As part of the implementation of MIPS, clinician performance is measured through the data clinicians report in four areas - Quality, Improvement Activities, Advancing Care Information, and Cost.

Lean Six Sigma is simply a process for solving a problem. It consists of five phases: Define, Measure, Analyze, Improve, & Control. This process is also known as DMAIC, the acronym for thosefive phases. DMAIC is a five-step method for improving existing process problems with unknown causes.

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 CALNOC registry captures and benchmark unit data, structural measures, process measures, and outcome measures.

When implemented, the Medical Home Care Coordination Measurement Tool© provides a wealth of metrics to assess overall care and care transition processes.

The AHCP is designed to clearly present the information needed by patients to prepare them for the days between discharge and the first visit with their ambulatory care physician.

The core concept of the reconceptualized model of certified practice - the AACN Synergy Model for Patient Care - is that the needs or characteristics of patients and families influence and drive the characteristics or competencies of nurses. Synergy results when the needs and characteristics of a patient, clinical unit or system are matched with a nurse's competencies.

This resource is a modified version of the LACE tool, focused on nursing; and incorporating additional checklists for more comprehensive discharge planning and assessment.

The LACE tool is one of meany designed to assess risk of patient readmission or death upon discharge.

The 8P Screening Tool is designed to identify a patient's risk for adverse events after discharge.