Resource Library: Coordination of Care
Medication Reconciliation Worksheet for Post-Hospital Care
Preview: Medication Reconciliation Worksheet for Post-Hospital Care
Preview: Medication Reconciliation Worksheet for Post-Hospital Care
Download
60.02 KB | Last Updated: October 3, 2016
Adverse Drug Event Trigger Tool
Preview: Adverse Drug Event Trigger Tool
Preview: Adverse Drug Event Trigger Tool
Download
207.80 KB | Last Updated: October 3, 2016
Medications at Transitions and Clinical Handoffs (MATCH) Toolkit for Medication Reconciliation
Preview: Medications at Transitions and Clinical Handoffs (MATCH) Toolkit for Medication Reconciliation
Preview: Medications at Transitions and Clinical Handoffs (MATCH) Toolkit for Medication Reconciliation
Download
1.63 MB | Last Updated: October 3, 2016
IHI Global Trigger Tool
Preview: IHI Global Trigger Tool
Preview: IHI Global Trigger Tool
Download
344.45 KB | Last Updated: October 3, 2016
Michigan Opioid Safety Score (MOSS)
Preview: Michigan Opioid Safety Score (MOSS)
Preview: Michigan Opioid Safety Score (MOSS)
Download
157.00 KB | Last Updated: October 3, 2016
Marquis Implementation Manual
Preview: Marquis Implementation Manual
Preview: Marquis Implementation Manual
Download
2.38 MB | Last Updated: October 3, 2016
SafeMed Model
Preview: SafeMed Model
Preview: SafeMed Model
Download
9.02 MB | Last Updated: October 3, 2016
CDC Opioid Prescribing Checklist
Preview: CDC Opioid Prescribing Checklist
Preview: CDC Opioid Prescribing Checklist
Download
524.78 KB | Last Updated: June 29, 2016
CDC 2016 Chronic Pain Guideline (Core Requirements)
Preview: CDC 2016 Chronic Pain Guideline (Core Requirements)
Preview: CDC 2016 Chronic Pain Guideline (Core Requirements)
Download
673.88 KB | Last Updated: June 29, 2016
CMS Equity Plan
Preview: CMS Equity Plan
Preview: CMS Equity Plan
Download
433.40 KB | Last Updated: January 26, 2016
Medication Safety Starter Kit Infographic
Preview: Medication Safety Starter Kit Infographic
Preview: Medication Safety Starter Kit Infographic
Download
19.78 MB | Last Updated: January 26, 2016
Anticoagulation Discharge Communication (AC-DC) Audit Tool
Preview: Anticoagulation Discharge Communication (AC-DC) Audit Tool
Preview: Anticoagulation Discharge Communication (AC-DC) Audit Tool
Download
416.02 KB | Last Updated: November 20, 2015
Tools to Improve Medication Safety
Preview: Tools to Improve Medication Safety
Preview: Tools to Improve Medication Safety
Download
3.66 MB | Last Updated: November 13, 2015
QAPI Steps 7-9
Preview: QAPI Steps 7-9
Preview: QAPI Steps 7-9
Download
418.58 KB | Last Updated: September 30, 2015
PIP Charter Worksheet
Preview: PIP Charter Worksheet
Preview: PIP Charter Worksheet
Download
135.17 KB | Last Updated: September 30, 2015
Learning Session 2: Using Performance Improvement Methods to Achieve and Sustain the Results You Want
Preview: Learning Session 2: Using Performance Improvement Methods to Achieve and Sustain the Results You Want
Preview: Learning Session 2: Using Performance Improvement Methods to Achieve and Sustain the Results You Want
Download
10.24 MB | Last Updated: September 30, 2015
Screening for ADEs
Preview: Screening for ADEs
Preview: Screening for ADEs
Download
430.12 KB | Last Updated: September 21, 2015
ADE Trigger Tool
Preview: ADE Trigger Tool
Preview: ADE Trigger Tool
Download
216.37 KB | Last Updated: August 20, 2015
ADE Data Collection Tool Electronic
Preview: ADE Data Collection Tool Electronic
Preview: ADE Data Collection Tool Electronic
Download
19.77 KB | Last Updated: August 20, 2015
