 |
|
|
|
Transitions Tool Box | | Transitions Toolbox
The Dartmouth Atlas Report-Robert Wood Johnson Foundation
The Revolving Door: A Report on U.S. Hospital Readmissions
A new report from the Robert Wood Johnson Foundation shows that hospitals and their community allies made little progress from 2008 to 2010 at reducing hospital readmissions for elderly patients. The report also chronicles a series of in-depth interviews with patients and providers that shed light on why patients end up back in the hospital and what hospitals, doctors, nurses, and others are doing to limit avoidable readmissions
Basoor's Heart Failure Checklist-Annual Scientific Session, has shown that use of a 27-question, heart failure discharge checklist reduced the 30-day readmission rate of a cardiac event from 20 percent to only 2 percent. The checklist is divided into three sections: medications and appropriate dose modification, counseling and monitoring intervention, and follow-up instructions. Every item on the list supports proven management practices for heart failure patients.
IHI Expedition Webinar -Improving Patient Transitions in the Rural Healthcare System
Session 1-Session 4 Slides available Jan 12, 2012-February 16, 2012
Session 1 Slides- Introduction to the Expedition Program
Session 2 Slides- Improving Transitions from Hospitals to Clinical Office Practice
Session 3 Slides- Improving Transitions from Hospitals to Skilled/Community Facilities
Session 4 Slides- Improving Transitions from The Hospital to Home Health Care to Reduce Avoidable Rehospitalization
Navigating Care Transitions: Intervention Opportunities
Integrating Care for Populations and Communities (IPPC)- free webinar series:
CMS National Conference on Care Transitions-December 3, 2012 Power Point Presentation
Medications at Transitions and Clinical Handoffs (MATCH) Toolkit for Medication Reconciliation Tool for Hospitals
AHRQ has released a new toolkit to help hospitals improve their medication reconciliation processes to reduce adverse drug events. The Medications at Transitions and Clinical Handoffs (MATCH) Toolkit provides step-by-step instructions on how to improve a medication reconciliation process, from planning—including how to get leadership support—to pilot testing, implementation, and evaluation. Included is a workbook that helps users implement the Toolkit.
AHRQ Quality Indicators Toolkit for Hospitals-New As Of 3/1/12
30-Day Readmissions following Hospitalizations for Chronic vs. Acute Conditions, 2008-New As Of 3/17/12
Hospital readmissions are an important measure for assessing performance of the health care system. One strategy for improving health care quality and lowering costs is to reduce the rates of preventable readmissions. Developing multi-state benchmarks for hospital readmission rates can help to identify opportunities for targeted improvement efforts. This Statistical Brief presents data on hospital readmissions within 30 days following an initial hospitalization, stratified by whether or not the patient received surgical treatment during the initial stay. The descriptive statistics presented are based on data from the Healthcare Cost and Utilization Project (HCUP) for 15 states in 2008.
In 2008, SVMC was selected by the Society of Hospital Medicine to participate with five other hospitals across the country to improve care of older patients as they transition from the hospital or home to another care facility. Known as Project BOOST (Better Outcomes for Older adults through Safe Transitions), the goal of this national demonstration project was to reduce hospital readmissions by improving the inpatient discharge planning process. The project began in the fall of 2008 and concluded in late 2009.
Southwestern Vermont Health Care March 2012 Performance Initiative Improvement Poster
Southwestern Vermont Health Care-Care Transition Bundle
Southwestern Vermont Health Care-Improving Transitions in Care Project Plan
Southwestern Vermont Guide to Evidence Based-Best Practice Unit Huddles
Southwestern Vermont Ideal Discharge Process Algorithm
Southwestern Vermont Health Care-Nursing Home Discharge Readiness Checklist
Southwestern Vermont Medical Center- Case Manager Patient Risk Assessment Form
Southwestern Vermont Health Care- Vermont Heart Failure Collaborative Report
Southwestern Vermont Health Care: Improving Transitions of Care Presentation
2010 Care Transitions-Improving Care Transitions and Reducing Hospital Readmission Article
(large file be patient)
BOOST Tool for Addressing Risk:A Geriatric Evaluation for Transitions Tool
BOOST Patient Pass: A Transition Record For Successful Discharge Form
California Health Care News - Study Shows Care Management for Low-Income Adults Reduces Inappropriate ED Utilization (large file be patient)
Cedar Sinai Health Center CHF Discharge Education Cards for Patients
Chart Review Tool for Assessing Readmissions
Example of a Universal Transfer Form
Hospitalization Risk Screening Tool_For Primary Care Providers and Teams
IHI How-to-Guide:Improving Transitions from the Hospital to Post-Acute Care Settings to Reduce Avoidable Rehospitalization (large file be patient)
IHI Tool for Documenting Hospital Measures
2011Care Coordination - Reducing Readmissions Through Cross-Setting Work Groups
IHI Global Trigger for Measuring Adverse Events
W.K.Kellogg Foundation Logic Model Development Guide
IHI-The Financial Impact of Readmissions A STAAR Initiative Webinar
IHI-Guide for Field Testing: Creating an Ideal Transition to the Clinical Office Practice
IHI-Guide for Field Testing: Creating and Ideal Transition to a Skilled Nursing Facility
IHI-How-to-Guide:Creating an Ideal Transition Home
IHI-State Action on Avoidable Rehospitalizations: A Tool for State Policy Makers
IHI- Effective Interventions to Reduce Rehospitalizations: A Survey_of_the_Published_Evidence
IHI Transforming Care at the Bedside
Description of Teach Back_Process
|
|
|
|
