Institutional members access full text with Ovid®

Share this article on:

Two Useful Tools: To Improve Patient Engagement and Transition From the Hospital

Lepore, Michael PhD; Wild, Dorothea MD, MPH; Gil, Heidi NHA; Lattimer, Cheri RN, BSN; Harrison, Jill PhD; Woddor, Navitha MD; Wasson, John H. MD

The Journal of Ambulatory Care Management: October/December 2013 - Volume 36 - Issue 4 - p 338–344
doi: 10.1097/JAC.0b013e3182a3317a
Original Articles

We use an Internet-based health assessment and feedback system to examine the range of needs and diverse experiences of 520 hospitalized adults in transition and the factors most strongly associated with their self-reported health confidence. Our results strongly suggest that patient engagement prior to admission and the quality of care coordination and communication during hospitalization can greatly enhance successful transition from the hospital back to the community. Hospitals are complex institutions. This report illustrates how the Internet or a straightforward graphic can make the complexity less overwhelming to patients and efficiently increase their health confidence for transitions.

Planetree (Drs Lepore and Harrison) and Griffin Hospital (Drs Wild and Woddor), Derby, Connecticut; Department Health Services, Policy, and Practice, Brown University, Providence, Rhode Island (Dr Lepore); Central Connecticut Senior Health Services, Southington, Connecticut (Ms Gil); Case Management Society of America and National Transitions of Care Coalition, Little Rock, Arkansas (Ms Lattimer); and The Dartmouth Institute, Lebanon, New Hampshire (Dr Wasson).

Correspondence: John H. Wasson, MD, The Dartmouth Institute, 46 Centerra Parkway, Lebanon, NH 03766 (

John Wasson is the President of FNX Corporation, which distributes under license with the Trustees of Dartmouth College the Internet tool used to examine the patient-reported, hospital transition-related experiences that are the basis for this report.

Data was derived from “Same Page Transitional Care: Creating a Template for Optimal Transitions” funded by the Picker Institute.

The authors have disclosed that they have no significant relationships with, or financial interest in, any commercial companies pertaining to this article.

© 2013 Wolters Kluwer Health | Lippincott Williams & Wilkins