Hospital Readmission & Care Coordination
Collection by Atom Alliance
One in five Americans aged 65 and older is readmitted to the hospital within 30 days of discharge, but most readmissions are preventable. atom Alliance is bringing together state-wide communities to create powerful collaborations of change that promote the seamless coordination of care for older adults.
Discharge Criteria - Qsource
Download Version Download 5652 File Size 146.67 KB File Count 1 Create Date August 4, 2014 Last Updated February 5, 2015 Discharge Criteria Attached Files FileActionDischarge_Criteria.pdfDownload
Your Discharge Planning Checklist - Qsource
Download Version Download 1041 File Size 322.83 KB File Count 1 Create Date October 21, 2014 Last Updated February 6, 2015 Your Discharge Planning Checklist For patients and their caregivers preparing to leave a hospital, nursing home, or other care setting Attached Files FileActionYour_Discharge_Planning_Checklist.pdfDownload
Chart Audit Tool for Hospitals - Qsource
Download Version Download 1106 File Size 254.69 KB File Count 1 Create Date August 7, 2014 Last Updated February 10, 2015 Chart Audit Tool for Hospitals Attached Files FileActionChart Review Audit Tool - Hospitals.pdfDownload
Chart Audit Tool for Nursing Homes - Qsource
Download Version Download 2942 File Size 190.51 KB File Count 1 Create Date August 7, 2014 Last Updated February 6, 2015 Chart Audit Tool for Nursing Homes Attached Files FileActionChart_Audit_Tool_Nursing_Home.pdfDownload
Rehospitalization Clinical Review Tool - Qsource
Download Version Download 593 File Size 315.82 KB File Count 1 Create Date August 7, 2014 Last Updated February 6, 2015 Rehospitalization Clinical Review Tool Attached Files FileActionRehospitalization_Clinical_Review_Tool.pdfDownload
Process of Care Tool for Home Health Agencies - Qsource
Download Version Download 472 File Size 312.04 KB File Count 1 Create Date August 7, 2014 Last Updated February 6, 2015 Process of Care Tool for Home Health Agencies Attached Files FileActionhttp://atomalliance.org/wp-content/uploads/2015/02/Process-of-Care-Tool-for-Home-Health-Agencies.pdfDownload
Home Health Interview Form - Qsource
Download Version Download 436 File Size 34.80 KB File Count 1 Create Date August 7, 2014 Last Updated February 6, 2015 Home Health Interview Form Attached Files FileActionHome Health Interview.pdfDownload
Nursing Home Staff Interview - Qsource
Download Version Download 520 File Size 48.34 KB File Count 1 Create Date August 7, 2014 Last Updated February 10, 2015 Nursing Home Staff Interview Attached Files FileActionNursing Home Staff Interview.pdfDownload
Rehospitalization Audit - Qsource
Download Version Download 771 File Size 491.07 KB File Count 1 Create Date August 7, 2014 Last Updated February 6, 2015 Rehospitalization Audit Attached Files FileActionRehospitalization Audit Home Health.pdfDownload
Chart Review for Unplanned Transfers - Qsource
Download Version Download 387 File Size 231.18 KB File Count 1 Create Date August 7, 2014 Last Updated February 6, 2015 Chart Review for Unplanned Transfers Attached Files FileActionChart_Review_for_Unplanned_Transfers.pdfDownload
Post-ACH/ROC Transfer Tool - Qsource
Download Version Download 533 File Size 327.53 KB File Count 1 Create Date August 7, 2014 Last Updated February 10, 2015 Post-ACH/ROC Transfer Tool Attached Files FileActionPost ACH ROC Audit and Tally Tool.pdfDownload
Taking Care of Myself Guide - Qsource
Download Version Download 685 File Size 775.74 KB File Count 1 Create Date October 21, 2014 Last Updated February 6, 2015 Taking Care of Myself Guide For patients and their caregivers preparing to leave a hospital, nursing home, or other care setting. Attached Files FileActiongoinghomeguide.pdfDownload
Skilled Nursing Facility and Rehabilitation Change Package - Qsource
Download Version Download 896 File Size 4.71 MB File Count 1 Create Date August 7, 2014 Last Updated February 6, 2015 Skilled Nursing Facility and Rehabilitation Change Package Attached Files FileActionSkilled Nursing Facility and Rehabilitation Change Package.pdfDownload