Sample Health Plan · Care Transitions
Going Home Safely
Walter is leaving the hospital after a stay for heart failure. Follow Walter and his daughter Grace through the first week at home. Tap any speech bubble to hear it.
Why this works — evidence, behavior-change coding, and how HealthLiteracyCopilot builds it
Evidence basis
- Graphic medicine. Comics pair each instruction with a picture of someone doing it, which supports recall for people with limited health literacy (pictographs: Houts et al., 2006) and makes a stressful topic feel human.
- Teach-back shown, not told. Panel 3 models the AHRQ teach-back method, so both patient and caregiver see what a good check looks like and can ask for one.
- Caregiver in the story. Discharge instructions are often carried out by family. Grace is a full character with her own jobs (booking the visit, fall-proofing).
- One place for the plan. The last panel turns the story into a filled-in, printable plan for the fridge — the moment of action.
Behavior Change Techniques (BCT Taxonomy v1)
| BCT | Where |
|---|---|
| 6.1 Demonstration of the behavior | Weighing, medicine check, fall-proofing panels |
| 2.3 Self-monitoring of behavior / 2.4 of outcomes | Daily weight log; weight threshold calculator |
| 1.4 Action planning | Follow-up visit date and time |
| 3.2 Social support (practical) | Grace drives and fall-proofs the home |
| 12.1 Restructuring the physical environment | Rug removed, night-light, walker |
| 7.1 Prompts/cues | Plan card on the fridge |
COM-B target
Psychological capability (warning signs and thresholds), physical opportunity (safe home), and social opportunity (caregiver roles).
How HealthLiteracyCopilot would generate, personalize and assess it
- Generate: the discharge instructions become a panel script, then consistent characters drawn in an approved style. Speech bubbles stay as live text, never baked into images, so they can be translated, read aloud and checked.
- Personalize: the condition, medicines, weight thresholds and nurse-line number come from the hospital’s reviewed discharge content for that condition. The author picks characters that reflect the audience.
- Assess: PEMAT-P per panel, CDC Clear Communication Index on the bubble text, alt-text completeness, and simulated older adults and caregivers (simulated participants, not patients) to find unclear panels for human review.
What a pilot would measure
Proximal: plan card completed and printed, and teach-back answers right. Distal: follow-up visit within 7 days of discharge, medicine reconciliation done, and 30-day readmissions. Measures a pilot would track, not results or promised effects.