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Care transitions

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  • Topic: Care transitions
  • Content Type: Toolkit
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Englewood Hospital & Medical Center

September 1, 2006 | Toolkit

Standardized forms were created by the hospital for patients admitted to the hospital from the emergency department (ED).

Section 5: How-To Guides

February 4, 2009 | Toolkit

How-to guides supported through TCAB, a national program of RWJF and the Institute for Healthcare Improvement, offer detailed steps to implement select aspects of the program.

Edward Hospital

September 1, 2006 | Toolkit

Related websites Urgent Matters Web site In order to conduct individual patient follow-ups, a call back clerk phones discharged patients to inquire about the status of their medical conditions and their satisfaction with their providers. This inform ...

St. Joseph's Hosptial & Medical Center

September 1, 2006 | Toolkit

Related websites Urgent Matters Web site The hospital developed a comprehensive diversion reduction plan to improve efficiency of hospital discharges and identified a team of individuals to oversee implementation of the plan. The plan sets guideline ...

The Regional Medical Center at Memphis (The Med)

September 1, 2006 | Toolkit

Related websites Urgent Matters Web site The hospital implemented a discharge resource room (DRR) in order to free inpatient space for emergency department (ED) patients. Patients are moved to the ground floor DRR when they are ready to leave the ho ...

Discharge Nurse Position Description

June 4, 2008 | Toolkit

Staff at the University of Texas M.D. Anderson Cancer Center, Houston, Texas, began using an experienced nurse to support the clinical nurses by coordinating discharge activities, serving as a liaison to other team members and ensuring that all aspects of discharge are complete for patients and families.

Heart Failure Encounter Form

June 1, 2008 | Toolkit

An off-site, nurse-led heart failure clinic was created to help heart failure patients better control and self-manage their disease post-hospitalization.

Cardiology Admission Orders Physician's Order Sheet

June 4, 2008 | Toolkit

Staff combined information from three existing order sets into a single, comprehensive cardiology admission order set to reduce provider confusion and help the hospital reach regular compliance rates of 90 to 100% for evidence-based cardiac measures.

Patient Discharge Instruction Record

June 4, 2008 | Toolkit

Sinai-Grace Hospital in Detroit, Mich., developed a systemwide universal discharge instruction form, merging general discharge instructions with cardiac-specific discharge instructions for patients with acute myocardial infarction or heart failure.

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