Care Transitions

Only show items containing the term:
 
SORT BY

Better coordination of patient transfers among care sites can save resources and improve quality of care. Reducing avoidable readmission rates requires an evidence-based approach that incorporates communication, optimized workflows and institutional commitment to improving outcomes.

Search Resource Center
 

Rural Palliative Care Resource Center
This comprehensive toolkit from Stratis Health contains guidance and resources to support rural leaders in developing community-based palliative care services.
Web link    Date Added: 04/16/2021    Date Last Modified: Apr 16 2021 12:54PM  
Adverse Drug Event Tracer: Anticoagulation Agents
Hospitals can use this Tracer Tool to survey and evaluate their processes for adverse drug events regarding anticoagulants, with the goal of providing safe, high-quality patient care.
Microsoft Word    Date Added: 04/14/2021    Date Last Modified: Apr 14 2021 6:50PM  
Readmissions Process Improvement Discovery Tool
The Process Improvement Discovery Tool helps hospitals provide safer patient care by identifying process improvement opportunities for reducing readmissions.
Adobe PDF    Date Added: 03/24/2021    Date Last Modified: Mar 24 2021 1:15PM  
Preventable Readmissions Top Ten Checklist
A checklist for hospitals to review current interventions, or initiate new ones, for readmissions readmissions reduction in your facility.
Adobe PDF    Date Added: 03/08/2021    Date Last Modified: Mar 8 2021 1:28PM  
Interventions to reduce acute care transfers (INTERACT)
INTERACT (Interventions to Reduce Acute Care Transfers) is a quality improvement program that focuses on the management of acute change in resident condition.
Web link    Date Added: 01/20/2021    Date Last Modified: Jan 20 2021 2:21PM  
The Care Transitions Program
The Care Transitions Program provides insights and tools for how to improve quality and manage risk during care hand-overs.
Web link    Date Added: 01/20/2021    Date Last Modified: Jan 20 2021 2:52PM  
Project Re-Engineered Discharge (RED)
Project Re-Engineered Discharge, research group at Boston University Medical Center, develops and tests strategies to improve the hospital discharge process in ways that promotes patient safety and reduces re-hospitalization rates.
Web link    Date Added: 01/19/2021    Date Last Modified: Jan 19 2021 3:07PM  
Increase Home Dialysis Use Change Package
This change package is intended to support dialysis facilities and End State Renal Disease (ESRD) Networks in increasing the number of patients using home dialysis modalities, which include peritoneal dialysis (PD) and home hemodialysis (HHD)
Adobe PDF    Date Added: 12/30/2020    Date Last Modified: Mar 15 2021 3:07PM  
Increase Kidney Transplantation Change Package
This change package is intended to support dialysis facilities and End State Renal Disease (ESRD) Networks in increasing the number of patients referred to transplant centers, evaluated for kidney transplantation and placed on transplant waitlists
Adobe PDF    Date Added: 12/30/2020    Date Last Modified: Mar 15 2021 3:05PM  
Improve the Quality of Care Transitions Change Package
The TMF Quality Innovation Network, under contract with the Centers for Medicare & Medicaid Services, designed this change package to provide strategies to improve the quality of care transitions.
Adobe PDF    Date Added: 09/30/2020    Date Last Modified: Dec 16 2020 11:51AM  
Paquete para facilitar el cambio: Mejorar la calidad de las transiciones de atención, para Puerto Rico
TMF Quality Innovation Network, según el contrato con los Centros de Servicios de Medicare y Medicaid, diseñó este paquete para facilitar el cambio a fin de proporcionar estrategias para mejorar la calidad de las transiciones de atención.
Adobe PDF    Date Added: 11/30/2020    Date Last Modified: Dec 16 2020 11:53AM