Evaluating the Impact of Information Technology Tools to Support the Asthma Medical Home

Matiz, Luz Adriana; Robbins-Milne, Laura; Krause, Margaret C.; Peretz, Patricia; Rausch, John C.

doi:10.1177/0009922815596070

Cited by 8 publications

(19 citation statements)

References 13 publications

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“…Research is now emerging that demonstrates EHRs’ potential for positive impact within coordinated care models. For example, Matiz and colleagues [ 33 ] found that enhancements to the EHR that added a care plan template were associated with a fourfold increase in care plan use. King and colleagues found that EHR use was associated with physicians’ adherence to research-based care coordination processes [ 34 ].…”

Section: Introductionmentioning

confidence: 99%

Impact of a Web-Based Electronic Health Record on Behavioral Health Service Delivery for Children and Adolescents: Randomized Controlled Trial

Bruns¹,

Hook²,

Parker³

et al. 2018

J Med Internet Res

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BackgroundElectronic health records (EHRs) have been widely proposed as a mechanism for improving health care quality. However, rigorous research on the impact of EHR systems on behavioral health service delivery is scant, especially for children and adolescents.ObjectiveThe current study evaluated the usability of an EHR developed to support the implementation of the Wraparound care coordination model for children and youth with complex behavioral health needs, and impact of the EHR on service processes, fidelity, and proximal outcomes.MethodsThirty-four Wraparound facilitators working in two programs in two states were randomized to either use the new EHR (19/34, 56%) or to continue to implement Wraparound services as usual (SAU) using paper-based documentation (15/34, 44%). Key functions of the EHR included standard fields such as youth and family information, diagnoses, assessment data, and progress notes. In addition, there was the maintenance of a coordinated plan of care, progress measurement on strategies and services, communication among team members, and reporting on services, expenditures, and outcomes. All children and youth referred to services for eight months (N=211) were eligible for the study. After excluding those who were ineligible (69/211, 33%) and who declined to participate (59/211, 28%), a total of 83/211 (39%) children and youth were enrolled in the study with 49/211 (23%) in the EHR condition and 34/211 (16%) in the SAU condition. Facilitators serving these youth and families and their supervisors completed measures of EHR usability and appropriateness, supervision processes and activities, work satisfaction, and use of and attitudes toward standardized assessments. Data from facilitators were collected by web survey and, where necessary, by phone interviews. Parents and caregivers completed measures via phone interviews. Related to fidelity and quality of behavioral health care, including Wraparound team climate, working alliance with providers, fidelity to the Wraparound model, and satisfaction with services.ResultsEHR-assigned facilitators from both sites demonstrated the robust use of the system. Facilitators in the EHR group reported spending significantly more time reviewing client progress (P=.03) in supervision, and less time overall sending reminders to youth/families (P=.04). A trend toward less time on administrative tasks (P=.098) in supervision was also found. Facilitators in both groups reported significantly increased use of measurement-based care strategies overall, which may reflect cross-group contamination (given that randomization of staff to the EHR occurred within agencies and supervisors supervised both types of staff). Although not significant at P<.05, there was a trend (P=.10) toward caregivers in the EHR group reporting poorer shared agreement on tasks on the measure of working alliance with providers. No other significant between-group differences were found.ConclusionsResults support the proposal that use of EHR systems can promote the use of client progress ...

