Table 2.

Themes derived from stakeholder interviews and focus groups; perspectives by common category across stakeholder groups

Category	Theme
Access and Security	1. Access should be seamless across ambulatory and inpatient settings.
	2. Most policies and strategies are borrowed from ambulatory portals.
	3. Security concerns exist for health proxy access, access outside of hospital, and “bring your own device” solutions.
Content and Functionality	4. Look and feel of content and functionality should be seamless across settings.
	5. Multimedia personalization tools may humanize the patient and enhance patient and family connection with the care team.
	6. Educational content should be tailored to the patient’s clinical state.
	7. Displays should be simple and intuitive, with tiered options available for more detailed clinical information as desired.
Engagement and Culture	8. Stakeholder buy-in is needed during design/development and for setting end-user expectations.
	9. Dedicated teams are needed for patient/family enrollment and coaching to increase awareness, facilitate software development and vendor collaboration, and involve clinical governance and leadership.
	10. Clinicians should be actively engaged in using the portal with patients.
	11. A hospital culture of patient-centered innovations may facilitate adoption among providers.