Tools for Health Professionals

• Protocol Manual
• Discharge Preparation Checklist

   Spanish translation
   Russian translation, provided by the Boston Visiting Nurse Association
• Personal Health Record (PHR)

   Spanish translation of the Medication Record
   Sample Spanish PHR, provided by one of our partners, Visiting Nurse and Hospice Care
• Sample Transition Coach^TM Charting Form
• Patient Activation Assessment form
• Coach database

(Please note: this is a zipped file. To access it, click "save" on the pop-up window and save the folder to your hard drive. When the download is complete, click "close" on the pop-up window. Locate the coach.zip folder on your hard drive, right click on it, and select "extract all"). While this database is available for public use, our program does not have the resources at this time to provide technical support on its use.
• Frequently Asked Questions
• Care Transitions Measure (CTM^TM)
• Medication Discrepancy Tool (MDT^©)
• Care Transitions Intervention^SM Training Video
• Sample Transition Coach^TM Scripts:
     To Introduce the CTM to patients
     For the Home Visit
• Run Chart Templates:
     CTM^TM
     Patient Activation Assessment

Additional resources:

The Institute for Healthcare Improvement's How-to Guide: Creating an Ideal Transition Home for Patients with Heart Failure

The Care Transitions Program^SM is made possible in part by the generous support of The John A. Hartford Foundation.

The Care Transitions Program^SM is based in the Division of Health Care Policy and Research at the University of Colorado Denver, School of Medicine.