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Tools & Resources

Here you will find provider resources from ARC's learning sessions including Webinar presentations and materials from in-person meetings. You will have the opportunity to download slides and other tools for your reference and use.

Do you have any resources that could be helpful for the community? Let us know.

Share Your Tools & Resources

Complete the following form if you have a tool or resource to share with the ARC communitiy.

Transition of Care Structures Assessment and Implementation Tools Research & Guides Community Pharmacy Patient Activation Information Technology Other



Examples of interventions involving community care settings to reduce re-hospitalizations.
Title & Description Author Date Type
Atlanta Care Transitions Initiative
ARC Webinar
Cathie Berger 08/17/11
(pdf)
View/Download
Collaborating with Community Partners
Presentation from "Beyond Hospital Walls: Strategies for Reducing Readmissions"
Yvonne Chan & Susan Houston 04/24/13
(pdf)
View/Download
Eddy VNA Transitional Care Program
ARC Webinar (The New York Experience)
Susan O'Bryan 07/13/11
(pdf)
View/Download
Improving Care Transitions in Northwest Denver
Risa Hayes 02/23/12
(pdf)
View/Download
Involving Community in Reducing Readmissions
ARC Webinar
Nancy Vecchio 11/16/11
(pdf)
View/Download
Managing the Million Dollar Men and Women: The Humboldt County Experience
Tory Starr 12/04/12
(pdf)
View/Download
Support from Hospital to Home for Elders
Jeff Critchfield, Richard Santana and Diane Robbins 06/08/11
(pdf)
View/Download
Best Practices in Ambulatory Care
Presentation from "Beyond Hospital Walls: Strategies for Reducing Readmissions"
Steve Escamilla, Lance Lang & Samantha Valcourt 04/24/13
(pdf)
View/Download
Community Approach to Reducing Readmissions
Anya Vines 10/14/11
(pdf)
View/Download
Early Learnings from CCTP
Terry Winter 12/04/12
(pdf)
View/Download
Catching Discharged Patients in the Outpatient Setting
Ricki Stajer, RN, MA, CPHQ & Sarah Delgado, RN, MSN, ACNP 10/10/13
(pdf)
View/Download
Getting on the Same Page: Hospital, Community, Caregiver Alliance
Carol Levine 10/10/13
(pdf)
View/Download
Together We're Better: Extending Patient Care Outside the Hospital Walls
Partners in Care Foundation
June Simmons, MSW 10/10/13
(pdf)
View/Download
Together We're Better: Extending Patient Care Outside the Hospital Walls
Glendale Memorial Hospital and Health Center
Nancy Seck, RN, BSN, MPH, CPHQ 10/10/13
(pdf)
View/Download
Cedars-Sinai Health System: Partnering with Home Health Agencies and Nursing Homes to Prevent Hospital Readmissions
Katie Gurvitz, MHA, Kelley Hart, LVN & Michelle Hofhine, RN 10/10/13
(pdf)
View/Download

Title & Description Author Date Type
Home Health and Readmissions
Bronwyn Calkins 10/14/11
(pdf)
View/Download
Learnings from a Local Expert
Celeste Chavez 01/19/11
(pdf)
View/Download
Seven Home-Health Touch Points to Prevent Avoidable Readmissions
Home Health Learning Session
Jennifer Wieckowski 09/19/13
(pptx)
View/Download
Home Health Partnership
Home Health Learning Session
Dorothy Coffey 09/19/13
(pptx)
View/Download
Our ARC Journey…Professional Home Care Associates
Home Health Learning Session
Cheryl Haynes 09/19/13
(ppt)
View/Download

Title & Description Author Date Type
Improving Geriatric Care by Decreasing Potentially Avoidable Hospitalizations
Joseph Ouslander 04/20/11
(pdf)
View/Download
SNF-Hospital Collaboration: Antioch & Lone Tree Convalescent
Presentation from "Beyond Hospital Walls: Strategies for Reducing Readmissions"
Phylene Sunga 04/24/13
(pdf)
View/Download
Community SNU/ECF Transfer Checklist
Transfer Checklist
06/11/13
(xlsx)
View/Download
Emergency Transfers of the Elderly from Nursing Facilities to Critical Access Hospitals
Nursing Home Transfers
Flex Monitoring Team 06/11/13
(pdf)
View/Download
Care Transition from the Hospital to the SNFs and RCFEs
Day of Transition Mapping
ARC 12/01/13
(pdf)
View/Download
Nursing Home Capabilities List
Skilled Nursing Facility
Interact 3.0 04/07/14
(pdf)
View/Download

Title & Description Author Date Type
Referring Patients and Family Caregivers to Community-Based Services: A Provider’s Guide
Patient and Family Engagement
Next Step In Care 07/19/13
(pdf)
View/Download