{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,2]],"date-time":"2025-08-02T17:27:37Z","timestamp":1754155657102,"version":"3.41.2"},"reference-count":69,"publisher":"Emerald","issue":"6","license":[{"start":{"date-parts":[[2021,5,10]],"date-time":"2021-05-10T00:00:00Z","timestamp":1620604800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.emerald.com\/insight\/site-policies"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["ITP"],"published-print":{"date-parts":[[2021,11,16]]},"abstract":"<jats:sec><jats:title content-type=\"abstract-subheading\">Purpose<\/jats:title><jats:p>Capture, consumption and use of person-centred information presents challenges for hospitals when operating within the scope of limited resources and the push for organisational routines and efficiencies. This paper explores these challenges for patients with Acute Coronary Syndrome (ACS) and the examination of information that supports successful hospital discharge. It aims to determine how the likelihood of readmission may be prevented through the capturing of rich, person-specific information during in-patient care to improve the process for discharge to home.<\/jats:p><\/jats:sec><jats:sec><jats:title content-type=\"abstract-subheading\">Design\/methodology\/approach<\/jats:title><jats:p>The authors combine four research data collection and analysis techniques: one, an analysis of the patient record; two, semi-structured longitudinal interviews; three, an analysis of the patient's journey using process mining to provide analytics about the discharge process, and four, a focus group with nurses to validate and confirm our findings.<\/jats:p><\/jats:sec><jats:sec><jats:title content-type=\"abstract-subheading\">Findings<\/jats:title><jats:p>The authors\u2019 contribution is to show that information systems which support discharge need to consider models focused on individual patient stressors. The authors find that current discharge information capture does not provide the required person-centred information to support a successful discharge. Data indicate that rich, detailed information about the person acquired through additional nursing assessments are required to complement data provided about the patient's journey in order to support the patients\u2019 post-discharge recovery at home.<\/jats:p><\/jats:sec><jats:sec><jats:title content-type=\"abstract-subheading\">Originality\/value<\/jats:title><jats:p>Prior research has focused on information collection constrained by pre-determined limitations and barriers of system design. This work has not considered the information provided by multiple sources during the whole patient journey as a mechanism to reshape the discharge process to become more person-centred. Using a novel combination of research techniques and theory, the authors have shown that patient information collected through multiple channels across the patient care journey may significantly extend the quality of patient care beyond hospital discharge. Although not assessed in this study, rich, person-centred discharge information may also decrease the likelihood of patient readmission.<\/jats:p><\/jats:sec>","DOI":"10.1108\/itp-09-2020-0630","type":"journal-article","created":{"date-parts":[[2021,5,7]],"date-time":"2021-05-07T08:02:33Z","timestamp":1620374553000},"page":"1664-1693","source":"Crossref","is-referenced-by-count":0,"title":["Capturing rich person-centred discharge information: exploring the challenges in developing a new model"],"prefix":"10.1108","volume":"34","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7242-9776","authenticated-orcid":false,"given":"Nyree J.","family":"Taylor","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Reeva","family":"Lederman","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rachelle","family":"Bosua","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Marcello","family":"La Rosa","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"140","published-online":{"date-parts":[[2021,5,10]]},"reference":[{"issue":"5","key":"key2022010510320083500_ref001","doi-asserted-by":"crossref","first-page":"481","DOI":"10.1108\/IJHCQA-12-2011-0077","article-title":"Service quality in healthcare institutions: establishing the gaps for policy action","volume":"26","year":"2013","journal-title":"International Journal of Health Care Quality Assurance"},{"key":"key2022010510320083500_ref002","doi-asserted-by":"crossref","first-page":"181","DOI":"10.1046\/j.1365-2648.2002.02360.x","article-title":"Stress and stressors of myocardial infarction patients in the early period after discharge","volume":"40","year":"2002","journal-title":"Journal