PFE Provider Change Package Resources

This list of resources provides strategies, interventions and links to help with your patient engagement improvement initiatives. These documents and patient-facing tools will help you and your staff best connect with your patients and help them feel empowered to take charge of their health.

Hospital PFE Assessment ToolHospital PFE Action PlanPR Spanish Hospital PFE Assessment ToolHospital PFE Action Plan PR SpanishPFE Action Plan Template

Care Coordination Identify Gaps

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BenefitsCheckUp®
BenefitsCheckUp® is the nation’s most comprehensive online tool to connect older adults and people with disabilities to benefits assistance.
Web link    Date Added: 08/20/2024    Date Last Modified: Aug 20 2024 1:34PM  
Implementation Guide for Hospital Admission and Discharge Guides
This implementation guide can assist patient and families in the use of the TMF Hospital Admission and Discharge guides to help improve patient safety and increase patient satisfaction.
Adobe PDF    Date Added: 10/03/2022    Date Last Modified: Mar 8 2023 2:43PM  
7-Day Readmission Checklist and Audit Tool Instructions
This one-page audit tool prompts clinical or quality staff members to review a list of factors commonly attributed to preventable hospital readmissions. The review can help you understand the kinds of barriers patients, families, and providers face during preparation of discharge to the post-hospital transitional care period and the circumstances leading patients to return to the hospital.
Adobe PDF    Date Added: 08/08/2018    Date Last Modified: May 10 2022 2:53PM  
READMIT Form
Identifying patients who are at high risk for readmission while still in the inpatient setting can allow for effective interventions to be implemented before the patient is discharged. Clinical academics have developed a clinical risk index, READMIT, to assess the likelihood of readmissions within 30 days of hospital discharge for psychiatric inpatients.
Microsoft Excel    Date Added: 07/09/2018    Date Last Modified: Mar 24 2022 11:48AM  
Patient Interview Form: 30-Day Psychiatric Readmissions
Use this form for patients being readmitted to psychiatric care to determine the factors leading to readmission.
Adobe PDF    Date Added: 01/11/2018    Date Last Modified: Apr 14 2022 4:27PM