Table 2 Themes for intervention components and patient

1. System Navigation

1. Family

1. Rapport and trust

1. Designated roles

1. Patient/Family Guide to the PHR

2. TAPESTRY champion

2. Medications

2. Volunteer satisfaction

2. Privacy and consent

2. Medication management

3. Designated Roles

3. Home visiting

3. Tasks performed by volunteers/ information gathering

3. Care Coordination

3. EMR requirements

4. Enrolment into program

4. Enrolment

4. Publicity and community communication plan

4. Information sharing

4. Record accessibility

5. Triaging

5. Care planning

5. Volunteer training

5. PHR to monitor patient over time

6. Standard operating procedure

6. Tracking

6. Procedures for volunteer visits

6. Validation and data checking

7. Referrals

7. PHR

7. Volunteer helping patient with PHR

7. Technology failure

8. Follow up on volunteer Information

8. Consent/ privacy/ confidentiality

8. Electronic communication plan

8. Personal Health Record- TAPESTRY App generated reports

9. Scheduling

9. Communication

9. Scheduling

9. Volunteer Using PHR

10. Information sharing across PC team

10. Patient Volunteer relations

10. Communications between Volunteer and Clinic

10. EMR facilitates communication to community services

11. Finances

11. Volunteer coordinator

11. Tablet costs

12. Volunteer matching (pairs)

12. Flagged entry of TAPESTRY information

13. Communication with team