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Discharge and Reconciliation Programs

A curated list of resources for practitioners

Websites Useful In Finding Drug Information

  • ASHP-APHA Care Transitions Best Practices
    Best Practices from the ASHP-APHA Medication Management in Care Transitions Initiatives. Highlights 8 programs considering key features of each: Patient progress, pharmacy team involvement, use of technology, metrics, barriers, cost justification, and future plans.
  • Care Transitions
    Care Transitions Intervention by Eric Coleman: framework for planning transitions using 4 pillars: Medication self-management, dynamic patient centered record, follow up, and red flags
  • C-TraC (Coordinated transitional care)
    This includes a toolkit for coordinating discharges. Program developed by William S. Middleton Memorial VA, Madison, WI
  • IHI Guide for improving transitions
    Sevin C, Evdokimoff M, Sobolewski S et al. How-to guide: improving transitions from the hospital to home health care to reduce avoidable rehospitalizations. Cambridge, MA: Institute for Healthcare Improvement; June 2013. A how to guide for managing transitions. includes transitions from hospital to community settings at SNF.
  • National Transitions of Care Coalition
    National Transitions of Care Coalition; provides many tools for developing care strategy and for various care settings
  • Project RED (re-engineered discharge)
    Provides a summary of the project conducted at Boston University Medical Center. Website has a toolkit and access to the publications on this AHRQ funded project. The components is a 12 point program, with medication issues being one of the key features.
  • Society of Hospital Medicine Care Transitions
    Society of Hospital Medicine Collaborative on care transitions. Provides resources to analyze current workflow, select effective interventions, redesign process, educate your team, and promote a team approach.