A Web-Based, Provider-Driven Mobile App to Enhance Patient Care Coordination Between Dialysis Facilities and Hospitals: Development and Pilot Implementation Study
BackgroundWe piloted a web-based, provider-driven mobile app (DialysisConnect) to fill the communication and care coordination gap between hospitals and dialysis facilities. ObjectiveThis study aimed to describe the development and pilot implementation of Dialysis...
| Main Authors: | , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
JMIR Publications
2022-06-01
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| Series: | JMIR Formative Research |
| Online Access: | https://formative.jmir.org/2022/6/e36052 |
| _version_ | 1797735029532524544 |
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| author | Laura C Plantinga Courtney Hoge Ann E Vandenberg Kyle James Tahsin Masud Anjali Khakharia Carol Gray Bernard G Jaar Janice P Lea Christopher M O'Donnell Richard Mutell |
| author_facet | Laura C Plantinga Courtney Hoge Ann E Vandenberg Kyle James Tahsin Masud Anjali Khakharia Carol Gray Bernard G Jaar Janice P Lea Christopher M O'Donnell Richard Mutell |
| author_sort | Laura C Plantinga |
| collection | DOAJ |
| description |
BackgroundWe piloted a web-based, provider-driven mobile app (DialysisConnect) to fill the communication and care coordination gap between hospitals and dialysis facilities.
ObjectiveThis study aimed to describe the development and pilot implementation of DialysisConnect.
MethodsDialysisConnect was developed iteratively with focus group and user testing feedback and was made available to 120 potential users at 1 hospital (hospitalists, advanced practice providers [APPs], and care coordinators) and 4 affiliated dialysis facilities (nephrologists, APPs, nurses and nurse managers, social workers, and administrative personnel) before the start of the pilot (November 1, 2020, to May 31, 2021). Midpilot and end-of-pilot web-based surveys of potential users were also conducted. Descriptive statistics were used to describe system use patterns, ratings of multiple satisfaction items (1=not at all; 3=to a great extent), and provider-selected motivators of and barriers to using DialysisConnect.
ResultsThe pilot version of DialysisConnect included clinical information that was automatically uploaded from dialysis facilities, forms for entering critical admission and discharge information, and a direct communication channel. Although physicians comprised most of the potential users of DialysisConnect, APPs and dialysis nurses were the most active users. Activities were unevenly distributed; for example, 1 hospital-based APP recorded most of the admissions (280/309, 90.6%) among patients treated at the pilot dialysis facilities. End-of-pilot ratings of DialysisConnect were generally higher for users versus nonusers (eg, “I can see the potential value of DialysisConnect for my work with dialysis patients”: mean 2.8, SD 0.4, vs mean 2.3, SD 0.6; P=.02). Providers most commonly selected reduced time and energy spent gathering information as a motivator (11/26, 42%) and a lack of time to use the system as a barrier (8/26, 31%) at the end of the pilot.
ConclusionsThis pilot study found that APPs and nurses were most likely to engage with the system. Survey participants generally viewed the system favorably while identifying substantial barriers to its use. These results inform how best to motivate providers to use this system and similar systems and inform future pragmatic research in care coordination among this and other populations. |
| first_indexed | 2024-03-12T12:53:03Z |
| format | Article |
| id | doaj.art-f6c04a4bc9ee4b4e988e1f9cfedd36f1 |
| institution | Directory Open Access Journal |
| issn | 2561-326X |
| language | English |
| last_indexed | 2024-03-12T12:53:03Z |
| publishDate | 2022-06-01 |
| publisher | JMIR Publications |
| record_format | Article |
| series | JMIR Formative Research |
