Table 1
Patient Transitions.
| PATIENT | SITE | LOCATION PRIOR TO FRACTURE | TRANSITION |
|---|---|---|---|
| Patient 1 | Mid-Sized Urban | Home | Acute Care ➔ Inpatient Rehabilitation ➔ Retirement Home ➔ Home Care |
| Patient 2 | Mid-Sized Urban | Home | Acute Care ➔ Inpatient Rehabilitation ➔ Home Care |
| Patient 3 | Mid-Sized Urban | Home | Acute Care ➔ Home Care |
| Patient 4 | Mid-Sized Urban | Home | Acute Care ➔ Home Care |
| Patient 5 | Mid-Sized Urban | Home | Acute Care ➔ Inpatient Rehabilitation |
| Patient 6 | Mid-Sized Urban | Long Term Care | Acute Care ➔ Long Term Care |
| Patient 7 | Rural | Home | Acute Care (Rural) ➔ Retirement Home ➔ Home (no home care) |
| Patient 8 | Rural | Home | Acute Care (Rural)➔Long Term Care ➔ Home (no home care) |
| Patient 9 | Rural | Home | Acute Care (Urban) ➔ Acute Care (Rural) ➔ Home Care ➔ Out Patient Rehab |
| Patient 10 | Rural | Home | Acute Care (Rural) ➔ Home Care |
| Patient 11 | Rural | Home | Acute Care ➔ Acute Care (Rural) ➔ Long Term Care |
| Patient 12 | Rural | Retirement Home | Acute Care (Rural) ➔ Acute Care (Urban) ➔ Acute Care (Rural) ➔ Retirement Home (with home care) |
| Patient 13 | Rural | Home | Acute Care (Rural) ➔ Long Term Care |
| Patient 14 | Rural | Home | Acute Care (Rural) ➔ Home Care ➔ Out Patient Rehab |
| Patient 15 | Rural | Home | Acute Care (Rural) ➔ Home Care ➔ Out Patient Rehab |
| Patient 16 | Large Urban | Home | Acute Care ➔ Home Care |
| Patient 17 | Large Urban | Home | Acute Care ➔ Inpatient Rehab ➔ Assisted Living ➔ Home Care |
| Patient 18 | Large Urban | Home | Sub-Acute Care ➔ Readmission ➔ Inpatient Rehab ➔ Home Care |
| Patient 19 | Large Urban | Home | Acute Care ➔ Inpatient Rehab ➔ Home (no home care) |
Table 2
Emerging Themes.
| THEME | |
|---|---|
| 1 | Multiple different providers contributed to patient and family caregiver confusion |
| 2 | Family caregivers were not considered an important partner in the patient’s care |
| 3 | System-related issues impacted care experience |
| 4 | Patients and family caregivers felt uninformed |
| 5 | Transitions increased stress in patients and family caregivers |
| 6 | Care was not tailored to patient needs |
| 7 | Providers faced barriers in getting adequate information |
