Usage analysis of a shared care planning system

We examined the content of electronically mediated communications in a trial of shared care planning (SCP) for long-term condition management. Software supports SCP by sharing patient records and care plans among members of the multidisciplinary care team (with patient access). Our analysis focuses...

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Bibliographic Details
Published in:AMIA ... Annual Symposium proceedings 2012, Vol.2012, p.950-959
Main Authors: Warren, Jim, Gu, Yulong, Humphrey, Gayl
Format: Article
Language:English
Subjects:
Communication
Cooperative Behavior
Electronic Health Records - utilization
Humans
New Zealand
Patient Care Planning - organization & administration
Patient Care Planning - utilization
Patient Care Team
Pilot Projects
Software
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Summary:We examined the content of electronically mediated communications in a trial of shared care planning (SCP) for long-term condition management. Software supports SCP by sharing patient records and care plans among members of the multidisciplinary care team (with patient access). Our analysis focuses on a three-month period with 73 enrolled patients, 149 provider-assigned tasks, 64 clinical notes and 48 care plans with 162 plan elements. Results show that content of notes entries is often related to task assignment and that nurses are the most active users. Directions for refinement of the SCP technology are indicated, including better integration of notes, tasks and care team notifications, as well as the central role of nurses for design use cases. Broader issues are raised about workforce roles and responsibilities for SCP, integrating patient-provider and provider-provider communications, and the centrality of care plans as the key entity in mediation of the care team.
ISSN:1559-4076