Hospital to Home
Co-designed resources and the ACEPATH guidebook to support patients receiving palliative care as they transition from hospital to home.
The ACEPATH Guidebook
A co-designed guidebook to support hospital-to-home transitions for patients receiving palliative care.
The Advancing the Care Experience for patients receiving Palliative care as they Transition from hospital to Home (ACEPATH) guidebook was co-designed with patients, family caregivers, healthcare providers, design and health services researchers.
We are currently piloting the ACEPATH guidebook at two study sites to evaluate its acceptability, appropriateness, feasibility, costs, and fidelity. A refined version will be published on our website once available.
A sampling of guidebook material, and a download link, can be found below.
ACEPATH Guidebook (PDF)
Download the current iteration of the ACEPATH guidebook.
Considerations When Using the Guidebook
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This work is licensed under Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International.
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Use freely, with credit to the authors. Not for commercial use.
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If modifying or translating, share a copy of the adapted version for approval prior to circulating it. Corresponding author Dr. Sarina Isenberg, sisenberg@bruyere.org
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Acknowledge the original guidebook, team, and funders with the following statement:
"This guidebook was adapted from Isenberg SR, McCoy M, Shorting T, Kumar Mysore V, Savigny M, Bush SH, Lalumière G, Vincent D, Hagarty M, Weiss M, Ernecoff NC, Pattison R, Kornberg M, Stern M, Rice J, Fitzgibbon E. Advancing the care experience for patients receiving palliative care as they transition from hospital to home (ACEPATH). Ottawa, Canada: 2025. The original work was funded by the Canadian Institutes of Health Research (CIHR), the Bruyère Academic Medical Organization (BAMO), The Ottawa Hospital Academic Medical Organization (TOHAMO), and the Canadian Frailty Network (CFN). © This work is licensed under Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International. Use freely, with credit to the authors. Not for commercial use. Do not modify or translate without permission. Corresponding author of the original guidebook, Dr. Sarina Isenberg, sisenberg@bruyere.org"
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Share with us the results of your guidebook testing/implementation.
Interactive ACEPATH Experience
Explore the ACEPATH guidebook as a fully interactive web experience.
Enter the Interactive GuidebookHealthcare Provider Training
To ensure that additional providers within patients' circles of care are informed about the ACEPATH intervention and the associated implementation study, we developed virtual training materials and sessions. These introduce ACEPATH and explain how healthcare providers can support participating patients and their caregivers, as well as how they can collaborate with study partners facilitating the intervention.
Watch our virtual training session below.
Hospital to Home Resources
Community and healthcare resources organized by category to support patients and families.

