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Care transitions

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  • Topic: Care transitions
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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).

Lessons Learned in Performance Measurement

September 1, 2011 | Report

First report on recent trends in the effectiveness of care coordination for Medicare patients discharged from hospitals shows stagnant national performance and variations in care.

When Students Have an Emergency, the Brookline Resilient Youth Team Steps in

April 18, 2011 | Program Results Report

In 2004, the Brookline Community Mental Health Center and Brookline High School established the Brookline Resilient Youth Team. It provides counseling and academic help to high school students who are re-entering school after a personal emergency.

New Services for Released Prisoners with Mental Illness in Mercer County, N.J.

June 28, 2010 | Program Results Report

Greater Trenton Behavioral HealthCare and its partners provided re-entry assistance to 176 incarcerated individuals diagnosed with mental illness through discharge planning, case management and needed follow-up services for 12 months or more.

Prisoners Returning Home in the Bronx and Brooklyn Find Reentry Services Located Far Away in Manhattan

August 27, 2009 | Program Results Report

An electronic database and map of reentry services available to prisoners returning from New York City's jails to communities in its five boroughs finds services are often inaccessible.

Connecting Hospitalized Patients One-on-One with Other Patients Who Have the Same Illness

May 11, 2009 | Program Results Report

From 1994 to 2007, staff at Friends' Health Connection (originally called Long Distance Love), New Brunswick, N.J., created and ran a program that enables hospitalized patients to communicate one-on-one with another patient who has the same illness.

Creating Lifelong Communities

January 1, 2009 | Journal Article

This article explores the issue of aging and longevity, and describes one region's response to the growing population of seniors.

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 ...

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