Use the CTEP Resource Guide to find other useful information , including a Glossary of Terms related to care transitions, and web links to many care transitions-related readings, websites, organizations, and initiatives.
- CTEP Summary
- CTEP Pilot Evaluation
- CTEP Statewide Kickoff Presentation
- CTEP Presentation Poster
- CTEP Resource Guide
- All Curriculum Downloads
Contact CTEP to learn more about access to training and/or technical assistance.
Quality improvement program focused on management of acute change in nursing home resident condition. (in use by 30 nursing home care teams in Massachusetts, NY and FL).
Provides context, overview of current status, framework and recommendations for improving end-of-life care in Massachusetts.
EOHHS initiative; service delivery model of care coordination and improved access to care by 2015.
Overview of care transition issues, principles and recommendations for improvement in Massachusetts.
Framework for nursing curricula – including nursing competencies related to patient care transitions.
Massachusetts MOLST (Medical Orders for Life-Sustaining Treatment) (available statewide by 2013)
Medical process and form to establish and honor medical orders for life-sustaining treatments across care settings for individuals nearing the end of life.
A research group at Boston University Medical Centerthat develops and tests strategies to improve the hospital discharge process in a way that promotes patient safety and reduces re-hospitalization rates
Initiative to improve quality, patient experience and reduce avoidable hospital readmissions (20+ hospitals in MA; (also in MI and WI). Led by Institute of Healthcare Improvement.
Western Massachusetts Nursing Collaborative forum: Achieving Successful Transitions Along the Continuum of Patient Care
Notes and materials from a December 2010 symposium re: care transitions focused on nurses.