Table 3.

Four-Element Configurations

Configured SEIPS 2.0 Elements	Example of Element Barriers as they Configured across the ED/Home Transition Summarized from Patient Interviews	Parti cipa nt ID
Ta, O, P, EE	EDP prescribes self-care follow-up activities (F) Patient adopts a positive outlook on self-care (F) Supported by family members to complete self-care (F) Recently moved to live with family members (F)	P114
T, Ta, O, P	EDP discontinued Coumadin but did not update discharge paperwork (B) Patient did not know that weekly bloodwork was to check Coumadin levels (B) Patient continued to incur blood draws to check for Coumadin levels for several weeks (B)	P107
T, Ta, O, EE	Patient is discharged before EDP enters orders for needed device (B) Patient returns to hospital to receive device (F) Patient requests multiple devices to accommodate living situation (F) Patient’s insurance will not cover multiple devices (B)	P107
T, Ta, P, EE	EDP suggested patient see PCP after ED visit (F) Patient has no transportation (B) Medicaid transportation is complicated and demeaning to navigate (B)	P101

Abbreviations: ED=Emergency Department; EDP=ED Provider; B=Barrier; F=Facilitator; EE=External Environment; IE=Internal Environment; O=Organization; P=Person(s); T=Tools and Technology; Ta=Task