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Care transitions

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Access to Care for Youth with Special Health Care Needs in the Transition to Adulthood

July 1, 2008 | Journal Article

Youth with special needs face numerous issues when transitioning to the adult health system. A survey of 77 youth showed that too many lacked a usual source of care, and were either uninsured or had experienced an insurance gap.

Adherence to Discharge Guidelines for Late-Preterm Newborns

July 1, 2011 | Journal Article

Babies born between 34 to 36 weeks' gestation are being discharged early at stubbornly high rates in some regions and types of hospitals, despite mid-1990s care guidelines and insurance mandates to cover longer hospital stays.

Affordable Care Act Implementation: How Is it Affecting the Health Care Workforce?

April 7, 2011 | Story

As the first components of the new health care reform law begin to take shape, a new and very different world appears on the horizon for health care workers in many parts of the system.

Aftercare Treatment Coordinated for Mentally Ill, Substance Abusing Teens in One New Jersey County

September 1, 2000 | Program Results Report

The Middlesex County Educational Services Commission developed and implemented the first aftercare service in Middlesex County, N.J., for mentally ill youth completing treatment for substance abuse.

After Hospital Discharge, Does Intensive Case Management Make a Difference?

April 11, 2008 | Program Results Report

The University of Colorado Health Sciences Center examined the effects of five HMO case management programs on patients' compliance with discharge services and use of acute care services.

Age-Related Differences in Perception of Quality of Discharge Teaching and Readiness for Hospital Discharge

May 1, 2010 | Journal Article

Older adults have different discharge needs than the general population and require more help in making care transitions.

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.

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.

Care About Your Care

Feature

A national conversation highlighting efforts to improve care transitions, reduce avoidable hospital readmissions, and lift overall quality of care.

Care Coordination & Readmissions

A collection of success stories on care coordination and readmissions from the front lines of American health care, providing free access to strategies used by hospitals and medical practices nationwide to improve care.

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