Avoidable hospitalizations

QualityTools

Managing Drug-Seeking Behaviors & Super Users in the Emergency Department 10/01/13

This guide for emergency department (ED) physicians, nurses, and caregivers includes information and tools for providing pain management care to “super users” in the ED. The guide offers an approach to understanding and managing two groups of super users—patients exhibiting drug-seeking behaviors and patients with chronic pain—and provides a solution for reducing ED visits.

The appendix to the guide includes sample materials such as a pain management policy, letters, and a pain...

Medical Respite Tool Kit 04/03/13

The purpose of the Medical Respite Tool Kit is to provide information and tools to help organizations and advocates plan, develop, and sustain medical respite programs. Medical respite care is acute and postacute medical care for homeless persons who are too ill or frail to recover from a physical illness or injury on the streets but who are not ill enough to be in a hospital. This approach provides a safe alternative to hospitals and for individuals in need of postdischarge medical care. It...

Coordinated-Transitional Care Toolkit 03/26/13

Coordinated-Transitional Care (C-TraC) is a low-resource, telephone-based, protocol-driven program designed to reduce 30-day rehospitalizations and to improve care transitions during the early posthospital period. The goal of this toolkit is to help hospital systems that serve populations with high rates of patient dispersion, cognitive impairment, and vulnerability improve care coordination and postdischarge outcomes such as reduced medication discrepancies.

This toolkit is...

Heart Failure Self-Management—Caring for Your Heart: Living Well With Heart Failure 10/16/12

These health communication aides for clinicians can help them demonstrate to patients that organized self-management support can improve self-care behaviors and prevent hospitalizations.

These materials are available in two versions, currently being tested in a multicenter clinical trial. The versions are identical except for one aspect. Version 1 does not teach patients how to self-adjust their diuretic dose based on daily weights. Rather, it instructs patients to call their...

MONAHRQ® 4.0 09/18/12

My Own Network, powered by AHRQ (MONAHRQ), is a free software product that enables organizations—such as State and local data organizations, chartered value exchanges, hospital systems, and health plans—to input their own hospital administrative data and generate a data-driven Web site. MONAHRQ software analyzes, summarizes, and presents information in a format ready for use by consumers and other decisionmakers on:

  • Quality of care at the hospital level.
  • Health care...
Health Care Leader Action Guide to Reduce Avoidable Readmissions 08/04/11

This guide for hospital leaders and administrators provides strategies to assess, prioritize, implement, and monitor efforts to reduce avoidable readmissions and reduce costs in the health care system. A four-step approach is presented as an approach to follow at different stages of the care. The four steps are:

  1. Examine your hospital’s current rate of readmissions
  2. Assess and prioritize your improvement opportunities
  3. Develop an action plan of strategies to implement...
Interventions to Reduce Acute Care Transfers (INTERACT) Tools 08/03/11

INTERACT is a quality improvement program designed to improve the early identification, assessment, documentation, and communication about changes in the status of residents in skilled nursing facilities. The goal of INTERACT is to improve care and reduce the frequency of potentially avoidable transfers to the acute hospital.

The specific tools are designed for use by selected members of the care team. Some of the tools included are:

  • Communication tools
    • ...
STate Action on Avoidable Rehospitalizations (STAAR) Materials 08/03/11

The STate Action on Avoidable Rehospitalizations (STAAR) Initiative of the Institute for Healthcare Improvement and The Commonwealth Fund aims to reduce avoidable rehospitalizations and is focused on two components:

  • A multistate learning community to improve transitions of care
  • Targeted technical assistance to address systemic barriers to reducing avoidable rehospitalizations

The project Web site includes the following materials:

  • STAAR...
The Agency for Healthcare Research and Quality (AHRQ) Quality Indicators (QIs) 09/20/10

The Agency for Healthcare Research and Quality (AHRQ) Quality Indicators (QIs) are a set of decisionmaking and research tools for program managers, researchers, and others at the Federal, State, and local levels. Broken into four modules, the tools provide ways to measure quality associated with processes of care that occur in an outpatient or an inpatient setting based on hospital discharge data.

The four modules are:

  • Prevention QIs: Identify...
Assertive Community Treatment Implementation Resource Kit 12/17/07

This multicomponent toolkit provides materials to facilitate the implementation of assertive community treatment (ACT) by mental health consumers, families and other supporters, practitioners and clinical supervisors, mental health program leaders, and public mental health authorities. ACT is a team-based approach to delivering comprehensive and flexible treatment, support, and services to help people stay out of the hospital and develop skills for living in the community. ACT offers...

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