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Care transitions

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  • Topic: Care transitions
  • Location: National
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  • Quality of care (8)
  • Hospitals (6)
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  • Barriers to Care: cultural, gender and racial (3)
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Measuring Nurses' Impact on Health Care Quality

April 1, 2013 | Journal Article

Four Interdisciplinary Nursing Quality Research Initiative (INQRI) teams summarize their work to close the gaps in measuring quality of nursing care.

Methodology Issues in Implementation Science

April 1, 2013 | Journal Article

Four case studies on recommendations to advance implementation science.

Speaking Together: National Language Services Network

April 18, 2011 | Program Results Report

Ten hospitals throughout the country joined a collaborative learning network, developed strategies to improve the quality and accessibility of their language services, and tested them using five standardized performance improvement measures.

Policy Options to Improve Discharge Planning and Reduce Rehospitalization

January 19, 2011 | Commentary

Short hospital stays, rehospitalizations and transitions among health care settings have become increasingly common. Financial policy changes should be implemented to incentivize longer hospital stays and better-coordinated post-discharge care.

Frontline Caregiver Daily Practices

January 1, 2011 | Journal Article

Compared with traditional skilled nursing homes, the Green House model allows for more time to be spent caring for and engaging residents.

Collecting Data to Identify Disparities and Measure Heart Care Quality

March 24, 2010 | Story

Duke University Hospital and the health system wanted to improve cardiac care for African-American and Latino populations by identifying and analyzing disparities and developing tools that would better serve them.

Combining Better Systems and Intensive Patient Education for Better Heart Care

March 24, 2010 | Story

Del Sol Medical Center improved its patient chart review and discharge processes, and enhanced its heart failure center, with support from Expecting Success.

The Revolving Door of Rehospitalization from Skilled Nursing Facilities

January 1, 2010 | Journal Article

Little research documenting the frequency and costs of rehospitalization has been published and little is known about the underlying nature of these rehospitalizations or how they vary geographically. This paper looks at these issues and attempts to fill that gap.

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.

RWJF Home → Topics → Care Transitions
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