of Advanced Nursing"},{"issue":"2","key":"key2022010510320083500_ref003","doi-asserted-by":"crossref","first-page":"251","DOI":"10.1007\/s10115-018-1214-x","article-title":"Split miner: automated discovery of accurate and simple business process models from event logs","volume":"59","year":"2019","journal-title":"Knowledge and Information Systems"},{"volume-title":"Review of the Key Attributes of High-Performing Person-Centred Healthcare Organisations","year":"2018","author":"Australian Commission on Safety and Quality in Health Care (ACSQHC)","key":"key2022010510320083500_ref066"},{"volume-title":"AR-DRG v9.0","year":"2018","author":"Australian Consortium for Classification Development","key":"key2022010510320083500_ref004"},{"volume-title":"Safe, Seamless and Secure: Evolving Health and Care to Meet the Needs of Modern Australia: Australia's National Digital Health Strategy","year":"2017","author":"Australian Digital Health Agency","key":"key2022010510320083500_ref005"},{"volume-title":"Admitted Patient Care 2016-2017: Australian Hospital Statistics","year":"2018","author":"Australian Institute of Health and Welfare","key":"key2022010510320083500_ref006"},{"volume-title":"MyHospitals","year":"2018","author":"Australian Institute of Health and Welfare","key":"key2022010510320083500_ref007"},{"key":"key2022010510320083500_ref008","doi-asserted-by":"crossref","first-page":"989","DOI":"10.1007\/s11739-019-02265-3","article-title":"Prediction of general medical admission length of stay with natural language processing and deep learning: a pilot study","volume":"15","year":"2020","journal-title":"Internal and Emergency Medicine"},{"key":"key2022010510320083500_ref009","article-title":"The impact of machine learning on patient care: a systematic review","volume":"103","year":"2020","journal-title":"Artificial Intelligence in Medicine"},{"article-title":"Why interoperability is hard","volume-title":"Principles of Health Interoperability","year":"2016","key":"key2022010510320083500_ref010"},{"key":"key2022010510320083500_ref011","doi-asserted-by":"crossref","first-page":"3242","DOI":"10.3390\/jcm9103242","article-title":"Incidence and predictors of unplanned hospital readmission after percutaneous coronary intervention","volume":"9","year":"2020","journal-title":"Journal of Clinical Medicine"},{"key":"key2022010510320083500_ref012","first-page":"w2006","article-title":"Improving the efficiency of discharge summary completion by linking to preexisiting patient information databases","volume":"3","year":"2014","journal-title":"BMJ Open Quality"},{"key":"key2022010510320083500_ref013","doi-asserted-by":"crossref","first-page":"1764","DOI":"10.1093\/jamia\/ocaa143","article-title":"Social determinants of health in electronic health records and their impact on analysis and risk prediction: a systematic review","volume":"27","year":"2020","journal-title":"Journal of the American Medical Informatics Association"},{"year":"2015","key":"key2022010510320083500_ref014","article-title":"Analysis of business process variants in apromore"},{"key":"key2022010510320083500_ref015","doi-asserted-by":"crossref","first-page":"616","DOI":"10.1177\/1054773820917299","article-title":"Investigating the effect of a structured discharge training program on patient outcomes following gynecologic oncology surgery","volume":"29","year":"2020","journal-title":"Clinical Nursing Research"},{"key":"key2022010510320083500_ref016","doi-asserted-by":"crossref","first-page":"121","DOI":"10.1287\/orsc.5.2.121","article-title":"Capturing the complexity in advanced technology use: adaptive structuration theory","volume":"5","year":"1994","journal-title":"Organization Science"},{"key":"key2022010510320083500_ref017","doi-asserted-by":"crossref","unstructured":"Dixon, B.E., Rahurkar, S. and Apathy, N.C. (2020), \u201cInteroperability and health information exchange for public health\u201d, Public Health Informatics and Information Systems, Springer.","DOI":"10.1007\/978-3-030-41215-9_18"},{"volume-title":"Application of Nursing Process and Nursing Diagnosis: An Interactive Text for Diagnostic Reasoning","year":"2012","key":"key2022010510320083500_ref018"},{"key":"key2022010510320083500_ref019","doi-asserted-by":"crossref","first-page":"f7171","DOI":"10.1136\/bmj.f7171","article-title":"Causes and patterns of readmissions in patients with common comorbidities: retrospective cohort study","volume":"347","year":"2013","journal-title":"BMJ"},{"key":"key2022010510320083500_ref020","doi-asserted-by":"crossref","first-page":"1165","DOI":"10.1046\/j.1365-2648.2000.01372.x","article-title":"Managing post-discharge care at home: an analysis of patients' and their carers' perceptions of information received during their stay in hospital","volume":"31","year":"2000","journal-title":"Journal of Advanced Nursing"},{"key":"key2022010510320083500_ref021","unstructured":"Eastern Health (2017), Eastern Health Annual Report 2016\/2017, Box Hill Eastern Health, Victoria."