Guide to Patient and Family Engagement

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

Description Who is involved Outcomes measured
Engaging and supporting patients and families in transition planning32,188-194
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 records190-192,195,196
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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Page last reviewed October 2014
Page originally created September 2012
Internet Citation: Exhibit 11. Supporting Increases in Patient Knowledge, Skills, and Abilities. Content last reviewed October 2014. Agency for Healthcare Research and Quality, Rockville, MD.