Long-term care residents are often transferred to hospitals when they have an acute change in their clinical condition. Many such changes in condition can be managed safely without transfer, avoiding the trauma and risks associated with hospitalization. In order to achieve this goal, staff must be prepared and have the necessary resources available. Working on this goal will assist staff to safely care for residents on-site using evidence-based and expert recommended tools and practices to reduce rates of hospitalization without compromising residents’ well-being or wishes.

Hospitalizations: Create Improvement

INTERACT Stop and Watch Early Warning Tool

INTERACT Care Paths and Change in Condition File Cards

INTERACT Acute Care Transfer Document Checklist

Pioneer Network Shift Huddle Tip Sheet

CHATS - Communicating Health Assessment by Telephone

AMDA's Clinical Practice Guideline for Transitions of Care in the Long Term Care Continuum

Hospitalizations: Engage

Leadership Fact Sheet

Staff Fact Sheet

Health-Related Services

Hospitalization Costs

Consumers Fact Sheet 

Hospitalizations: Monitor & Sustain

The Domestic Lean Goddess - PDSA Video

Tip Sheet on Testing Change & Starting Small