},{"key":"key2022010510320083500_ref022","first-page":"147","article-title":"Timing of first postdischarge follow-up and medication adherence after acute myocardial infarction","volume":"1","year":"2016","journal-title":"The Journal of the American Medical Association Cardiology"},{"key":"key2022010510320083500_ref023","doi-asserted-by":"crossref","first-page":"1195","DOI":"10.1108\/IJQRM-02-2017-0031","article-title":"Hospital healthcare service quality, patient satisfaction and loyalty","volume":"35","year":"2018","journal-title":"International Journal of Quality and Reliability Management"},{"key":"key2022010510320083500_ref024","doi-asserted-by":"crossref","first-page":"75","DOI":"10.1111\/j.1468-5914.1983.tb00463.x","article-title":"Comments on the theory of structuration","volume":"13","year":"1983","journal-title":"Journal for the Theory of Social Behaviour"},{"journal-title":"Cochrane Database of Systematic Reviews","article-title":"Discharge planning from hospital","year":"2016","key":"key2022010510320083500_ref067"},{"key":"key2022010510320083500_ref025","doi-asserted-by":"crossref","first-page":"33","DOI":"10.1136\/bmjqs-2015-004570","article-title":"Understanding patient-centred readmission factors: a multi-site, mixed-methods study","volume":"26","year":"2017","journal-title":"BMJ Quality and Safety"},{"key":"key2022010510320083500_ref026","doi-asserted-by":"crossref","first-page":"i67","DOI":"10.1136\/bmjqs-2012-001174","article-title":"\u2018It's like two worlds apart\u2019: an analysis of vulnerable patient handover practices at discharge from hospital","volume":"21","year":"2012","journal-title":"BMJ Quality and Safety"},{"key":"key2022010510320083500_ref027","doi-asserted-by":"crossref","first-page":"789","DOI":"10.1007\/s10198-012-0424-5","article-title":"The cost-effectiveness of smoking cessation support delivered by mobile phone text messaging: Txt2stop","volume":"14","year":"2013","journal-title":"The European Journal of Health Economics"},{"key":"key2022010510320083500_ref028","doi-asserted-by":"crossref","first-page":"66","DOI":"10.1093\/intqhc\/mzs066","article-title":"Quality and safety of hospital discharge: a study on experiences and perceptions of patients, relatives and care providers","volume":"25","year":"2013","journal-title":"International Journal for Quality in Health Care"},{"key":"key2022010510320083500_ref029","article-title":"Patient experience with discharge instructions in postdischarge recovery: a qualitative study","volume":"7","year":"2017","journal-title":"British Medical. Journal Open"},{"volume-title":"The Qualitative Researcher's Companion","year":"2002","key":"key2022010510320083500_ref030"},{"key":"key2022010510320083500_ref031","unstructured":"Independant Hospital Pricing Authority (2019), \u201cInternational statistical classification of diseases and related health problems, tenth revision, Australian modification (ICD-10-AM)\u201d, Australia, available at: https:\/\/www.ihpa.gov.au\/what-we-do\/icd-10-am-achi-acs-current-edition (accessed 18 February 2021)."},{"key":"key2022010510320083500_ref032","doi-asserted-by":"crossref","first-page":"114","DOI":"10.1177\/1474515117718415","article-title":"Documentation of person-centred health plans for patients with acute coronary syndrome","volume":"17","year":"2018","journal-title":"European Journal of Cardiovascular Nursing"},{"article-title":"Towards the development of a national ehealth interoperability framework to address public health challenges in Greece","volume-title":"The International Semantic Web Conference 2018","year":"2018","key":"key2022010510320083500_ref033"},{"key":"key2022010510320083500_ref034","doi-asserted-by":"crossref","first-page":"30","DOI":"10.1002\/rnj.164","article-title":"Patients' perceptions of the quality of discharge teaching and readiness for discharge","volume":"40","year":"2015","journal-title":"Rehabilitation Nursing"},{"first-page":"664","article-title":"Standardizing key issues from hospital through an electronic multi-professional discharge checklist to ensure continuity of care","year":"2019","key":"key2022010510320083500_ref035"},{"key":"key2022010510320083500_ref036","first-page":"11","article-title":"Business process model merging: an approach to business process