Quality of Care Transitions
Better Together.Patients transitioning between healthcare settings or home are especially vulnerable. Effective communication is essential to maintain patient safety and reduce adverse events.
Shifting care between healthcare facilities or to the patient and their family or caregivers is difficult, especially for those managing complex health conditions and multiple medications.
- One study estimates that 80% of serious medical errors involve miscommunication during the hand-off between medical providers.
- Nearly half of all American adults—90 million people—have difficulty understanding and acting upon health information.
- People affected by multiple chronic conditions are at risk of early mortality, poor functional status, and hospitalization. They also face significant out-of-pocket expenses for healthcare and prescription drugs.
Continual communication among the patient, their providers and their caregivers ensures individual medical needs, health status, and personal values are addressed, especially during care transitions. Promoting shared decision making methods, hospital discharge protocols and risk assessments would ensure patient safety and improve the overall patient experience.
Opioids are highly addictive narcotic substances commonly prescribed for chronic pain after surgery or injury. Opioids must be used with extreme caution even though they can provide powerful relief for those struggling with chronic pain.
Quality Care Transition News
News
Discover the Power of Plain Language
Preventing Compassion from Becoming Fatigue: Self-Care Tips for Nursing Facility Staff | COE-NF Webinar
World Stroke Day | #GreaterThan Challenge
A Call to Action in Long Term Care & Adult Care Facilities: Caring for People with Substance Use Disorder | GNYHCFA Webinar Series
North Dakota Resources
South Dakota Resources
Readmissions & Emergency Department Visits
GPQIN Suite Of Tools
GPQIN: Readmissions Interview Tool
GPQIN: Reducing Avoidable Emergency Department Visits & Hospitalization Toolkit
GPQIN Connecting the Dots – Antibiotic Stewardship, Immunization, Sepsis
GPQIN When to Call for Help Tool
GPQIN When to Call for Help Tool Booklet Version (Print Setting: Print On Both Sides: Flip pages on short edge)
NEW GPQIN Checklist For When To Call For Help
Emergency Department
AHRQ Improving the Emergency Department Discharge Process
FindHelp.org
Reduce Unnecessary Emergency Room Visits by Educating Patients
Re-Engineered Discharge (RED) Toolkit
Social Determinants of Health in Rural Communities Toolkit
Hospital Readmission
AHRQ Improving the Emergency Department Discharge Process
BOOST-Implementation Guide to Improve Care Transitions
Fall Prevention in Hospitals Training Program
PRAPARE Implementation and Action Toolkit
Pressure Injury Prevention in Hospitals Training Program
Preventing Falls in Hospitals: A Toolkit for Improving Quality of Care
Preventing Pressure Ulcers in Hospitals
Ready-Set-Go Toolkit
RHIhub-Rural Care Coordination Toolkit
Social Determinants of Health in Rural Communities Toolkit
Health Literacy
Health Literacy
→ Great Plains QIN Health Equity Resources
CDC Health Literacy
CDC Health Literacy Basics
CDC Health Literacy Libraries
CDC Health Literacy Training
CDC Create a Health Literacy Plan
Health.gov Health Literacy
HRSA Health Literacy
NIH Health Literacy
Trainings from Organizations Other Than the CDC
Access to Care Resulting in Hospitalization
State and Community Health Reports
North Dakota Reports
North Dakota Multiple Visit Patient (MVP) Report (Through Q1 2024)
NEW- North Dakota Multiple Visit Patient (MVP) Report (Through Q2 2024)
North Dakota GPQCC Partnership for Community Health Report – Q4 2023
North Dakota GPQCC Partnership for Community Health Report – Q1 2024
South Dakota Reports
South Dakota Multiple Visit Patient (MVP) Report (Through Q1 2024)
NEW- South Dakota Multiple Visit Patient (MVP) Report (Through Q2 2024)
South Dakota GPQCC Partnership for Community Health Report – Q4 2023
South Dakota GPQCC Partnership for Community Health Report – Q1 2024
- PDF Documents: Get Adobe® Reader®
Great Plains Quality Care Coalition
Our Vision: Through collaboration and partnership, we aspire to make healthcare in the Dakotas the best in the nation. We have partnered with committed nursing homes, community leaders and healthcare organizations to improve the care in our communities. Better together.