Exhibit 11. Supporting Increases in Patient Knowledge, Skills, and Abilities

Description	Who is involved	Outcomes measured
Engaging and supporting patients and families in transition planning^32,188-194
Designating a person to ensure patient and family involvement in care from admission to post-discharge	Care coordinator, patient, family	Care coordinators typically spent from 1 to 2½ hours per discharge.^32,194 Patient satisfaction with the discharge process increased.^193,194 Patients receiving the intervention were half as likely to be readmitted to hospitals as those who did not receive the intervention.¹⁹⁰
Establishing systems for patients and family members to track medications and health records^{190-192,195,196}
Providing patients with daily medication lists, post-discharge medication lists, or post-discharge medical records; participating in medication reconciliation	Patient, family	Increases in number of medication lists reconciled.¹⁹⁶
Accessing health information¹⁸²
Establishing an information resource center for patients and families within the hospital or providing access to education videos through the hospital's television system	Patient, family	This literature review did not find outcomes assessed with this strategy.

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