Interact2 - a website dedicted to interventions to reduce hospitalizations from nursing homes. Includes a variety of tools and care pathways to help reduce acute care transfers; including dehydration, fever, mental status changes, heart failure, lower respiratory infection, and UTI

  • see JAGS April 2011 - which reports a 17-24% reduction in hospital admissions using these tools

Transitions of Care CPG -   AMDA (American Medical Directors Association) has recently published a clinical practice guideline focused on the transition of care in an out of long-term care. This includes AMDA’s universal transfer form and a variety of other resources. AMDA has made a deliberate decision to make this available free of charge for public access. 

The National Transitions of Care Coalition (NTOCC) website

Planning for Your Discharge : A checklist for patients and caregivers preparing to leave a hospital, nursing home, or other health care setting” from CMS. (Clicking this link will take you away from PMDA online to an outsite website.