| spelling | doaj.art-f6c04a4bc9ee4b4e988e1f9cfedd36f12023-08-28T22:15:56ZengJMIR PublicationsJMIR Formative Research2561-326X2022-06-0166e3605210.2196/36052A Web-Based, Provider-Driven Mobile App to Enhance Patient Care Coordination Between Dialysis Facilities and Hospitals: Development and Pilot Implementation StudyLaura C Plantingahttps://orcid.org/0000-0003-0809-8981Courtney Hogehttps://orcid.org/0000-0001-5500-3709Ann E Vandenberghttps://orcid.org/0000-0002-6319-4872Kyle Jameshttps://orcid.org/0000-0001-9235-1489Tahsin Masudhttps://orcid.org/0000-0003-4425-024XAnjali Khakhariahttps://orcid.org/0000-0001-7401-0058Carol Grayhttps://orcid.org/0000-0001-8109-2637Bernard G Jaarhttps://orcid.org/0000-0003-1210-7115Janice P Leahttps://orcid.org/0000-0002-8045-076XChristopher M O'Donnellhttps://orcid.org/0000-0002-7497-1278Richard Mutellhttps://orcid.org/0000-0001-6683-8410 BackgroundWe piloted a web-based, provider-driven mobile app (DialysisConnect) to fill the communication and care coordination gap between hospitals and dialysis facilities. ObjectiveThis study aimed to describe the development and pilot implementation of DialysisConnect. MethodsDialysisConnect was developed iteratively with focus group and user testing feedback and was made available to 120 potential users at 1 hospital (hospitalists, advanced practice providers [APPs], and care coordinators) and 4 affiliated dialysis facilities (nephrologists, APPs, nurses and nurse managers, social workers, and administrative personnel) before the start of the pilot (November 1, 2020, to May 31, 2021). Midpilot and end-of-pilot web-based surveys of potential users were also conducted. Descriptive statistics were used to describe system use patterns, ratings of multiple satisfaction items (1=not at all; 3=to a great extent), and provider-selected motivators of and barriers to using DialysisConnect. ResultsThe pilot version of DialysisConnect included clinical information that was automatically uploaded from dialysis facilities, forms for entering critical admission and discharge information, and a direct communication channel. Although physicians comprised most of the potential users of DialysisConnect, APPs and dialysis nurses were the most active users. Activities were unevenly distributed; for example, 1 hospital-based APP recorded most of the admissions (280/309, 90.6%) among patients treated at the pilot dialysis facilities. End-of-pilot ratings of DialysisConnect were generally higher for users versus nonusers (eg, “I can see the potential value of DialysisConnect for my work with dialysis patients”: mean 2.8, SD 0.4, vs mean 2.3, SD 0.6; P=.02). Providers most commonly selected reduced time and energy spent gathering information as a motivator (11/26, 42%) and a lack of time to use the system as a barrier (8/26, 31%) at the end of the pilot. ConclusionsThis pilot study found that APPs and nurses were most likely to engage with the system. Survey participants generally viewed the system favorably while identifying substantial barriers to its use. These results inform how best to motivate providers to use this system and similar systems and inform future pragmatic research in care coordination among this and other populations.https://formative.jmir.org/2022/6/e36052 |
| spellingShingle | Laura C Plantinga Courtney Hoge Ann E Vandenberg Kyle James Tahsin Masud Anjali Khakharia Carol Gray Bernard G Jaar Janice P Lea Christopher M O'Donnell Richard Mutell A Web-Based, Provider-Driven Mobile App to Enhance Patient Care Coordination Between Dialysis Facilities and Hospitals: Development and Pilot Implementation Study JMIR Formative Research |
| title | A Web-Based, Provider-Driven Mobile App to Enhance Patient Care Coordination Between Dialysis Facilities and Hospitals: Development and Pilot Implementation Study |
| title_full | A Web-Based, Provider-Driven Mobile App to Enhance Patient Care Coordination Between Dialysis Facilities and Hospitals: Development and Pilot Implementation Study |
| title_fullStr | A Web-Based, Provider-Driven Mobile App to Enhance Patient Care Coordination Between Dialysis Facilities and Hospitals: Development and Pilot Implementation Study |
| title_full_unstemmed | A Web-Based, Provider-Driven Mobile App to Enhance Patient Care Coordination Between Dialysis Facilities and Hospitals: Development and Pilot Implementation Study |
| title_short | A Web-Based, Provider-Driven Mobile App to Enhance Patient Care Coordination Between Dialysis Facilities and Hospitals: Development and Pilot Implementation Study |
| title_sort | web based provider driven mobile app to enhance patient care coordination between dialysis facilities and hospitals development and pilot implementation study |
| url | https://formative.jmir.org/2022/6/e36052 |
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