All materials are meant to enhance your current process by using evidence based materials shown to improve patient discharge outcomes and reduce readmissions.
Category: Resource
My After Nursing Home Care Plan
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.
Re-Engineered Discharge (RED) Toolkit
The hospital discharge is a complex process requiring integrated communications among the inpatient care team, primary care team, community services, the patient, and the patient’s caregivers. The RED Toolkit has been expanded to provide complete implementation guidance and adapted to address language barriers, cross-cultural issues, and disparities in health care communication and trust. The toolkit now includes five additional tools that provide step-by-step instructions as a springboard for hospitals to proactively address avoidable readmissions.
Readmissions Diagnostic Worksheet (Hospital Chart Reviews)
This diagnostic tool helps hospitals perform an in-depth review of the last five rehospitalizations to identify opportunities for improvement. This includes conducting chart reviews of the last five readmissions as well as interviews with recently readmitted patients and their family members.
ASPIRE – Designing and Delivering Whole-Person Transitional Care: The Hospital Guide to Reducing Medicaid Readmissions
Designing and Delivering Whole-Person Transitional Care: The Hospital Guide to Reducing Medicaid Readmissions is intended to help hospital-based readmission reduction teams design and deliver transitional care to address “whole-person needs” (clinical, behavioral, and social). This whole-person approach to transitional care is patient centered, data informed, evidence based, and field tested.
Go to the Hospital or Stay Here? A Decision Guide for Residents, Their Families, Friends and Caregivers
When there’s a change in resident’s condition, this guide helps understand options.
Project RED Toolkit for Nursing Homes
All materials are meant to enhance your current process by using evidence based materials shown to improve patient discharge outcomes and reduce readmissions.
IPRO REDCap Hand Hygiene Project- Nail Care Reminder
This resource is intended to support hand hygiene competency adherence. The 1-page resource summarizes the evidence related to bacteria, resident rights and CDC recommendations to support healthcare staff keeping nails < ¼ inch long. The resource is excellent for staff education that can be shared before or after completing a hand hygiene competency assessment.
UTI Treatment Quality Improvement Action Plan for Nursing Homes
The UTI Treatment Action Plan template can assist Nursing Homes in assessing the management of urinary tract infections in the facility. The template includes examples of root cause analysis, SMART goals, PDSA cycles, resources and a staff pre and posttest knowledge assessment. The Action Plan is created in Word format to allow the user to modify the content to meet facility specific needs.
UTI Diagnosis and Prevention Quality Improvement Action Plan for Nursing Homes
The UTI Diagnosis and Prevention Action Plan template can assist Nursing Homes in assessing the management of urinary tract infections in the facility. The template includes examples of root cause analysis, SMART goals, PDSA cycles, resources and a staff pre and posttest knowledge assessment. The Action Plan is created in Word format to allow the user to modify the content to meet facility specific needs.
Rural Medication for Opioid Use Disorder
This toolkit compiles evidence-based and promising models and resources to support organizations implementing rural MOUD programs across the United States. The modules in the toolkit contain resources and information focused on developing, implementing, evaluating, and sustaining a rural MOUD program.
Immunization and Vaccine Resources
Link to IPRO Immunization and Vaccine Resources Web page with up-to-date links to:
- National resources
- COVID-19 resources
- Influenza resources
- Pneumococcal resources
- State specific resources
COVID Therapeutics Action Plan
The COVID therapeutics action plan provides a template with goals, resources and sample PDSA cycles to assist in the initiation of a plan to optimize the treatment of COVID. The action plan includes a focus on antiviral start time, NIH guideline adherence, monitoring and dosing . A REDCap data collection tool is available to assist with data collection and reporting.
LINKS Portfolio: Health Equity
The IPRO QIN-QIO has prepared educational materials to help spread awareness about health topics relevant to your community members and to support population health. Each LINKS portfolio introduces a health-related topic and resources for more information. This is the cover for the LINKS Health Equity portfolio.
Health Equity Brief
This issue provides data about health equity and factors that impact health, it also highlights actions that healthcare professionals and consumers can take to support equitable care in their communities.
https://drive.google.com/file/d/1CD6ZAVXNDLWnZxGMcAqVJOWdx03tIMIl/view?usp=drive_link
Health Equity: Staying Healthy Through Awareness
This PowerPoint presentation is about health equity and can be adapted to fit the needs of your specific audience or community.