Table 1.

Reach, Effectiveness, Adoption, Implementation, and Maintenance framework: research questions and methods of analysis by dimension.

Dimension		Methods	Results
Reach	How many patients participate and why do they choose to decline?	Descriptive analysis of patients approached, and enrolled, including reasons for declining	Main results Table 3
	What types of patients use the patient-facing PDTKa components?	Descriptive analysis of patient characteristics and hospitalization metrics from administrative databases, and whether they did or did not submit a checklist, or watch the video	Main results Table 3
Effectiveness	Does the PDTK activate patients at discharge?	Interviews at discharge to assess proportion of patients with Patient Activation Measure scores >55 (level 3 or 4)	Future study
	Will the PDTK favorably impact health care resource utilization after discharge?	Medical record review and phone interviews (30 days after discharge) to determine the proportion of patients with ≥1 unscheduled emergency department visit or readmission	Future study
	Can a checklist identify patients’ discharge concerns?	Descriptive analysis of patients' responses to checklist items	Main results Table 4
Adoption	How many clinicians participate, and what types of clinicians use the clinician-facing PDTK components?	Total number and percentage of clinicians of different types accessing the dashboard column and initiating postdischarge messaging	Table 4
Implementation	How frequently is each PDTK component utilized by patient and clinician participants?	Percentage of approached patients watching the video, completing checklist, and requesting postdischarge messaging Percentage of clinicians accessing dashboard column and initiating postdischarge messaging	Table 4
	Is the PDTK perceived to be valuable for patients and clinicians?	Descriptive analysis of survey results administered to patient participants Thematic analysis of content from semistructured interviews of patients and focus groups of clinicians	Patient survey results Table 5
Maintenance	What barriers, unintended consequences, and workflow challenges are encountered? What strategies are required to incorporate the PDTK into operations?	Thematic analysis of content from semistructured interviews of patients and focus groups of clinicians	Tables 5 and 6

^aPDTK: patient-centered discharge toolkit.