High-Risk Medications Essential Communication Elements Guide for Transitions of Care

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.

Hospital Readmission Risk Score Calculator

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.

Igniting Compassion

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.