Care Transitions

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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.

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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


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Date Added: 12/30/2020
Date Last Modified: Dec 30 2020 10:54AM

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)


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Date Added: 12/30/2020
Date Last Modified: Dec 30 2020 10:25AM

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.


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Date Added: 11/30/2020
Date Last Modified: Dec 16 2020 11:53AM

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.


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Date Added: 09/30/2020
Date Last Modified: Dec 16 2020 11:51AM