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Care transitions

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  • Topic: Care transitions
  • Topic: Hospitals
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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.

When Getting There Isn't Half the Fun: Improving Transfers of Patients

September 1, 2003 | Program Results Report

The University of Colorado Health Sciences Center hosted a conference to develop research and policy agendas for improving the quality of care for persons who are transferred from one medical setting to another.

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).

Virginia Hospital Opens Acute Care Unit Devoted to Family-Centered Care of the Elderly

April 4, 2007 | Program Results Report

Staff at the University of Virginia Health System in Charlottesville, Va., prepared for the opening of an acute care unit located in the University of Virginia Medical Center.

Finding Better Ways to Treat Alcohol Abuse Among Seniors

May 1, 1997 | Program Results Report

The New Hampshire Housing Finance Authority created the Resident Education and Assistance Program to address problems of undiagnosed substance abuse among elderly residents living in subsidized public and private housing.

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.

Nurse Identified Hospital to Home Medication Discrepancies

May 1, 2010 | Journal Article

In this study, nurse interventionists identified and documented medication discrepancies from two Inland Northwest hospitals. The researchers identified more system-level discrepancies than patient-level ones.

Palliative Care in Long-Term Care

February 1, 2010 | Journal Article

Academic and medical professionals discuss the transition from palliative care in hospitals to nursing homes.

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.

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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