Medication Safety Workgroup Starter Pack (Bundle)
Preview: Medication Safety Workgroup Starter Pack (Bundle)
Preview: Medication Safety Workgroup Starter Pack (Bundle)
Download
4.65 MB | Last Updated: February 9, 2016
ADE Fishbone Diagram (Interactive)
Preview: ADE Fishbone Diagram (Interactive)
Preview: ADE Fishbone Diagram (Interactive)
Download
345.67 KB | Last Updated: August 20, 2015
PDSA Worksheet for Testing Change (Interactive)
Preview: PDSA Worksheet for Testing Change (Interactive)
Preview: PDSA Worksheet for Testing Change (Interactive)
Download
318.58 KB | Last Updated: August 21, 2015
ADE SMART Goals Worksheet (Interactive)
Preview: ADE SMART Goals Worksheet (Interactive)
Preview: ADE SMART Goals Worksheet (Interactive)
Download
566.06 KB | Last Updated: August 20, 2015
Creating Easy-to-Read Handouts
Preview: Creating Easy-to-Read Handouts
Preview: Creating Easy-to-Read Handouts
Download
686.93 KB | Last Updated: August 21, 2015
Nursing Home Composite Score Calculator
Preview: Nursing Home Composite Score Calculator
Preview: Nursing Home Composite Score Calculator
Download
1.13 MB | Last Updated: August 21, 2015
2016 Tennessee Care Coordination Communities Directory
Preview: 2016 Tennessee Care Coordination Communities Directory
Preview: 2016 Tennessee Care Coordination Communities Directory
Download
1.61 MB | Last Updated: February 4, 2016
Medication Safety: Fact Sheet
Preview: Medication Safety: Fact Sheet
Preview: Medication Safety: Fact Sheet
Download
1.46 MB | Last Updated: June 9, 2015
CPPACP County Resource Guide | 2015
Preview: CPPACP County Resource Guide | 2015
Preview: CPPACP County Resource Guide | 2015
Download
2.1 MB | Last Updated: August 21, 2015
TPACC Resource Guide
Preview: TPACC Resource Guide
Preview: TPACC Resource Guide
Download
4.64 MB | Last Updated: August 20, 2015
The Care Transitions Project
Preview: The Care Transitions Project
Preview: The Care Transitions Project
Download
925.14 KB | Last Updated: March 10, 2015
The Care Transitions Project
Preview: The Care Transitions Project
Preview: The Care Transitions Project
Download
928.55 KB | Last Updated: March 9, 2015
10 Facts Physicians Need to Know about POLST
Preview: 10 Facts Physicians Need to Know about POLST
Preview: 10 Facts Physicians Need to Know about POLST
Download
650.37 KB | Last Updated: August 20, 2015
Motivational Interviewing Guide
Preview: Motivational Interviewing Guide
Preview: Motivational Interviewing Guide
Download
4.49 MB | Last Updated: February 5, 2015
Readmissions Work Sheet
Preview: Readmissions Work Sheet
Preview: Readmissions Work Sheet
Download
950.89 KB | Last Updated: February 10, 2015
Communication Needs Assessment
Preview: Communication Needs Assessment
Preview: Communication Needs Assessment
Download
371.06 KB | Last Updated: February 5, 2015
Decreasing Readmissions, A Small Hospital's Story - MS Success Story
Preview: Decreasing Readmissions, A Small Hospital's Story - MS Success Story
Preview: Decreasing Readmissions, A Small Hospital's Story - MS Success Story
Download
134.00 KB | Last Updated: February 6, 2015
Poster: Clinical Pharmacist Impact on Heart Failure Guideline Compliance and Hospitalization Rates in the Long-Term Care Setting
Preview: Poster: Clinical Pharmacist Impact on Heart Failure Guideline Compliance and Hospitalization Rates in the Long-Term Care Setting
Preview: Poster: Clinical Pharmacist Impact on Heart Failure Guideline Compliance and Hospitalization Rates in the Long-Term Care Setting
Download
9.45 MB | Last Updated: November 21, 2014
