Transcription of Care Coordination Best-Practices Toolkit
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Care Coordination Best-Practices Toolkit
care Coordination Best-Practices ToolkitCollaborating with partners, providers, patients, families,and caregivers to improve and lower healthcare overview of care Coordination best practices to avert hospital readmissionsDownload available at: | 1 Table of Contents Executive Summary .. Organizational Assessment .. Five Key Areas Known to Reduce Avoidable Readmissions .. Typical Failures in Discharge Planning .. Organizational Assessment Summary and Sample .. Admission Assessment Tool .. Discharge Observation Tool .. Preparing for Change .. Five Whys Tool for Root Cause Analysis .. Goal Setting Worksheet .. Strategy Tree Form and Readmission Reviews .. Interview with Patients, Family Members and care Team Members.
to improving the quality of care delivered in each state we serve. HSAG has met with providers across this state and nationally, identifying tools that will aid you in the work of improving care transitions and coordination across the continuum. Many of these tools have been included in this book to serve as a guide to readmission prevention.
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