Early discharge Yes [ ] No [ ] Unclear [ ] planning if yes: specify Other components Yes [ ] No [ ] Unclear [ ] of short term care if yes: specify or fast track care described Staffing Type of staffing Yes [ ] No [ ] Unclear [ ] if yes: specify Creation of new Yes [ ] No [ ] Unclear [ ] team of health care if yes: specify providers if yes: then fidelity assessement: Yes [ ] No [ ] Unclear [ ] if yes: specify Resource number of nurses: requirements to number of physicians: replicate number of occupational therapist: intervention number of physiotherapist: (Number and type Other staffing: of staffing per patient bed, Equipment: equipment) Clinical specialty of Yes [ ] No [ ] Unclear [ ] providers of care if yes: specify which: Co-interventions (if relevant) Notes:
Early discharge planning Yes [ ] No [ ] Unclear [ ] if yes: specify Other components of short term care or fast track care described Yes [ ] No [ ] Unclear [ ] if yes: specify Staffing Type of staffing Yes [ ] No [ ] Unclear [ ] if yes: specify Creation of new team of health care providers Yes [ ] No [ ] Unclear [ ] if yes: specify if yes: then fidelity assessement: Yes [ ] No [ ] Unclear [ ] if yes: specify Resource requirements to replicate intervention (Number and type of staffing per patient bed, equipment) number of nurses: number of physicians: number of occupational therapist: number of physiotherapist: Other staffing: Equipment: Clinical specialty of providers of care Yes [ ] No [ ] Unclear [ ] if yes: specify which: Co-interventions (if relevant) Notes: