, 36, 37, 38a, 38b, 39, 40, 41a, 41b, 42, 45, 48, 49, 51, 65, 67, 68, 69, 70
Facilitate transitions … key to measure numbers can be found in Table 10: Index of Measures . ‡ All measure items addressing transitions … 16a, 17c, 22a, 34, 44, 49, 50, 52, 53, 54, 56, 57, 58, 59, 60, 63, 71, 73, 76, 79, 80
Facilitate transitions … Care Transitions Measure (CTM)
a. CTM-3
b. CTM-15
10. … Safe Transitions Community Physician Office Best Practice Measures
79.
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www.cpsi.ahrq.gov/ncepcr/care/coordination/atlas/chapter4.html
June 01, 2014 - Twelve measures mapped to the Facilitate Transitions domain; all of these evaluated transitions occurring … The transitions most frequently measured were those from primary care to outpatient specialty care (n … One measure also assessed the transitions as coordination needs change, evaluating coordination as older … transition (12) because some measures evaluated multiple transitions of care (i.e., transitions between … Patient-centered care across transitions: challenges and opportunities in clinical informatics.
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www.cpsi.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy4/Strat4_Tool_3_Physician_HO_508.docx
January 01, 2010 - Promoting effective transitions of care at hospital discharge: a review of key issues for hospitalists … More and more, hospitals are focusing on transitions in care as a way to improve hospital quality and … preventable readmissions, [insert hospital name] will use the Agency for Healthcare Research and Quality’s Transitions
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www.cpsi.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy4/Strat4_Tool_3_Physician_HO_508.pdf
January 01, 2010 - unplanned
readmissions, and increase patient satisfaction.6,7
More and more, hospitals are focusing on transitions … preventable readmissions,
[insert hospital name] will use the Agency for Healthcare
Research and Quality’s Transitions … Promoting effective transitions of care at hospital
discharge: a review of key issues for hospitalists
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www.cpsi.ahrq.gov/funding/training-grants/grants/active/kawards/Kawdsumgurs.html
October 01, 2014 - Institution: Johns Hopkins University, Baltimore Grant Title: Improving the Safety of Care Transitions … a novel, risk-analysis-informed intervention bundle and pilot test its impact on the safety of care transitions … national and international quality/patient safety improvement collaboratives focusing on handoffs and care transitions
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www.cpsi.ahrq.gov/patient-safety/reports/liability/corbett.html
August 01, 2017 - Despite the 2009 Transitions of Care Consensus Policy Statement asserting that the sending provider, … Integrating health information technology to achieve seamless care transitions. … The care transitions intervention: Results of a randomized controlled trial. … Promoting effective transitions of care at hospital discharge: A review of hey issues for hospitalists … Medications at Transitions and Clinical Handoffs (MATCH) Toolkit for Medication Reconciliation.
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www.cpsi.ahrq.gov/ncepcr/care/coordination/atlas/chapter6w.html
June 01, 2014 -
Interpersonal communication
□
Information transfer
■
Facilitate transitions … s) and patient/family: 18, 20
Across health care teams or settings: 46, 47, 52
Facilitate transitions … Interpersonal communication
□
Information transfer
■
Facilitate transitions … Across health care teams or settings: 11b, 11c, 11d, 11e, 21a, 21b, 21c, 22c, 23
Facilitate transitions … Interpersonal communication
□
Information transfer
□
Facilitate transitions
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www.cpsi.ahrq.gov/ncepcr/care/coordination/atlas/chapter6i.html
June 01, 2014 -
Interpersonal communication
Information transfer
□
Facilitate transitions … Within teams of health care professionals: 20
Participants not specified : 17
Facilitate transitions …
Interpersonal communication
□
Information transfer
□
Facilitate transitions … Information transfer:
Between health care professional(s) and patient/family: 14
Facilitate transitions … □
Interpersonal communication
□
Information transfer
■
Facilitate transitions
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www.cpsi.ahrq.gov/ncepcr/care/coordination/atlas/chapter2.html
June 01, 2014 - Transitions may occur between health care entities (see definition under "additional terms") and over … required on the part of themselves or their informal caregivers in order to meet care needs during transitions … levels of effort required on their part in order to accomplish necessary levels of coordination during transitions … Transitions occur when information about or accountability/responsibility for some aspect of a patient's … It may be useful to think about two broad categories of transitions:
Transitions between entities of
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www.cpsi.ahrq.gov/ncepcr/care/coordination/atlas/chapter6g.html
June 01, 2014 - ■
Interpersonal communication
Information transfer
Facilitate transitions …
Interpersonal communication
■
Information transfer
■
Facilitate transitions … I 7a, I 9, I 13, I 17a, S 34
Across health care teams or settings: I 12a, I 12b
Facilitate transitions …
Interpersonal communication
■
Information transfer
■
Facilitate transitions … Across health care teams or settings : E10, E11
Participants not specified: D10
Facilitate transitions
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www.cpsi.ahrq.gov/ncepcr/care/coordination/atlas/chapter6x.html
June 01, 2014 -
Interpersonal communication
■
Information transfer
Facilitate transitions … (s) and patient/family: 14b, 14c
Within teams of health care professionals: 12d
Facilitate transitions … health care teams or settings: 14d, 17a, 17b, 17c, 19a, 19b, 19c, 19d, 21, 22, 23
Facilitate transitions … Interpersonal communication
□
□
Information transfer
□
Facilitate transitions … .2
Information transfer:
Within teams of health care professionals: V.A.1.f
Facilitate transitions
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www.cpsi.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/medicaidreadmitguide/mcaidread_tool9_trans_care.docx
July 28, 2016 - Tool 9: Transitional Care Planning
Tool 9: Whole-Person Transitional Care Planning Tool
Purpose
The social, economic, and geographic conditions in which individuals live have a profound impact on individuals’ health status. Efforts to reduce readmissions by optimizing self-management or long-term health status will …
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www.cpsi.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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www.cpsi.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