My After Nursing Home Care Plan

Resource Location:

Discharge Planning tool completed by nursing home interdisciplinary teams with the patient and caregiver throughout the discharge planning process. Adapted based on materials from Agency for Healthcare Research and Quality (AHRQ), Project RED (Re-engineered Discharge), and the Coleman Transitions Intervention in support of the Special Innovation Project: Improving Nursing Home Discharges Back to The Community Implementation Guide.

Posted on

Focus Area(s): Adverse drug event resources, Care coordination, Nursing Home Quality, Patient and family engagement, Quality Improvement Resources, Readmissions