MAR for the CHF Patient in a SNF Northeast Health System (attachment #7) High Risk Readmission Criteria (attachment #16) Lawrence General Hospital Discharge Checklist (attachment #17) Script for warm handoffs Mini cognitive assessment (attachment #18) Massachusetts General Hospital Depression screening tool Wound Care Home Management (attachment #19) Plan (patient education sheet) (attachment #8) MGH post-discharge medication Northshore Medical Center reconciliation program worksheet (and script) (attachment #9) CHF discharge instructions What to expect with VNA home care Enhanced Risk Assessment Version 4 services (patient education sheet) (attachment #10) Norwood Hospital Enhanced Assessment Form Merrimack Valley Hospital Zone Trigger Tools Hand off tool Interact / SBAR tool (hand off from Saint Anne’s Hospital SNF to acute) Total Revision of the Patient Admission Discharge Checklist (attachment #20) packet to Patient Education Packet iSBARt Bedside Report & Pharmacy Discharge Counseling SBAR Poster (attachment #21) Brochure Multidisciplinary Rounds Checklist SNF Resource Guide Milford Regional Medical Center Saints Medical Center LACE (attachment #11) Daily STAAR List (attachment #22) Teach back (attachment #12) Teach Back (Heart Failure, Care Partner Brochure (attachment Pneumonia) (attachment #23) #13) Risk Assessment Tool Community Resource Guide and Heart Failure Discharge to Home Checklist Care Pathway (attachment #24) 5 Steps to Wellness Discharge Instructions with scheduled follow-up appointment Newton-Wellesley Hospital back Medical and Surgery – South Shore Hospital (attachment #14) COPD Action Plan (attachment #25) Discharge phone call script (attachment #15) Sturdy Memorial Hospital Patient Care Team data base
MAR for the CHF Patient in a SNF (attachment #7) Lawrence General Hospital Script for warm handoffs Massachusetts General Hospital Wound Care Home Management Plan (patient education sheet) (attachment #8) MGH post-discharge medication reconciliation program worksheet (and script) (attachment #9) What to expect with VNA home care services (patient education sheet) (attachment #10) Merrimack Valley Hospital Hand off tool Interact / SBAR tool (hand off from SNF to acute) Total Revision of the Patient Admission packet to Patient Education Packet Pharmacy Discharge Counseling Brochure SNF Resource Guide Milford Regional Medical Center LACE (attachment #11) Teach back (attachment #12) Care Partner Brochure (attachment #13) Community Resource Guide and Checklist 5 Steps to Wellness Newton-Wellesley Hospital back – Medical and Surgery (attachment #14) Discharge phone call script (attachment #15) Northeast Health System High Risk Readmission Criteria (attachment #16) Discharge Checklist (attachment #17) Mini cognitive assessment (attachment #18) Depression screening tool (attachment #19) Northshore Medical Center CHF discharge instructions Enhanced Risk Assessment Version 4 Norwood Hospital Enhanced Assessment Form Zone Trigger Tools Saint Anne’s Hospital Discharge Checklist (attachment #20) iSBARt Bedside Report & SBAR Poster (attachment #21) Multidisciplinary Rounds Checklist Saints Medical Center Daily STAAR List (attachment #22) Teach Back (Heart Failure, Pneumonia) (attachment #23) Risk Assessment Tool Heart Failure Discharge to Home Care Pathway (attachment #24) Discharge Instructions with scheduled follow-up appointment South Shore Hospital COPD Action Plan (attachment #25) Sturdy Memorial Hospital Patient Care Team data base
STAAR-CCT%20Storybook%20Tools%202012.docx