consolidation","volume":"22","year":"2013","journal-title":"ACM Transactions on Software Engineering and Methodology"},{"key":"key2022010510320083500_ref037","doi-asserted-by":"crossref","first-page":"121","DOI":"10.1016\/j.ijinfomgt.2017.12.007","article-title":"From data to value: a nine-factor framework for data-based value creation in information-intensive services","volume":"39","year":"2018","journal-title":"International Journal of Information Management"},{"journal-title":"Process Mining in Healthcare: Evaluating and Exploiting Operational Healthcare Processes","first-page":"1","year":"2015","key":"key2022010510320083500_ref068"},{"key":"key2022010510320083500_ref038","doi-asserted-by":"crossref","first-page":"123","DOI":"10.1097\/00001786-200404000-00009","article-title":"Discharge planning process: applying a model for evidence-based practice","volume":"19","year":"2004","journal-title":"Journal of Nursing Care Quality"},{"volume-title":"Nursing Theories: A Framework for Professional Practice","year":"2014","key":"key2022010510320083500_ref039"},{"key":"key2022010510320083500_ref040","first-page":"1","article-title":"An exploration of person-centredness in practice","volume-title":"Online Journal of Issues in Nursing","year":"2011"},{"key":"key2022010510320083500_ref041","doi-asserted-by":"crossref","first-page":"501","DOI":"10.1016\/j.amjcard.2015.11.034","article-title":"Reliability of predicting early hospital readmission after discharge for an acute coronary syndrome using claims-based data","volume":"117","year":"2016","journal-title":"The American Journal of Cardiology"},{"key":"key2022010510320083500_ref042","doi-asserted-by":"crossref","first-page":"3652","DOI":"10.1111\/jocn.15420","article-title":"Where and how does fundamental care fit within seminal nursing theories: a narrative review and synthesis of key nursing concepts","volume":"29","year":"2020","journal-title":"Journal of Clinical Nursing"},{"volume-title":"Hospital Discharge Service Policy and Operating Model (Report)","year":"2020","key":"key2022010510320083500_ref069"},{"key":"key2022010510320083500_ref043","doi-asserted-by":"crossref","first-page":"1110","DOI":"10.1111\/1475-6773.12670","article-title":"Hospital readmission and social risk factors identified from physician notes","volume":"53","year":"2018","journal-title":"Health Services Research"},{"key":"key2022010510320083500_ref044","doi-asserted-by":"crossref","first-page":"60","DOI":"10.4258\/hir.2017.23.1.60","article-title":"Validation of the DeLone and McLean information systems success model","volume":"23","year":"2017","journal-title":"Healthcare informatics research"},{"key":"key2022010510320083500_ref046","doi-asserted-by":"crossref","first-page":"284","DOI":"10.5465\/amd.2016.0018","article-title":"Rediscovering handoffs","volume":"3","year":"2017","journal-title":"Academy of Management Discoveries"},{"key":"key2022010510320083500_ref047","doi-asserted-by":"crossref","first-page":"345","DOI":"10.1590\/S0103-21002007000300017","article-title":"Nurses' performance on hospital discharge: patients' point of view","volume":"20","year":"2007","journal-title":"Acta Paulista de Enfermagem"},{"key":"key2022010510320083500_ref048","doi-asserted-by":"crossref","first-page":"1281","DOI":"10.1136\/heartjnl-2013-305296","article-title":"Prescription of secondary prevention medications, lifestyle advice, and referral to rehabilitation among acute coronary syndrome inpatients: results from a large prospective audit in Australia and New Zealand","volume":"100","year":"2014","journal-title":"Heart"},{"key":"key2022010510320083500_ref070","doi-asserted-by":"crossref","first-page":"224","DOI":"10.1016\/j.jbi.2016.04.007","article-title":"Process mining in healthcare: a literature review","volume":"61","year":"2016","journal-title":"Journal of Biomedical Informatics"},{"key":"key2022010510320083500_ref049","doi-asserted-by":"crossref","first-page":"324","DOI":"10.1136\/bmjqs-2012-001207","article-title":"Home-care nurses' perceptions of unmet information needs and communication difficulties of older patients in the immediate post-hospital discharge period","volume":"22","year":"2013","journal-title":"British Medical. Journal Quality and Safety"},{"volume-title":"Discharge Planning Guide for Nurses","year":"1990","key":"key2022010510320083500_ref050"},{"key":"key2022010510320083500_ref052","first-page":"1331","article-title":"Introduction to nursing: an adaptation model","volume":"84","year":"1984","journal-title":"AJN The American Journal of Nursing"},{"edition":"2nd ed.","volume-title":"The Roy Adaptation