Short Assessment of Health Literacy for Spanish Adults (SAHLSA-50)
Preview: Short Assessment of Health Literacy for Spanish Adults (SAHLSA-50)
Preview: Short Assessment of Health Literacy for Spanish Adults (SAHLSA-50)
Download
131.77 KB | Last Updated: February 6, 2015
Rapid Estimate of Adult Literacy in Medicine - Short Form (REALM-SF)
Preview: Rapid Estimate of Adult Literacy in Medicine - Short Form (REALM-SF)
Preview: Rapid Estimate of Adult Literacy in Medicine - Short Form (REALM-SF)
Download
25.28 KB | Last Updated: February 6, 2015
Fact Sheet - Prevention Coordination
Preview: Fact Sheet - Prevention Coordination
Preview: Fact Sheet - Prevention Coordination
Download
613.35 KB | Last Updated: August 21, 2015
Universities & Geriatric Education Centers in the South
Preview: Universities & Geriatric Education Centers in the South
Preview: Universities & Geriatric Education Centers in the South
Download
1.36 MB | Last Updated: February 6, 2015
Care Coordination Fact Sheet
Preview: Care Coordination Fact Sheet
Preview: Care Coordination Fact Sheet
Download
611.07 KB | Last Updated: February 6, 2015
Taking on ADEs to Take Down Readmissions
Preview: Taking on ADEs to Take Down Readmissions
Preview: Taking on ADEs to Take Down Readmissions
Download
6.87 MB | Last Updated: August 20, 2015
Using PDSA for Quality Improvement
Preview: Using PDSA for Quality Improvement
Preview: Using PDSA for Quality Improvement
Download
54.30 KB | Last Updated: February 6, 2015
Root Cause Analysis Process
Preview: Root Cause Analysis Process
Preview: Root Cause Analysis Process
Download
169.00 KB | Last Updated: February 10, 2015
Creating a Strong Team
Preview: Creating a Strong Team
Preview: Creating a Strong Team
Download
291.77 KB | Last Updated: February 6, 2015
Interactive PDSA Worksheet
Preview: Interactive PDSA Worksheet
Preview: Interactive PDSA Worksheet
Download
223.14 KB | Last Updated: February 6, 2015
Quick Tips When Talking with Your Doctor
Preview: Quick Tips When Talking with Your Doctor
Preview: Quick Tips When Talking with Your Doctor
Download
206.40 KB | Last Updated: February 26, 2015
Personal Health Record - Coleman
Preview: Personal Health Record - Coleman
Preview: Personal Health Record - Coleman
Download
272.27 KB | Last Updated: February 6, 2015
Care Transitions Project
Preview: Care Transitions Project
Preview: Care Transitions Project
Download
464.47 KB | Last Updated: February 6, 2015
10 Things to Know about the Quality of Health in America
Preview: 10 Things to Know about the Quality of Health in America
Preview: 10 Things to Know about the Quality of Health in America
Download
469.14 KB | Last Updated: February 5, 2015
10 Reasons to Complete a Personal Health Record
Preview: 10 Reasons to Complete a Personal Health Record
Preview: 10 Reasons to Complete a Personal Health Record
Download
528.81 KB | Last Updated: March 9, 2015
10 Reasons for a Physician Follow Up within 7 Days of Discharge
Preview: 10 Reasons for a Physician Follow Up within 7 Days of Discharge
Preview: 10 Reasons for a Physician Follow Up within 7 Days of Discharge
Download
364.49 KB | Last Updated: February 23, 2015
Transition Discharge Planning Toolkit
Preview: Transition Discharge Planning Toolkit
Preview: Transition Discharge Planning Toolkit
Download
415.71 KB | Last Updated: February 6, 2015
Talking with Your Healthcare Provider Checklist
Preview: Talking with Your Healthcare Provider Checklist
Preview: Talking with Your Healthcare Provider Checklist
Download
194.66 KB | Last Updated: February 6, 2015
Taking Care of My Health
Preview: Taking Care of My Health
Preview: Taking Care of My Health
Download
258.35 KB | Last Updated: February 6, 2015
Care Transitions Project Inpatient Facility Interventions
Preview: Care Transitions Project Inpatient Facility Interventions
Preview: Care Transitions Project Inpatient Facility Interventions
Download
1.06 MB | Last Updated: February 6, 2015
Personal Health Record
Preview: Personal Health Record
Preview: Personal Health Record
Download
483.35 KB | Last Updated: March 9, 2015
Hospital to Home Discharge Guide
Preview: Hospital to Home Discharge Guide
Preview: Hospital to Home Discharge Guide
Download
90.00 KB | Last Updated: February 6, 2015
Going Home Guide
Preview: Going Home Guide
Preview: Going Home Guide
Download
1.37 MB | Last Updated: February 6, 2015
Family Caregiving and Transitional Care
Preview: Family Caregiving and Transitional Care
Preview: Family Caregiving and Transitional Care
Download
1.57 MB | Last Updated: February 6, 2015
Discharge Planning Checklist
Preview: Discharge Planning Checklist
Preview: Discharge Planning Checklist
Download
182.59 KB | Last Updated: February 6, 2015
Communicate with Your Medicare Patients
Preview: Communicate with Your Medicare Patients
Preview: Communicate with Your Medicare Patients
Download
3.37 MB | Last Updated: February 6, 2015
Becoming a Family Caregiver
Preview: Becoming a Family Caregiver
Preview: Becoming a Family Caregiver
Download
95.83 KB | Last Updated: February 6, 2015
Assessing Family Caregivers
Preview: Assessing Family Caregivers
Preview: Assessing Family Caregivers
Download
129.42 KB | Last Updated: February 6, 2015
20 Tips to Help Prevent Medical Errors
Preview: 20 Tips to Help Prevent Medical Errors
Preview: 20 Tips to Help Prevent Medical Errors
Download
220.87 KB | Last Updated: August 21, 2015
9 Things You Can Do to Get Better Care
Preview: 9 Things You Can Do to Get Better Care
Preview: 9 Things You Can Do to Get Better Care
Download
477.09 KB | Last Updated: February 6, 2015
Home Health Interventions Checklist
Preview: Home Health Interventions Checklist
Preview: Home Health Interventions Checklist
Download
1.03 MB | Last Updated: February 6, 2015
Readmissions Root Cause Analysis Tool
Preview: Readmissions Root Cause Analysis Tool
Preview: Readmissions Root Cause Analysis Tool
Download
312.90 KB | Last Updated: February 6, 2015
Readmission Root Cause Analysis Tool - Skilled Nursing Facility
Preview: Readmission Root Cause Analysis Tool - Skilled Nursing Facility
Preview: Readmission Root Cause Analysis Tool - Skilled Nursing Facility
Download
291.73 KB | Last Updated: February 6, 2015
Physician Practice Assessment Form
Preview: Physician Practice Assessment Form
Preview: Physician Practice Assessment Form
Download
22.32 KB | Last Updated: February 26, 2015
Change Package: Physician Office
Preview: Change Package: Physician Office
Preview: Change Package: Physician Office
Download
29.93 KB | Last Updated: February 5, 2015
Nursing Home Staff Interview
Preview: Nursing Home Staff Interview
Preview: Nursing Home Staff Interview
Download
48.34 KB | Last Updated: February 10, 2015
Chart Audit Tool for Nursing Homes
Preview: Chart Audit Tool for Nursing Homes
Preview: Chart Audit Tool for Nursing Homes
Download
190.51 KB | Last Updated: February 6, 2015
Chart Audit Tool for Hospitals
Preview: Chart Audit Tool for Hospitals
Preview: Chart Audit Tool for Hospitals
Download
254.69 KB | Last Updated: February 10, 2015
Skilled Nursing Facility and Rehabilitation Change Package
Preview: Skilled Nursing Facility and Rehabilitation Change Package
