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Indiana State Department of Health

ISDH Home > Health Care Quality & Regulatory > Indiana Health Care Quality Resource Center > Care Coordination and Transitions Resource Center Care Coordination and Transitions Resource Center

Agenda and bios 

Indiana Healthcare Associated Infections Initiative Report 

  1. Knowledge Questionnaire Data
  2. Self-Assessment Data

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

Resources / Toolkits

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

INTERACT Tools 

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