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Care Transitions
Care Transitions
We are pleased to offer the following resources related to care transitions. To view a document, click on it. To save it to your computer, right click on it.
Resources are updated frequently, so check back for more information.
View a recording of the WebEx, "
Planning Ahead for Health Care Decisions - It's all about the conversations
".
View a recordings of the WebEx,
"Planning Ahead for Health Care Decisions - It's all about the conversations- Part II"
Document name
Description
Modified
Care Transitions Pillars
The Four Pillars of the Care Transitions Intervention Coaching Activities and Processes.
08/11/2011
Community_Coalition_Charter
Sample coalition charter
04/20/2012
Community_Preparedness_Checklist
Community-Based Care Transitions Program (3026) Community Preparedness Checklist
12/14/2011
Cross Setting Transfer Form
Modifiable form to document discharges/transfers across settings.
08/11/2011
Evidence-Based-Care-Transition-Models
Evidence-Based Care Transition Models
03/13/2012
HHA-Process-of-Care
Home Health Agency Process of Care Investigation Tool
01/17/2012
Home-Health-Agency-Interventions-Form-DE
Home Health Agency Interventions Form
12/21/2011
Inpatient_Facility_Interventions-one-pager
Inpatient Facility Interventions
12/21/2011
Inpatient-Facilities-Process-of-Care
Inpatient Facility Process of Care Investigation Tool
01/17/2012
Inpatient-Facility-Interventions
Inpatient Facility Interventions Form
12/21/2011
Interventions_by_Driver
Interventions by Driver Table
02/28/2012
Long-Term-Skilled-Nursing-Facility-Interventions
Skilled Nursing Facility Interventions Form
12/21/2011
Personal-Health-Record-Top-10
Personal Health Record Poster
01/17/2012
Physician-Follow-Up-Top-10
Physician Follow-Up Poster
01/17/2012
POLST-Poster
POLST Poster
01/17/2012
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