Table 1 Implementation Fidelity (content) of NUHS-RHS transitional care program (based on 42 observations and 33 reviews of medical records)
Content | Adherence (%) | Level of Implementation Fidelity |
|---|---|---|
Needs assessments | 100.0 | High |
Development of personalized care plans | 91.8 | High |
Symptoms management | 89.2 | High |
Functional management | 59.5 | Moderate |
Psychological support | 43.2 | Low |
Medication management | 63.5 | Moderate |
Home environment assessment | 56.8 | Moderate |
Management of social issues | 58.1 | Moderate |
Appointment management (e.g. Reminders, checking attendance and consolidation) | 50.0 | Low |
Promotion of self-care through education and empowerment | 87.8 | High |
Referral to other services | 23.0 | Low |
Advocacy | 16.2 | Low |
Telephone monitoring | 77.3 | Moderate |
Case closure | 50.0 | Low |