Summary
This “How-to Guide” from the Institute for Healthcare Improvement (IHI) has been produced to support hospital-based teams and their community partners in the re-design and implementation of improved care processes in the United States, with a view to ensuring that patients discharged from hospital have the best possible transition to the next setting of care (whether in primary care, home care, or nursing facilities). This guide was developed as part of the STate Action on Avoidable Rehospitalizations (STAAR) initiative.
Full Text Link (Note: Access to the document(s) requires you to register with the IHI; this is free).
Reference
Rutherford, P. Nielsen, GA. [and] Taylor, J. (2012). How to guide: improving transitions from the hospital to community settings to reduce avoidable rehospitalizations. Cambridge, Mass.: Institute for Healthcare Improvement, June 2012. 140p.
There are actually three components (available separately once logged on):
Reference
Herndon, L. Bones, C. [and] Kurapati S. [et al] (2012). How-to Guide: Improving Transitions from the Hospital to Skilled Nursing Facilities to Reduce Avoidable Rehospitalizations. Cambridge, MA: Institute for Healthcare Improvement, June 2012.
Reference
Sevin, C. Evdokimoff, M. [and] Sobolewski, S. [et al] (2012). How-to Guide: Improving Transitions from the Hospital to Home Health Care to Reduce Avoidable Rehospitalizations. Cambridge, MA: Institute for Healthcare Improvement, June 2012.
Reference
Rutherford, P. Nielsen, GA. [and] Taylor, J. [et al] (2012). How-to Guide: Improving Transitions from the Hospital to Community Settings to Reduce Avoidable Rehospitalizations. Cambridge, MA: Institute for Healthcare Improvement, June 2012.