The Care Transitions Program

Eric A. Coleman, MD, MPH - Health Care Services for Improving Quality and Safety during Care Hand-offs

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  • Home
  • Tools and Resources
    • Download Our Tools
    • On the
      Cutting Edge
    • Our Publications
    • State of the Art Goals Curriculum
  • Are You a Patient or Family Caregiver?
    • Leaving the hospital: What you must know
    • Tips for Managing care at home
    • Recognizing Red Flags
    • Managing Medication
    • Links and Resources
  • Contact Us

All Tools and Resources

All Tools and Resources

You have our permission to use our tools provided that you include the attribution listed and you do not modify the tools.

 

Family Caregiver Activation in Transitions® (FCAT®) Tool


The FCAT tool® was developed to foster more productive interactions between health care professionals and family caregivers. Because it was developed with direct input from family caregivers, the items are both relevant to actual experience and are relatively easy to understand. We designed the FCAT tool® to be administered by a health professional or self-administered by the family caregiver at the point of care at the time of transition or shortly thereafter. The responses could then be reviewed by the care team. Those areas that the family caregiver identified as not feeling confident or prepared through completing the tool would be specifically addressed during discharge preparation instruction.

Family Caregiver Activation in Transitions® (FCAT®) Tool
PDF download (29KB)

 

Care Transitions Measure® Tools


With support from The Commonwealth Fund, The Robert Wood Johnson Foundation, and the Paul Beeson Faculty Scholars in Aging, Dr. Coleman and colleagues designed a 15-item uni-dimensional measure, the Care Transitions Measure (CTM®), to assess the quality of care transitions. The primary objective of this endeavor has been to develop a measure that is both substantively and methodologically consistent with the concept of patient-centeredness, and useful for the purpose of performance measurement and subsequent public report.

The CTM-15®
PDF download (30KB)
Additional Languages: Spanish | Arabic | Chinese |French | Hebrew |
Japanese | Malay | Pediatric | Russian | Swedish

Instructions for Scoring the CTM-15®
PDF download (91KB)

The CTM-3®
PDF download (30KB)
Additional Languages: Spanish | Finnish |French | French Canadian |Hindi |Italian | Portuguese

Instructions for Scoring the CTM-3®
PDF download (30KB)

CTM® Hospital Specification
PDF download (46KB)

CTM® Frequently Asked Questions
PDF download (263KB)

How To Introduce the CTM® to patients
PDF download (69KB)

DECAF™ Family Caregiver Tool


Greater Recognition for the Integral Role of Family Caregivers: More effective collaboration is needed between family caregivers and health care professionals in order to improve care coordination across settings. During care transitions, family caregivers make important contributions to ensuring quality, safety, and adherence to patient preferences and their roles need to be formally recognized. An important initial step in this regard is to develop a standardized approach to defining the type and intensity of the roles family caregivers contribute to facilitate planning to promote care planning and execution. One potential working definition is the “DECAF” classification developed by our Care Transitions Program®. Modeled after the TNM system used in cancer, each of the letters of DECAFTM refer to a different contribution made by a family caregiver: D= Direct Care Provision, E= Emotional Support, C= Care Coordination, A= Advocacy, and F= Financial. Each category is scored from 0 (no contribution) to 3 (significant contribution) for an overall aggregate score that ranges from 0-15.

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Disclaimer: The Care Transitions Program® and its personnel assume no liability or risk for use of model, materials or any advice explicit or implicit.

The John A. Hartford Foundation Gordon and Betty More Foundation  School of Medicine Health Care Policy and Research