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Section: Introductionmentioning

confidence: 99%

Impact of a Web-Based Electronic Health Record on Behavioral Health Service Delivery for Children and Adolescents: Randomized Controlled Trial

Bruns¹,

Hook²,

Parker³

et al. 2018

J Med Internet Res

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show abstract

“…However, telephone‐based communication may not always be feasible and instead a streamlined electronic process and online forms can also be used effectively. In one study, such forms, physical or virtual, streamlined the process of care coordination and improved the workflow of care for patients 48 . Hamburger et al 46 also included the use of forms by way of medication administration care plans, and this study concluded that there were positive associations regarding the care provided.…”

Section: Resultsmentioning

confidence: 99%

“…When all members of the care team know what to do, the needs of the child and family can be appropriately addressed. For example, streamlining paperwork can ensure that there is a clear record of what the family needs and what services have already been provided 48 . This can make problem solving more effective in the future.…”

Section: Discussionmentioning

confidence: 99%

Care Coordination for Children with Special Health Care Needs: A Scoping Review to Inform Strategies for Students with Traumatic Brain Injuries

Davies

Lundine

Justice

2021

Journal of School Health

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BACKGROUND Chronic and complex medical issues, including traumatic brain injuries (TBIs), have significant educational implications. The purpose of this study was to identify and summarize the literature on care coordination strategies among health care professionals, educators, and caregivers for children with special health care needs (CSHCN). Clarifying factors that influence care coordination for CSHCN can inform future studies on care coordination for students with TBI. Improved understanding of these factors may lead to better communication, reduction of unmet needs, more efficient service access, and improved long‐term outcomes for children. METHODS A scoping review was conducted, guided by PRISMA‐ScR methodology. Five databases (CINAHL, PSYCINFO, EMBASE, ERIC, PubMed) were searched to identify relevant studies that focused on care coordination and educational settings. RESULTS Twelve articles met inclusion criteria. Care coordination interventions for CSHCN used in educational settings focused on relationship‐building strategies, clear procedures and roles, and education of members of the school community. CONCLUSIONS Findings highlight strategies to coordinate care for CSHCN and factors that may moderate effects of these interventions. Key stakeholders should now study these strategies specifically in children with TBI.

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“…One study developed a new electronic health record (EHR) for this purpose. 49 Two studies used individual EHR/electronic medical record (EMR) tools, 50,51 and 2 studies used online patient-centered tools. 52,53…”

Section: Resultsmentioning

confidence: 99%

A scoping review to inform care coordination strategies for youth with traumatic brain injuries: Care coordination tools

Shook

Palusak

Davies

et al. 2021

International Journal of Care Coordination

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Introduction & importance Children with traumatic brain injury (TBI) report unmet needs several years after their injury and may require long-term care. However, this chronic health condition is often only treated and monitored in the short-term. Care for young persons with TBI often relies on parents to manage their child's complex care network. Effective care coordination can close these gaps and facilitate continuity of care for children with TBI. The purpose of this scoping review was to develop a better understanding of tools that improve care coordination for Children with Special Health Care Needs (CSHCN). This, in turn, can inform care for children with TBI. Methods A scoping review was conducted following the PRISMA framework and methodology. OVID/Medline, CINAHL, PsycINFO, EMBASE, and ERIC databases were searched for articles relevant to care coordination tools used with CSHCN. Results 21 articles met the criteria for inclusion in the review, and 6 major categories of care coordination tools were identified: telehealth, online health records and tools, care plans, inpatient discharge protocols, family training, and reminders. Discussion Studies examining telehealth, online tools, care plans, and family training care coordination interventions for CSHCN have shown positive outcomes and would be relevant strategies to improve the care of children with TBI. Future prospective research should investigate these tools to explore whether they might improve communication, reduce unmet needs, increase service access, and improve long-term outcomes for children with TBI.

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Evaluating the Impact of Information Technology Tools to Support the Asthma Medical Home

Cited by 8 publications

References 13 publications

Impact of a Web-Based Electronic Health Record on Behavioral Health Service Delivery for Children and Adolescents: Randomized Controlled Trial

Impact of a Web-Based Electronic Health Record on Behavioral Health Service Delivery for Children and Adolescents: Randomized Controlled Trial

Care Coordination for Children with Special Health Care Needs: A Scoping Review to Inform Strategies for Students with Traumatic Brain Injuries

A scoping review to inform care coordination strategies for youth with traumatic brain injuries: Care coordination tools

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