Focus groups were moderated by one of the authors (SG) using a guide designed to elicit nurses’ experiences related to home health nursing services for CMC ( Supplemental Information). Focus groups were conducted in public settings in 2 counties at times convenient for the majority. Nurses were eligible if they were licensed, employed by a home health agency, and had provided nursing care for CMC at home during the past year. 16 Home health nurses were recruited through fliers distributed through home health agencies’ managers. Details of the nurse focus groups are published in a previous article from this study. The duration of this focus group was 78 minutes.Ģ) Home health nurse focus groups: as part of a larger qualitative study on home health nursing services for CMC, 4 focus groups of 18 home health nurses were conducted between October 2013 and January 2014. Participant-level information was not obtained. Our institution’s institutional review board does not require obtaining signed consent for quality improvement initiatives. Participants were informed of the discussion being recorded, but written informed consent was not obtained. One of the authors (SG) facilitated the focus group using a guide developed specifically for this purpose ( Supplemental Information). The focus group was part of a quality improvement effort and not a research study.

Fourteen hospital and community stakeholders from multiple agencies and hospital services participated in a focus group discussion at this meeting. This was a special session of one of the regularly scheduled community coalition meetings and was held in a community agency. 1) Stakeholder focus group: In May 2012, in an effort to improve the transitional care of CMC from hospital to home health care providers, we convened a meeting of stakeholders representing multiple community agencies and departments in the tertiary care children’s hospital.

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