Table 1.

Selected Interview Statements in the upper right quadrant of GO-Zone (most feasible and important)

Category	Selected Interview Statements in Green ZONE	#
Medication review/assess	An accurate, complete, and updated list of all the medications a patient is taking including prescriptions, over the counter medications, and supplements.	3
	Home-based assessment of the patient’s medication adherence, symptom changes, and potential medication side effects and interactions.	5
	Home health care nurses conducting regular medication reviews.	6
	Having home health care nurses as the “eyes and ears” in the patient’s home.	27
	HHC nurses assessing if the patient has any language barrier when communicating with the patient and caregiver.	33
	Primary care providers assessing if the patient has any language barrier when communicating with the patient and caregiver.	34
	HHC nurses assessing the patient’s ability to take medicines correctly including health literacy, mental status, vision, manual dexterity, and nutrition.	37
	Continuous monitoring of medication effects and related symptom changes to ensure safety of deprescribing.	66
	Tools to automatically identify and flag patients with high risk of adverse events related to medication use such as falls, nausea, and dizziness.	69
Patient-centered deprescribing considerations	Home health care nurses building trust, rapport, and relationship with the patient.	28
	Primary care providers building trust, rapport, and relationship with the patient.	29
	HHC nurses listening to the patient and understanding the patient’s perspectives and experiences with medications.	43
	Allowing the patient to have a voice in the discussion about medication use and changes.	58
	Doing what is the best for patient.	70
Communication	Home health care nurses letting the primary care provider(s) know if there are issues related to medications such as patients not taking medications correctly or having concerns.	30
	A better-defined role of HHC nurses in initiating proactive communication with primary care provider(s) for patients taking too many medications.	32
	Options for patients to choose the best method to communicate with clinicians about medications.	57
	HHC nurses calling the patient’s primary care provider(s) about urgent medication problems while at the patient’s home.	61
	Having clear roles on who responds to the patient’s requests.	71
Education	Understanding how a reduction of medication impacts the underlying medical condition and side effects.	1
	Understanding how a reduction of medication impacts patients’ experiences and alignment with patients’ goals of care.	2
	A rationale and an understanding for why each medication is prescribed and indicated.	4
	Directly asking patients what they are taking or not taking and the reason for taking/not taking each medication.	11
	Asking if the patient has a way to manage and take their own medications.	14
	Educating and involving caregivers to support the patient to take medications correctly	15
	Education including medication name, reason for use, and potential side effects.	20
	A customized plan to help patients take medications at home in a way that works best for each patient’s individual needs.	21
	Teach back (tell and show me how) during medication education to ensure that patients understand the purpose, when/how to take, and safety concerns of medications.	23
	Medication lists and instructions for patients should be in layman’s language.	25
	Patients understanding how to reach out to health care providers with questions / concerns about medications.	39
	Patients understanding and “buy-into” the reason(s) for a change in medication before beginning that change.	40
	Patients understanding that they should always take their medications as prescribed and talk to their health care providers before starting, stopping or changing any medication.	41
	Reinforcing ongoing medication education for patients.	67
	Acknowledging that some medications cannot be stopped or reduced due to the underlying medical condition.	72
	Patient education that deprescribing can help improve patient’s health outcomes and it does not mean giving up on the patient.	82