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• W4244702951 abstract "<sec> <title>BACKGROUND</title> Inpatient care coordinators (ICCs) play a critical role in case management and care transition because they address patient needs by referring them to available services and facilities prior to discharge. ICCs tend to spend a significant amount of time reviewing patient charts and documenting the cases using Electronic Health Record (EHR) systems. However, significant knowledge gaps exist regarding their clinical workflow and potential use of health information technology to improve work efficiency and job satisfaction. </sec> <sec> <title>OBJECTIVE</title> We aimed to address the gap by answering the research questions: 1) what is a typical day of an inpatient care coordinator? 2) what challenges exist in terms of their care delivery and documentation activities? and 3) what patterns in the EHR event logs reinforce our findings from the qualitative interviews? In addition, we aimed to demonstrate the feasibility of our novel mixed-method approach to study clinical workflow. </sec> <sec> <title>METHODS</title> A mixed-methods approach was developed and employed to understand ICCs workflow patterns and identify existing barriers to workflow. This approach involved data collection from semi-structured interviews and EHR event logs to construct a generalizable picture of all ICC workflow at the University of Cincinnati Medical Center (UCMC). The study consisted of 12 qualitative interviews with ICCs at UCMC, and their EHR event logs for one month. The qualitative interviews were analyzed using thematic analysis and the event logs were analyzed using statistical and pattern analysis. </sec> <sec> <title>RESULTS</title> We identified three major workflow barriers faced by ICCs: long travel time, heavy documentation load, and suboptimal communication. The event logs provided empirical evidence to support the workflow barriers identified during the semi-structured interviews, especially in travel time and documentation load. </sec> <sec> <title>CONCLUSIONS</title> ICC workflow has several inefficiencies. We recommend a mobile-based informatics solution with streamlined, intelligent, and EHR-linked documentation support. Our mixed-methods approach can be applied to other clinical settings and healthcare institutions. </sec> <sec> <title>CLINICALTRIAL</title> NA </sec>" @default.
• W4244702951 created "2022-05-12" @default.
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• W4244702951 date "2020-03-26" @default.
• W4244702951 modified "2023-09-30" @default.
• W4244702951 title "Challenges in Inpatient Care Coordinators’ Clinical Workflow and Opportunities in Designing a Health IT Solution (Preprint)" @default.
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• W4244702951 doi "https://doi.org/10.2196/preprints.18909" @default.
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