Follow-up care

QualityTools

Community Connections: Linking Primary Care Patients to Local Resources for Better Management of Obesity 04/08/14

This toolkit is intended to help primary care practices link to community resources for improving the care of patients struggling with obesity. It can help practices learn what resources are available and establish productive partnerships with community organizations. The toolkit also provides guidance on improving patient flow, developing a bidirectional referral process, and increasing patient engagement.

Toolkit for the Follow-Up Care of the Premature Infant 03/12/14

This toolkit for health care professionals provides information and resources to help facilitate the care of premature infants and improve their outcomes. It is designed to aid communication between members of the Neonatal Intensive Care Unit (NICU) and health care professionals in the outpatient setting and to improve the quality and continuity of follow-up care for premature infants. The toolkit is a compilation of practical tools and references for the management of premature infants upon...

Transitioning Newborns From NICU to Home: A Resource Toolkit 01/24/14

This toolkit for hospitals provides information and resources to improve safety when newborns transition home from the neonatal intensive care unit (NICU). Through a Health Coach Program, the toolkit offers coaches, parents, and families information to coordinate care, understand signs and symptoms of illness, manage medicines and immunizations, manage breathing problems, and feeding.

This manual is designed to be customized and adapted for any institution that cares for fragile...

Improving Your Office Testing Process: A Toolkit for Rapid-Cycle Patient Safety and Quality Improvement 09/30/13

This toolkit provides information and resources to help physicians' offices, clinics, and other ambulatory care facilities assess and improve the testing process in their offices. The tools will help office staff examine how tests are managed in the office, from the moment tests are ordered until the patient is notified of the test results and the appropriate followup is determined. The toolkit is adaptable to meet the needs of each care facility and goal.

The toolkit is organized...

Tools To Facilitate Diagnosis, Follow-Up, and Management of Postpartum Depression 08/12/13

This supplemental appendix for the Translating Research into Practice for Postpartum Depression (TRIPPD) effectiveness study provides a set of tools to facilitate diagnosis, follow-up, and management of postpartum depression.

The tools available in the supplemental appendix include the following:

  • Immediate action protocol
  • Nurses follow-up call form
  • Physician-to-nurse referral form
  • Medication chart
  • Sheet of medication side effects...
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...

Reengineered Discharge Toolkit 04/03/13

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...

Tools for Building a Clinician and Staff Support Program 04/26/12

These tools and resources guide health care facilities in organizing institution-wide support for clinicians following adverse events. Included is a toolkit for organizations to use regardless of where they are on the spectrum—from those in the early stages of looking at different support models to those who may already have programs in place.

The following tools are also available:

  • Organizational assessment tool for clinician support
  • Building a clinician...
National Commission on Correctional Health Care: Chronic Disease Clinic Followup Form 06/07/11

This form can help correctional health care professionals effectively manage diseases commonly found in jails, prisons, and juvenile confinement facilities. It is used to follow a patient with a single or multiple chronic diseases. The sheet documents the chronic disease(s) for which the patient is being followed, as well as medications, symptoms, immunizations, test results, and more.

Partnering in Self-Management Support: A Toolkit for Clinicians 03/25/11

This toolkit is intended to give busy clinical practices an introduction to a set of activities and changes that support patients and families in the day-to-day management of chronic conditions. Experienced organizations and teams will find tested resources and tools. Practices that are just beginning to reorganize for patient-centered care as well as those experienced in collaborative self-management will find tested resources and tools and high-leverage changes that offer a number of ways...

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