Avoiding Readmissions in Hospitals Serving Diverse Patients

OMB 0935-0173

Latest Forms, Documents, and Supporting Material

Document Name
Form Form #10 Intensive training Form and Instruction
Form Form #9 Master trainer training Form and Instruction
Form Form #8 Medical record review Form and Instruction
Form Form #7 Administration of patient survey by hospital staff Form and Instruction
Form Form #6 Patient survey Form and Instruction
Form Form #5 Post implementation semi-structured interview Form and Instruction
Form Form #4 Base-line semi-structured interview Form and Instruction
Form Form #3 Monthly semi-structured interview Form and Instruction
Form Form #2 Baseline key contact semi-structured interview Form and Instruction
Form Form #1 Baseline needs assessment Form and Instruction
Supporting Statement PART B-- Avoiding Readmissions 12 15 2010.doc Supporting Statement B
Attachment N -- Response to Public Comment.doc Supplementary Document
Attachment L -- Federal Register Notice.pdf Supplementary Document
Attachment B -- Electronic template for the After Hospital Care Plan (example) .doc Supplementary Document
Attachment A -- Healthcare Research and Quality Act of 1999.pdf Supplementary Document
Supporting Statement PART A -- Avoiding Readmissions 12 15 10 Response to OMB.doc Supporting Statement A
Intensive training Form and Instruction
Master trainer training Form and Instruction
Medical record review Form and Instruction
Administration of patient survey by hospital staff Form and Instruction
Patient survey Form and Instruction
Post implementation semi-structured interview Form and Instruction
Base-line semi-structured interview Form and Instruction
Monthly semi-structured interview Form and Instruction
Baseline key contact semi-structured interview Form and Instruction
Baseline needs assessment Form and Instruction