2012 Storybooks 2012 Hospital Tools (Bolded are attached) Baystate Franklin Medical Center SNF Readmission Audit Tool and Report Template CHF zone teaching tool Teach Back 5 Key Must Know – Calendar to record daily weight Categories Caring for Your Heart: Living Well with Heart Failure teaching booklet BFMC medication listing/side effects of common medications tool for nurses Risk stratification tool for determination of patients who are at high risk for readmission related to non-adherence to Cooley Dickinson Hospital medication. Medication Discrepancy Tool (Coleman) Personal Health Record (Coleman) Baystate Medical Center Standardized Eclipsys documentation for high risk patients Zone education ED high utilize plan Ask me 3 education tool Complex care plan Case Management Discharge Beth Israel Deaconess Hospital- Milton Plan note OASIS Data to measure Hospital purchased patient education improvement in management in software library oral medication and decrease in acute care hospitalization. Beth Israel Deaconess Hospital- Needham SNF post discharge feedback CHF Follow-up Call form survey (how did the discharge (attachment #1) go?) Falmouth Hospital Cambridge Health Alliance Nurse to nurse communication Readmission Root Cause Guide PCP Discharge Notification Form (attachment #2) (attachment #3) Discharge follow up phone call (attachment #4) Cape Cod Hospital Notification Form” “PCP Nurse to Nurse SNF Communication Holyoke Medical Center Worksheet and Audit tool CHF Monitoring Tool for SNF Dovetail Referral Form (attachment #5) Enhanced Reassessment Tool CHF Education Tool for SNF (attachment #6)
2012 Storybooks 2012 Hospital Tools (Bolded are attached) Baystate Franklin Medical Center CHF zone teaching tool Calendar to record daily weight Caring for Your Heart: Living Well with Heart Failure teaching booklet BFMC medication listing/side effects of common medications tool for nurses Risk stratification tool for determination of patients who are at high risk for readmission related to non-adherence to medication. Baystate Medical Center Zone education Ask me 3 education tool Beth Israel Deaconess Hospital- Milton Hospital purchased patient education software library Beth Israel Deaconess Hospital- Needham CHF Follow-up Call form (attachment #1) Cambridge Health Alliance Readmission Root Cause Guide (attachment #2) Cape Cod Hospital “PCP Notification Form” Nurse to Nurse SNF Communication Worksheet and Audit tool Dovetail Referral Form Enhanced Reassessment Tool SNF Readmission Audit Tool and Report Template Teach Back – 5 Key Must Know Categories Cooley Dickinson Hospital Medication Discrepancy Tool (Coleman) Personal Health Record (Coleman) Standardized Eclipsys documentation for high risk patients ED high utilize plan Complex care plan Case Management Discharge Plan note OASIS Data to measure improvement in management in oral medication and decrease in acute care hospitalization. SNF post discharge feedback survey (how did the discharge go?) Falmouth Hospital Nurse to nurse communication PCP Discharge Notification Form (attachment #3) Discharge follow up phone call (attachment #4) Holyoke Medical Center CHF Monitoring Tool for SNF (attachment #5) CHF Education Tool for SNF (attachment #6)