Discharge planning

QualityTools

Advancing Effective Communication, Cultural Competence, and Patient- and Family-Centered Care: A Roadmap for Hospitals 04/24/14

The Roadmap for Hospitals was developed by The Joint Commission to inspire hospitals to integrate concepts from the communication, cultural competence, and patient- and family-centered care fields into their organizations. This guide provides recommendations to help hospitals address unique patient needs, meet patient-centered communication standards, and comply with related Joint Commission requirements.

Roadmap chapters address the following components of the care continuum:...

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...

Multi-Center Medication Reconciliation Quality Improvement Study (MARQUIS) Toolkit 12/16/13

The goal of MARQUIS (Multi-Center Medication Reconciliation Quality Improvement Study) is to develop better ways for medications to be prescribed, documented, and reconciled accurately and safely at times of care transitions when patients enter and leave the hospital. This study, which was funded by the Agency for Healthcare Research and Quality, has produced a set of medication reconciliation tools to reduce medication errors that frequently occur during care transitions.

The...

Guide to Patient and Family Engagement in Hospital Quality and Safety 07/11/13

The Guide to Patient and Family Engagement in Hospital Quality and Safety is a tested, evidence-based resource to help hospitals work as partners with patients and families to improve quality and safety. It provides four evidence-based strategies that hospitals can use to implement patient- and family-centered care practices. Each strategy includes educational tools and resources for patients and families, training materials for health care professionals, and real-world examples...

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...

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...

Always Events® Toolbox 12/08/11

This toolbox contains tools and strategies to assist health care professionals in implementing Always Events ® initiatives and meeting their patient- and family-centered care goals. Always Events ® are defined as “those aspects of the patient and family experience that should always occur when patients interact with healthcare professionals and the delivery system.”

These tools and strategies were developed by numerous health care professionals from...

Taking Charge of Your Healthcare: Your Path to Being an Empowered Patient 10/26/11

Health care providers can use this toolkit during hospital discharge to help patients leave the hospital with confidence. It includes the tools and information patients need to make a smooth transition to their next destination.

Elements of the toolkit are:

  • Staying Safe When You Leave the Hospital: A journal-like bifold booklet that guides patients and family members to collect their thoughts and ask the right questions.
  • Talking to...
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...

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