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 |