This paper is in the following e-collection/theme issue:

CIHR funded proposals with peer-review reports (Canada) (59) Aging with Chronic Disease (177)

Published on in Vol 9, No 11 (2020): November

Preprints (earlier versions) of this paper are available at https://preprints.jmir.org/preprint/20220, first published .
Building a Digital Bridge to Support Patient-Centered Care Transitions From Hospital to Home for Older Adults With Complex Care Needs: Protocol for a Co-Design, Implementation, and Evaluation Study

Building a Digital Bridge to Support Patient-Centered Care Transitions From Hospital to Home for Older Adults With Complex Care Needs: Protocol for a Co-Design, Implementation, and Evaluation Study

Building a Digital Bridge to Support Patient-Centered Care Transitions From Hospital to Home for Older Adults With Complex Care Needs: Protocol for a Co-Design, Implementation, and Evaluation Study

Authors of this article:

Carolyn Steele Gray1, 2 Author Orcid Image ;   Terence Tang3, 4 Author Orcid Image ;   Alana Armas1 Author Orcid Image ;   Mira Backo-Shannon5 Author Orcid Image ;   Sarah Harvey6 Author Orcid Image ;   Kerry Kuluski2, 3 Author Orcid Image ;   Mayura Loganathan4, 7 Author Orcid Image ;   Jason X Nie3 Author Orcid Image ;   John Petrie3 Author Orcid Image ;   Tim Ramsay8, 9 Author Orcid Image ;   Robert Reid3 Author Orcid Image ;   Kednapa Thavorn8, 9 Author Orcid Image ;   Ross Upshur1, 4 Author Orcid Image ;   Walter P Wodchis2, 3 Author Orcid Image ;   Michelle Nelson1, 2, 10 Author Orcid Image
Article Authors Cited by (19) Tweetations (12) Metrics

Journals

  1. Singh H, Armas A, Law S, Tang T, Steele Gray C, Cunningham H, Thombs R, Ellen M, Sritharan J, Nie J, Plett D, Jarach C, Thavorn K, Nelson M. How digital health solutions align with the roles and functions that support hospital to home transitions for older adults: a rapid review study protocol. BMJ Open 2021;11(2):e045596 View
  2. Weissenfels A, Geidl W, Mino E, Naber I, Klamroth S, Gelius P, Abu-Omar K, Pfeifer K. Development, implementation, evaluation and scaling-up of physical activity referral schemes in Germany: protocol for a study using a co-production approach. BMJ Open 2021;11(3):e045563 View
  3. Singh H, Tang T, Steele Gray C, Kokorelias K, Thombs R, Plett D, Heffernan M, Jarach C, Armas A, Law S, Cunningham H, Nie J, Ellen M, Thavorn K, Nelson M. Recommendations for the Design and Delivery of Transitions-Focused Digital Health Interventions: Rapid Review. JMIR Aging 2022;5(2):e35929 View
  4. Singh H, Gray C, Nelson M, Nie J, Thombs R, Armas A, Fortin C, Molla Ghanbari H, Tang T, Vousden G. A qualitative study of hospital and community providers’ experiences with digitalization to facilitate hospital-to-home transitions during the COVID-19 pandemic. PLOS ONE 2022;17(8):e0272224 View
  5. Kokorelias K, Nelson M, Tang T, Steele Gray C, Ellen M, Plett D, Jarach C, Xin Nie J, Thavorn K, Singh H. Inclusion of Older Adults in Digital Health Technologies to Support Hospital-to-Home Transitions: Secondary Analysis of a Rapid Review and Equity-Informed Recommendations. JMIR Aging 2022;5(2):e35925 View
  6. Gottumukkala M. Design, Development, and Evaluation of an Automated Solution for Electronic Information Exchange Between Acute and Long-term Postacute Care Facilities: Design Science Research. JMIR Formative Research 2023;7:e43758 View
  7. Kokorelias K, Singh H, Knoepfli A, Das Gupta T, Ziegler N, Hitzig S. Older adults with complex care needs’ experiences within a hospital-to-home transition patient navigator program: A qualitative descriptive study. International Journal of Care Coordination 2023;26(2):75 View
  8. Li J, Jeffers T, Ogunjesa B, Raj M. Hospital Discharge Planners Need More Information When Referring Patients to Home Health Care: Insights From the Coronavirus Disease 2019 Pandemic. Health Services Insights 2023;16 View
  9. Khosravi M, Izadi R, Shojaei P, Delavari S. Strategies to promote patient‐centeredness within the healthcare industry: A grey‐based multicriteria decision making methods. Journal of Evaluation in Clinical Practice 2024;30(8):1585 View
  10. Urien J, Berthelot E, Raphael P, Moine T, Lopes M, Assayag P, Jourdain P. Evaluation of a New Telemedicine System for Early Detection of Cardiac Instability in Patients With Chronic Heart Failure: Real-Life Out-of-Hospital Study. JMIR Cardio 2024;8:e52648 View
  11. Huang C, Song J, Peng L, Tao Z. Discharge transition experience and nursing needs of elderly patients with hip fracture: A qualitative systematic review. International Journal of Orthopaedic and Trauma Nursing 2025;57:101162 View
  12. Grecu I, Nechita R, Ulerich O, Dumitrescu C. Multi-Attribute Decision-Making for Intelligent Allocation of Human Resources in Industrial Projects. Administrative Sciences 2025;15(5):181 View
  13. Anghel I, Cioara T, Bevilacqua R, Barbarossa F, Grimstad T, Hellman R, Solberg A, Boye L, Anchidin O, Nemes A, Gabrielsen C. New care pathways for supporting transitional care from hospitals to home using AI and personalized digital assistance. Scientific Reports 2025;15(1) View
  14. Tang T, Nelson M, Steele Gray C. Adapt to evaluate: Lessons from a multi-site trial of a digitally enabled care transition intervention. Healthcare Management Forum 2025;38(5):506 View
  15. McCoy M, Shorting T, Mysore V, Fitzgibbon E, Rice J, Savigny M, Ernecoff N, Weiss M, Bush S, Vincent D, Hagarty M, Lalumière G, Pattison R, Kornberg M, Stern M, Kuluski K, Webber C, Bruni A, Connolly T, Isenberg S. Advancing the Care Experience for Patients Receiving Palliative Care as They Transition From Hospital to Home (ACEPATH): Phase 2 of Codesigning an Intervention to Improve Hospital‐to‐Home Transitions for Patients and Family Caregivers. Health Expectations 2025;28(4) View
  16. Alexe C, Nechita R. A Theoretical Framework for Multi-Attribute Decision-Making Methods in the Intelligent Leading and Allocation of Human Resources in Research and Development Projects. Sustainability 2025;17(16):7535 View
  17. Allen J, Zhong Y, Antoniades J, Brand G, Heiss L, Hewitt A, Hill K, Hutchinson A, Lalor A, Ling D, Livingston P, Lobchuk M, Rawson H, Thomacos N, Crawford K. Co‐Designing Storyboards for Multimedia Resources With Informal Carers to Support Hospital‐to‐Home Transitions for Older Adults From Culturally Diverse Backgrounds. Journal of Advanced Nursing 2025 View

Books/Policy Documents

  1. Talwandi N, Khare S, Thakur P. Artificial Intelligence in Healthcare for the Elderly. View
  2. Gray C, Shen N, Pham Q, Wiljer D. Handbook of Health Services Evaluation. View