Preview: Skilled Nursing Facility and Rehabilitation Change Package
Download
4.71 MB | Last Updated: February 6, 2015
Respiratory Disease Zone Tool
Preview: Respiratory Disease Zone Tool
Preview: Respiratory Disease Zone Tool
Download
290.91 KB | Last Updated: February 6, 2015
Rehospitalization Clinical Review Tool
Preview: Rehospitalization Clinical Review Tool
Preview: Rehospitalization Clinical Review Tool
Download
315.82 KB | Last Updated: February 6, 2015
Rehospitalization Audit
Preview: Rehospitalization Audit
Preview: Rehospitalization Audit
Download
491.07 KB | Last Updated: February 6, 2015
Process of Care Tool for Home Health Agencies
Preview: Process of Care Tool for Home Health Agencies
Preview: Process of Care Tool for Home Health Agencies
Download
312.04 KB | Last Updated: February 6, 2015
Post-ACH/ROC Transfer Tool
Preview: Post-ACH/ROC Transfer Tool
Preview: Post-ACH/ROC Transfer Tool
Download
327.53 KB | Last Updated: February 10, 2015
Physical Therapy Zone Tool
Preview: Physical Therapy Zone Tool
Preview: Physical Therapy Zone Tool
Download
303.17 KB | Last Updated: February 6, 2015
IHI How to Guide: Improving Transitions
Preview: IHI How to Guide: Improving Transitions
Preview: IHI How to Guide: Improving Transitions
Download
1.06 MB | Last Updated: February 6, 2015
Hospice Change Package
Preview: Hospice Change Package
Preview: Hospice Change Package
Download
3.20 MB | Last Updated: February 6, 2015
Home Health Interview Form
Preview: Home Health Interview Form
Preview: Home Health Interview Form
Download
34.80 KB | Last Updated: February 6, 2015
Heart Disease Zone Tool
Preview: Heart Disease Zone Tool
Preview: Heart Disease Zone Tool
Download
298.18 KB | Last Updated: February 6, 2015
Chart Review for Unplanned Transfers
Preview: Chart Review for Unplanned Transfers
Preview: Chart Review for Unplanned Transfers
Download
231.18 KB | Last Updated: February 6, 2015
10 Reasons a Physicians Should Consider a Hospice
Preview: 10 Reasons a Physicians Should Consider a Hospice
Preview: 10 Reasons a Physicians Should Consider a Hospice
Download
2.68 MB | Last Updated: February 23, 2015
Asthma Zone Tool
Preview: Asthma Zone Tool
Preview: Asthma Zone Tool
Download
296.89 KB | Last Updated: February 6, 2015
Depression Zone Tool
Preview: Depression Zone Tool
Preview: Depression Zone Tool
Download
285.09 KB | Last Updated: August 21, 2015
Help Decrease Avoidable Rehospitalizations
Preview: Help Decrease Avoidable Rehospitalizations
Preview: Help Decrease Avoidable Rehospitalizations
Download
5.51 MB | Last Updated: February 6, 2015
Discharge Criteria
Preview: Discharge Criteria
Preview: Discharge Criteria
Download
146.67 KB | Last Updated: February 5, 2015
Understanding the Path to Readmissions Infographic
Preview: Understanding the Path to Readmissions Infographic
Preview: Understanding the Path to Readmissions Infographic
Download
1.93 MB | Last Updated: February 6, 2015
Strategies and Tools for Reducing ADEs
Preview: Strategies and Tools for Reducing ADEs
Preview: Strategies and Tools for Reducing ADEs
Download
194.73 KB | Last Updated: February 6, 2015
Hospital Readmissions Work Sheet
Preview: Hospital Readmissions Work Sheet
Preview: Hospital Readmissions Work Sheet
Download
263.56 KB | Last Updated: February 6, 2015
Geriatric Emergency Department Guidelines
Preview: Geriatric Emergency Department Guidelines
Preview: Geriatric Emergency Department Guidelines
Download
700.65 KB | Last Updated: February 6, 2015
West Tennessee Senior Resource Guide
Preview: West Tennessee Senior Resource Guide