- Improving Transition and Communication Between Acute Care and Long Term Care: A System for Better Continuity of Care - Annals of Long Term Care
- A Guide for Families: Making the Transition to Nursing Facility Life – American Health Care Association
- National Transitions of Care Coalition
- The Care Transitions Program®
- Care Coordination – Quality Connections, National Quality Forum
- Improving Care Transitions – HealthCare.Gov
- What is Care Coordination? – Agency for Healthcare Research and Quality
- Inter-Facility Infection Control Transfer Form – Centers for Disease Control and Prevention (State of Utah draft)
- Resident/Patient Continuum of Care Transfer Form – Georgia Cross Setting Group
Indiana Healthcare Leadership Conference on Care Coordination and Transitions
On October 27, 2011, the Indiana Department of Health conducted a Healthcare Leadership Conference for nursing home leadership, long term care provider associations, consumer advocate organizations, and state surveyors. The following are resources and tools provided at the conference:
- Agenda and bios
- Indiana Healthcare Associated Infections Initiative Report
- HAI Prevention and Antibiotic Stewardship Across Care Transitions
- A smooth hand-off – Getting Residents off to a Good Start
- Case Study: Mr. McNally
- McNally Cards for Case Study
- Preferences for Customary Routine and Activities
INTERACT
- Overview of the INTERACT Program in Everyday Care
- INTERACT Care Path Acute Mental Status Change
- INTERACT Case Study 1 for QI Review
- INTERACT Deciding About Going to the Hospital
- INTERACT Hospital to Post-Acute Care Transfer Data List
- INTERACT Implementation Checklist
- INTERACT Nursing Home to Hospital Transfer Form
- INTERACT QI Tools
- INTERACT SBAR Form
- INTERACT Stop and Watch Early Warning Tool