Damian Borbolla1, Teresa Taft1, Peter Taber2, Charlene R Weir1, Chuck Norlin1,3, Kensaku Kawamoto1, Guilherme Del Fiol1. 1. Department of Informatics, University of California, Irvine, Irvine, California, USA. 2. VA Salt Lake City Health Care System, Informatics, Decision-Enhancement and Analytic Sciences Center (IDEAS 2.0), Salt Lake City, UT. 3. 3Department of Pediatrics, University of Utah, Salt Lake City, UT.
Abstract
Background: Effective care coordination of children and youth with special health care needs (CYSHCN) is critical but challenging. Objective: To investigate clinicians' information-gathering strategies while preparing for visits with CYSHCN. Methods: Critical incident interviews with primary care physicians and care coordinators. Results: Six themes emerged indicating 1) substantial reliance on the electronic health record; 2) a central role of the problem list in organizing and summarizing information; 3) Medical Home's central role in organizing clinical documentation; 4) universal need to integrate information from external records; 5) lack of well-organized and labeled encounter documentation; and 6) lack of tools reconcile medication lists. Conclusion: Our findings have important implications to the design of informatics tools to support information-gathering in the care of CYSHCN.
Background: Effective care coordination of children and youth with special health care needs (CYSHCN) is critical but challenging. Objective: To investigate clinicians' information-gathering strategies while preparing for visits with CYSHCN. Methods: Critical incident interviews with primary care physicians and care coordinators. Results: Six themes emerged indicating 1) substantial reliance on the electronic health record; 2) a central role of the problem list in organizing and summarizing information; 3) Medical Home's central role in organizing clinical documentation; 4) universal need to integrate information from external records; 5) lack of well-organized and labeled encounter documentation; and 6) lack of tools reconcile medication lists. Conclusion: Our findings have important implications to the design of informatics tools to support information-gathering in the care of CYSHCN.
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