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QUERI
QUERI offers a Heart Failure (HF) Toolkit for Providers organized from the VA Sources and Non-VA Sources. The toolkit contains order sets, pathways, algorithms, and more.
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Grand-AidesTM Program
This medical care program trains and supports experienced laypeople in the community to promote medication adherence and to help deliver care to patients with HF and AMI under the close supervision of a nurse practitioner using protocols and portable telemedicine.
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Project BOOST
Society of Hospital Medicine's project on Better Outcomes for Older adults through Safe Transitions.
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The Care Transitions Program
During a 4-week program, patients with complex care needs receive specific tools, are supported by a Transition CoachTM, and learn self-management skills to ensure their needs are met during the transition from hospital to home.
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Interact II Program
The INTERACT II Program is designed to improve the quality of nursing home care by providing tools and resources to staff that will help to Reduce Avoidable Acute Care Transfers. |
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N-HeFT
N-HeFT™ provides online and live educational training programs for individuals and teams across the cardiovascular continuum of heart failure from risk prevention to advanced heart failure. |
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Project RED
Project Re-Engineered Discharge is a research group at Boston University Medical Center that develops and tests strategies to improve the hospital discharge process in a way that promotes patient safety and reduces re-hospitalization rates. |
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IHI Collaborative: TCAB
Formerly known as a Learning and Innovation Community, the Transforming Care at the Bedside Collaborative will build on the work of the Community and continue testing ideas and implementing changes that lead to lasting improvements in care at the bedside. |
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Transitional Care Model
The Transitional Care Model (TCM) provides comprehensive in-hospital planning and home follow-up for chronically ill high-risk older adults hospitalized for common medical and surgical conditions. |
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Reference
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IHI Rehospitalization Initiatives
This document provides an overview of the Institute for Healthcare Improvement initiatives focusing on rehospitalizations.
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Reference
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Multidisciplinary Care for Patients with Chronic Heart Failure
This document was developed to help health professionals and policy makers establish and maintain best-practice multidisciplinary CHF care that is linked with health services, delivered in acute and subacute healthcare settings, and uses both in-reach and out-reach approaches.
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