Model","year":"1999","key":"key2022010510320083500_ref053"},{"key":"key2022010510320083500_ref054","doi-asserted-by":"crossref","first-page":"192","DOI":"10.1197\/jamia.M0891","article-title":"Handheld technology to improve patient care","volume":"9","year":"2002","journal-title":"Journal of the American Medical Informatics Association"},{"year":"1999","key":"key2022010510320083500_ref055","article-title":"Process restricted AST: an assessment of group support systems appropriation and meeting outcomes using participant perceptions"},{"issue":"7","key":"key2022010510320083500_ref056","doi-asserted-by":"crossref","first-page":"405","DOI":"10.4236\/ojn.2018.87032","article-title":"A spider in a broken web: nurses' views on discharge planning for older patients after hip fracture surgery who live in their own homes in rural areas","volume":"8","year":"2018","journal-title":"Open Journal of Nursing"},{"key":"key2022010510320083500_ref057","doi-asserted-by":"crossref","first-page":"2332","DOI":"10.1161\/CIRCULATIONAHA.117.032086","article-title":"Hospital readmission after perioperative acute myocardial infarction associated with noncardiac surgery","volume":"137","year":"2018","journal-title":"Circulation"},{"key":"key2022010510320083500_ref058","article-title":"Characterizing types of readmission after acute coronary syndrome hospitalization: implications for quality reporting","volume":"3","year":"2014","journal-title":"Journal of the American Heart Association"},{"key":"key2022010510320083500_ref059","doi-asserted-by":"crossref","first-page":"760","DOI":"10.1016\/j.amjmed.2015.01.022","article-title":"Thirty-day hospital readmissions in patients with non-ST-segment elevation acute myocardial infarction","volume":"128","year":"2015","journal-title":"The American Journal of Medicine"},{"year":"2017","key":"key2022010510320083500_ref045","article-title":"Medical record support for effective discharge planning"},{"key":"key2022010510320083500_ref060","doi-asserted-by":"crossref","first-page":"247","DOI":"10.1111\/scs.12793","article-title":"The effect of education and telephone follow-up intervention based on the Roy Adaptation Model after myocardial infarction: randomised controlled trial","volume":"34","year":"2020","journal-title":"Scandinavian Journal of Caring Sciences"},{"key":"key2022010510320083500_ref061","doi-asserted-by":"crossref","first-page":"e19","DOI":"10.1177\/1474515115569945","article-title":"Person-centred care\u2013An approach that improves the discharge process","volume":"15","year":"2016","journal-title":"European Journal of Cardiovascular Nursing"},{"volume-title":"A Study to Assess the Post Traumatic Stress Symptoms and Anxiety Among Patients after Discharge from ICU at KMCH, Coimbatore","year":"2018","key":"key2022010510320083500_ref062"},{"key":"key2022010510320083500_ref063","article-title":"Learning machine learning with very young children: who is teaching whom?","volume":"25","year":"2020","journal-title":"International Journal of Child-Computer Interaction"},{"key":"key2022010510320083500_ref064","doi-asserted-by":"crossref","first-page":"430","DOI":"10.1016\/j.hlc.2014.12.008","article-title":"Australian Cardiovascular Health and Rehabilitation Association (ACRA) core components of cardiovascular disease secondary prevention and cardiac rehabilitation 2014","volume":"24","year":"2015","journal-title":"Heart, Lung and Circulation"},{"key":"key2022010510320083500_ref065","doi-asserted-by":"crossref","first-page":"338","DOI":"10.1136\/ejhpharm-2016-001134","article-title":"UK hospital patient discharge: the patient perspective","volume":"24","year":"2017","journal-title":"European Journal of Hospital Pharmacy"}],"container-title":["Information Technology &amp; People"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.emerald.com\/insight\/content\/doi\/10.1108\/ITP-09-2020-0630\/full\/xml","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/www.emerald.com\/insight\/content\/doi\/10.1108\/ITP-09-2020-0630\/full\/html","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,7,24]],"date-time":"2025-07-24T21:55:35Z","timestamp":1753394135000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.emerald.com\/itp\/article\/34\/6\/1664-1693\/176731"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,5,10]]},"references-count":69,"journal-issue":{"issue":"6","published-online":{"date-parts":[[2021,5,10]]},"published-print":{"date-parts":[[2021,11,16]]}},"alternative-id":["10.1108\/ITP-09-2020-0630"],"URL":"https:\/\/doi.org\/10.1108\/itp-09-2020-0630","relation":{},"ISSN":["0959-3845"],"issn-type":[{"type":"print","value":"0959-3845"}],"subject":[],"published":{"date-parts":[[2021,5,10]]}}}