IPRO QIN-QIO Resource Library

The Healthy People 2030 webpage on has useful information on social determinants of health (SDOH) including the widely-used definition and graphic that explains, “What are social determinates of health?” There is also information on how the Healthy People 2030 campaign and other organizations are addressing SDOHs.

The purpose of this guide is improvement of cross-setting management of high risk medications (opioids, anticoagulants, and diabetes medications) during transitions of care to prevent adverse drug events and subsequently reduce emergency department visits, hospitalizations, and readmissions.

How can the Essential Communication Elements tools be utilized?

• Provide the fundamental communication criteria necessary for the proper transition of care related to pain medications, anticoagulants, and diabetes medications.
• Evaluate your facility practices regarding communication of requisite medication‐related elements to subsequent providers.
• Identify opportunities for system improvements.

This fillable PDF resource created by IPRO may be helpful for preparing for attestation of the CMS Hospital Commitment to Health Equity Measure.

This fillable form allows a hospital to provide key contact information for receiving post-acute providers if they have questions concerning a recent patient transfer.

The HOSPITAL Score is a validated prediction tool to identify patients at a high risk of potentially avoidable hospital readmission. It is intended to allow hospitals to assign extra discharge & care transition services to those patients most likely to be readmitted.

This form is used to gather information and facilitate a discussion for process improvement measures to address readmissions that occur within 1-7 days or 2 or more readmissions within 30 days.

This short video presents a process to determine the reliability of a process using a simple tool to identify opportunity for improvement.

This short presentation highlights a process to determine the reliability of a process using a simple tool to identify opportunity for improvement.

This quality improvement tool describes a process to determine the reliability of a process and next steps to take when an opportunity for process improvement is identified.

This one-page PDF sheet shows you how to measure your blood pressure properly.

This tool helps hospitals to capture data on the social needs of their patient population using ICD-10-CM codes included in categories Z55-Z65 (“Z codes”), which identify non-medical factors that may influence a patient’s health status.

The Center for Health Affairs in Cleveland, Ohio released a 33-minute documentary called Igniting Compassion. Through the stories of doctors, nurses, people in recovery from substance use disorders, and their family members, it seeks to dismantle medical stigma associated with substance use and educate on various treatment pathways. It also recognizes clinician burnout and provides practical examples of active listening and authenticity.

This RCA tool is one of those that we recommend for hospitals.