Real-time Symptom Monitoring Using ePROs to Prevent Adverse Events During Care Transitions

Inclusion Criteria

Inclusion Criteria: * Adult (18 years or older) * Hospitalized on the general medicine services at Brigham and Women's Hospital or Brigham and Women's Faulkner Hospital for at least 24 hours * Have a discharge status of home, home with services, or facility * English-speaking patients or their English-speaking legally designated healthcare proxy or next of kin (i.e., a family caregiver) * Non-English-speaking patients who have an English-speaking legally designated healthcare proxy or next of kin (i.e., a family caregiver) * Two or more chronic conditions: Anxiety, Asthma\*, Arthritis (Osteoarthritis, Rheumatoid), Atrial Fibrillation, Cancer\*, Cerebral vascular accident, Chronic kidney disease\*, Chronic obstructive pulmonary disease (COPD)\*, Cirrhosis, Coronary artery disease/Ischemic heart disease, Dementia, Depression, Diabetes mellitus\*, End-stage renal disease\*, Heart failure\*, Hepatitis B, C\*, HIV/AIDs, Hyperlipidemia, Hypertension, Inflammatory bowel disease, Osteoporosis, Sickle cell disease, Substance abuse (Alcohol/Opioid) Exclusion Criteria: * Less than 18 years of age * Less than two chronic conditions * Hospitalized less than 24 hours * No identifiable healthcare proxy or next of kin (i.e., a family caregiver)