Transitions between settings
Ideal Discharge for the Heart Failure Patient: A Hospitalist Checklist details what information should be included in the patient's discharge summary, patient discharge instructions, and the communication with the patient's followup physician on the day of discharge.
The checklist includes the following information:
- Presenting problem
- Key findings and test results
- Brief hospital course
- Condition at discharge
- Discharge medications and...
The Reconciling Medications Toolkit is designed to aid providers in the three-step process of medication reconciliation. Reconciling medication occurs by making sure the patient’s home medication list is complete, having doctors use the home medication list to write orders, and verifying that doctor’s orders correspond to the home medication list. This three-step process can prevent medication errors and the adverse drug effects that can occur as a result.
This toolkit contains the...
The goal of the Medications At Transitions and Clinical Handoffs (MATCH) Initiative is to measurably decrease the number of discrepant medication orders and the associated potential and actual patient harm. This toolkit is designed to assist all types of organizations, whether caring for inpatients or outpatients or using an electronic medical record, a paper-based system, or both.
This toolkit is designed to help:
- Make the case for prioritizing medication reconciliation as...
This guide accompanies the Detoxification and Substance Abuse Treatment, Number 45 in the Treatment Improvement Protocol (TIP) series published by the Center for Substance Abuse Treatment (CSAT), Substance Abuse and Mental Health Services Administration (SAMHSA). It is based entirely on TIP 45 and is designed to meet the needs of the busy clinician for concise, easily accessed “how-to” information.
This guide is divided into the following sections:
- Why a quick guide?...
This key points card on inpatient mental health care is derived from the evidence-based clinical practice guideline, Management of Major Depressive Disorder (MDD) in Adults, developed by the Department of Veterans Affairs and Department of Defense (VA/DoD). The guideline is intended to identify the critical decision points in management of patients with depressive conditions, such as assessment, empirically supported psychotherapies and pharmacological therapies, non-MDD conditions...
This brochure offers information to help patients recovering from a suicide attempt move ahead after their treatment in the emergency department and provides resources for more information about suicide and mental illness.
This brochure addresses the following topics:
- After the emergency department
- Next steps: moving ahead and coping with future thoughts of suicide
- Create a safety plan
- Build a support system
- Learn to live again
This 24-page report outlines recommendations for a manageable number of performance measures that States can use to assure the quality of integrated care in their contracts with special needs plans, which offer significant new opportunities to integrate Medicaid and Medicare coverage for beneficiaries who are dually eligible.
This report addresses the following topics:
- Overview of performance measurement for integrated care programs
- Center for Health Care Strategies...
This brochure provides health care professionals with tips to enhance care in the emergency department (ED) for people who have attempted suicide. It also provides information on the Health Insurance Portable and Accountability Act of 1996 (HIPAA), patient discharge, and resources about suicide for medical professionals, patients, and their families.
This brochure addresses the following topics:
- Patient care in the ED: Helpful...
This brochure provides tips to encourage patients to become more involved in their care. It also gives patients guidance on how to find out about their medical condition, new medicines, and followup care.
The brochure includes the following information:
- What should you do before leaving the hospital?
- What if you have trouble understanding the language used in the instructions?
- You feel overwhelmed by the followup care you need. What can you do?...
Through this 4-week program, patients with complex care needs receive specific tools, are supported by a “transition coach,” and learn self-management skills to ensure their needs are met during the transition from hospital to home.
The tool kit includes the following:
- Intervention tools
- Protocol manual
- Discharge preparation checklist
- Personal health record
- Sample transition coach charting form
- Coach database