Care Transitions Intervention Coaching Tools

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Department of Aging and Disability Services modified an existing, publicly available system of files, originally designed to

help CTI coaches manage their caseload and document aspects of their interactions. This modified tool and data collection method improved the functionality of the system, allowing integration of data points for systematic evaluation of CTI implementation and outcomes into the day-to-day activities of CTI coaches. This publicly-available file (www.caretransitions.org) is a straightforward Microsoft Access system of forms, tables and queries that allows coaches to: (1) document the type and content of each intervention contact, (2) create reports in preparation for upcoming contacts, and (3) store organized data points representing consumer characteristics (e.g., race/ethnicity), process measures (e.g., type of

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