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QualityTool

Post-Acute Transfer Form


Description

This form is used to standardize information transferred between acute care hospitals and skilled nursing facilities throughout the four-county northeastern Ohio region. It may be adapted for use in other areas. It includes information on medications, activities of daily living, orders, and special care needs.
Links to the Tool:
This tool is available at: http://www.commonwealthfund.org/usr_doc/TransferForm.pdf?section=4039 (If you don't have the software to open this PDF, download free Adobe Acrobat Reader® software External Web Site Policy.)

Developer

Akron Regional Hospital Association

Funding Sources

The Commonwealth Fund


QualityTool Topic

Patient/Medication safety; Prevention and wellness


History

  • Release Date: 02/2007
  • Original Summary: 06/2007
Disclaimer: The inclusion of a tool in the Innovations Exchange does not constitute or imply an endorsement by the U.S. Department of Health and Human Services, the Agency for Healthcare Research and Quality or Westat of the tool or of the submitter or developer of the tool. Read more.
QualityTool Classification

Stage of Care:
IOM Domains of Quality:
QualityTool Format:
Funding Sources:

Last updated: May 19, 2008.