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Care transitions

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  • Topic: Care transitions
  • New York (NY) MA
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Quality and Cost Analysis of Nurse Staffing, Discharge Preparation, and Postdischarge Utilization

April 21, 2011 | Journal Article

Investments in nursing care hours reduce hospital readmissions by better preparing patients for discharge.

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.

Improving Heart Care through Better Data and Communications

March 24, 2010 | Story

A multidisciplinary team redesigned Montefiore Medical Center's patient registration system to collect data on race, ethnicity and preferred language, and developed a procedure to provide faster treatment for heart attack patients.

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.

Mapping the Innovation in Correctional Health Care Service Delivery in New York City

April 1, 2008 | 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.

Model Community-Based Treatment Program Reduces Hospitalization and Jail Time Among People with Mental Illness and Substance Abuse

September 29, 2008 | Program Results Report

Project Link is a consortium of six community service organizations to reduce repeated hospitalizations and incarcerations among a population of clients with the dual diagnoses of severe mental illness and substance abuse.

A New Family-Focused Database for Bodega de la Familia's Work with Prisoners Coming Home in New York

October 31, 2008 | Program Results Report

Staff at Family Justice designed and implemented a comprehensive database designed to support its approach to improving the health and well-being of formerly incarcerated individuals and their families in New York.

Poor More Likely to be Hospitalized for Diseases Preventable with Primary Care

July 1, 2001 | Program Results Report

The United Hospital Fund of New York worked to develop, validate and implement a research technique called small-area analysis, used to identify communities with high rates of unnecessary hospitalization and limited access to primary care.

Easing the Transition from Hospital to School for Kids Needing High-Tech Care

April 1, 2000 | Program Results Report

A project team at Children's Hospital Corporation in Boston determined how to organize, deliver, and finance services for technology-dependent children who have made the transition from hospital to the public schools. These are children who are on long-term oxygen therapy, ventilatory assistance, intravenous feedings, and other types of highly technical care. Then they replicated the project.

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