Stage of Care
This toolkit was developed to facilitate the Project Reengineered Hospital Discharge (RED) intervention. Project RED is a randomized controlled trial at Boston Medical Center. This project reengineers the workflow process and improves patient safety for patients from a network of community health centers discharged from a general medical service at an urban hospital serving a low-income, ethnically diverse population.
The toolkit has been expanded to provide complete...
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...
This Web site offers a collection of information and resources on HIV testing from the New York Department of Health AIDS Institute. The resources, for health care professionals, include reports, toolkits, forms, training, and health screening information.
The tools and resources are organized into the following sections:
- Public health law
- HIV testing algorithm
- Consent forms
- HIV/STD testing sites
This toolkit, for hospitals, provides guidance on overcoming the challenges associated with developing, implementing, and sustaining a fall prevention program. It focuses specifically on reducing falls that occur during a patient’s hospital stay.
The toolkit is designed for multiple uses. The core document is an implementation guide organized under six major questions intended to be used primarily by the Implementation Team charged with leading the effort to put the new prevention...
The HIV Care Coordination Tools resource page offers information, tools, and other educational materials for HIV-related health care, housing, and supportive service providers.
Resources include the following:
- Care coordination protocol and tools
- Provider pocket guide
- Patient workbook
- Fact sheet
- Client journal wallet card
Select materials are also available in Spanish....
Sustainable, effective relationships between primary care clinicians and preventive service providers in the community can improve patients’ access to certain evidence-based clinical preventive services. These relationships connect clinical providers, community organizations, and public health agencies—organizations that share a common goal of improving the health of people and the communities in which they live.
To identify ways to further define, measure, and evaluate programs...
The Children’s Electronic Health Record (EHR) Format, for EHR system developers, provides information about critical functionality, data elements, and other requirements needed in an EHR system to improve quality measurement and collection of clinical quality data. The information helps address health care needs specific to the care of children, especially those enrolled in Medicaid or the Children’s Health Insurance Program (CHIP). The tool includes a minimum set of data elements and...
This Web site offers resources to support HIV and sexually transmitted diseases prevention programs in schools. The resources provide education, training, and more to assist in decreasing sexual risk behaviors among students. Tools available include fact sheets, campaigns, guides, and curricula in the following areas:
- Evidence-based prevention
- Sexual health education
- Counseling and testing
- Lesbian, gay, bisexual, and transgender
- Social media...
This tool provides a six-step approach for providers and physicians to implement an electronic health record (EHR) system in their practice. Each step provides process and outcome goals, and resources to help assess and determine if an EHR will help improve quality of patient care.
The tool is organized by the six steps and includes the following materials:
- Step 1: Assess your practice readiness
- Change management for EHR...
This assessment tool helps in identifying and addressing diabetes patients' biggest quality-of-life concerns. Completed just before each visit, the tool asks patients to identify their biggest concern, complete a checklist that helps define specific aspects of that concern, and rank various aspects of their perceived well-being. Based on the patient's responses, the tool generates a list of interventions that could help the patient, including treatment modifications and referrals to locally...