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Care transitions

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  • Topic: Care transitions
  • Topic: Patients
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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).

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.

Patient Resources

Care About Your Care is a national conversation highlighting efforts to improve care transitions, reduce avoidable hospital readmissions, and lift overall quality of care.

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.

Smoothing the Transition From Hospital to Community for Older Adults in Jacksonville, Fla.

December 7, 2011 | Story

Mark LeMaire led a community partnership in Jacksonville, Fla., that placed elder care advocates in area hospitals to help discharged patients transition back to the community. The hospitals have since incorporated the program into their operations.

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."

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.

Wisdom at Work: Retaining Experienced Nurses

July 1, 2010 | Program Results Report

RWJF launched Wisdom at Work: Retaining Experienced Nurses in 2006 to build an evidence base for what works to retain experienced nurses in hospital settings and to develop a better understanding of the impact of existing interventions on the work environment for older nurses.

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