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Care transitions

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  • Topic: Care transitions
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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.

Expecting Success: Excellence in Cardiac Care

National Program

Expecting Success was a national program aimed at improving the quality of cardiac care while reducing racial, ethnic and language disparities.

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.

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.

Telephone Interpretation Services Can Serve Hospitals Well

April 6, 2011 | Program Results Report

As the project manager at the University of Michigan said: "We could just grab the phone when patients came in who spoke languages for which we don't have an interpreter."

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.

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.

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.

Heart Failure Encounter Form

June 1, 2008 | Toolkit

An off-site, nurse-led heart failure clinic was created to help heart failure patients better control and self-manage their disease post-hospitalization.

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.

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