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www.qualitymeasures.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.qualitymeasures.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
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www.qualitymeasures.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.qualitymeasures.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.qualitymeasures.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.qualitymeasures.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.qualitymeasures.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
□
Facilitate transitions
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www.qualitymeasures.ahrq.gov/challenges/past/index.html
November 01, 2023 - Innovation to Improve Rural Postpartum Mental Health Challenge
Digital Solutions to Support Care Transitions … Digital Solutions to Support Care Transitions Challenge
In AHRQ's Digital Solutions to Support Care … Transitions Challenge competition, AHRQ is seeking applications proposing personalized, high-tech ways
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www.qualitymeasures.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.qualitymeasures.ahrq.gov/pqmp/measures/documentation.html
August 01, 2021 - of a transition record
Measure Domain: Management of Acute Conditions Measure Sub-Domain: Transitions
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www.qualitymeasures.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.qualitymeasures.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.qualitymeasures.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.qualitymeasures.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.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/patient-safety/settings/mcc-summit/mcc-summit-dorr-samal.pdf
May 19, 2020 - Gen Intern Med. 2020
The Current* Capabilities of Health Information
Technology to Support Care Transitions … Responsibility + ++
Communicate
Interpersonal Communication + +
Information Transfer ++ +++
Facilitate Transitions … structured
conversations
24
Wilcox, 2005
Other examples
Dalal et al, ACI, 2019
Coleman EA – Care Transitions … over time
Digital divide
The Current* Capabilities of Health Information Technology to Support Care Transitions
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www.qualitymeasures.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.qualitymeasures.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.qualitymeasures.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.qualitymeasures.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.qualitymeasures.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