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. 2012:2012:950-9.
Epub 2012 Nov 3.

Usage analysis of a shared care planning system

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Usage analysis of a shared care planning system

Jim Warren et al. AMIA Annu Symp Proc. 2012.

Abstract

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.

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Figures

Figure 1.
Figure 1.
Sum of entries created or modified
Figure 2.
Figure 2.
Elements viewed by user role
Figure 3.
Figure 3.
Cumulative frequency distribution of length of task text in characters (1 Aug – 31 Oct 2011)
Figure 4.
Figure 4.
Cumulative frequency distribution of length of notes in characters (1 Aug 2011 – 31 Oct 2011)

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