PRAXIS Resource Repository

Search our extensive library of COPD care and readmissions reduction resources, including best practices, research articles, educational materials and toolkits.

Improving Care Transitions Between Hospital and Home Health: A Home Health Model of Care Transitions

Resource Type: Toolkits
0 Comments   |   Like 2 Likes

This 71-page PDF outlines the Alliance for Home Health Quality and Innovation home health model for care transitions from hospital to home. The document includes an overview of the model; transitional care checklists to ensure essential elements are covered at important time points (e.g., patient education prior to hospital discharge); key components for care transitions tools (e.g., medication lists); transitional care guidance and guidelines; evidence-based tools; and patient resources. The model includes a COPD-specific "stop light" resource intended to enable those with COPD to identify exacerbation symptoms (i.e., COPD action plan). This tool will be most useful for the front-line COPD care provider.

View Resource
Citation: Alliance for Home Health Quality and Innovation. http://www.ahhqi.org/quality-initiatives/care-transitions. Published January 2014. Accessed August 2015.
care coordination caregiver & community exacerbations hospitalization patient education patient experience post-acute care telehealth

No Comments



You need to login to comment.

Join Us on COPD360social

Sign In to Participate
Or register to become a member
21% of Patients Readmitted