Information Needs of Homecare Nurses During Admission and Care Planning, R01 HS024537. 4/2016-3/2019
The demand for home health care is growing for a variety of reasons, including an aging population, lengthening life expectancy, increases in those that have multiple chronic diseases and a desire by individuals and their families to remain in their homes. Over 11 million older adults per year are admitted to homecare. These admissions can be challenging because of the absence of, or limits to, electronic information flow between hospitals and homecare agencies resulting in incomplete or inaccurate patient information. Health information technology (IT) can play an important role in supporting the timely and efficient collection, transmission, and synthesis of information needed for decision making during these transitions of care. However, homecare agencies have been slow to adopt electronic health records (EHRs) and mobile technology. In addition, there has been an absence of the use of standardized documents for the electronic recording of health information and a lack of clinical standards for the information received by homecare agencies.
This project will analyze and model the information requirements, decision making, and workflow of homecare nurses admitting patients and characterize if and how health IT systems support their needs. The analysis will lead to the development, review and dissemination of design and implementation recommendations. Outcomes of the study will include the following: (1) information requirements for homecare admitting nurses, (2) models of workflow and decision making in the homecare admission process and (3) dissemination of health IT design recommendations that efficiently fulfill information needs and support clinical decision making during the homecare admission process. This study will inform improvements in real world homecare health IT systems that may ultimately reduce unplanned hospitalization readmission events. Study findings also will inform future health IT interventions related to transitions in care to and from homecare, such as Meaningful Use and clinical information exchange standards.
Trauma-informed Gaming to Improve Risky Decision Making in Black Adolescents
The purpose of this grant proposal is to build on and expand our “proof of concept” story-based mobile health game and to assess the game’s feasibility. The game is intended for low income minority adolescent girls from a community with elevated rates of sexually transmitted infection and psychological trauma, as they tend to be susceptible to risky decision making. The game will help the player build skills related to making themselves safe while confronting risky decisions. During the two-year study with participants from the intended audience, we will: use an iterative assessment methodology to develop the game; perform an open pilot trial of five cases; and conduct a small pilot randomized study to assess the game’s feasibility. Development methods include partnering with a community site and employing a user-centered approach. Assessment methods include: (1) socio-behavioral assessment instruments; (2) user-satisfaction interviews; (3) logfile analysis to assess game branching logic, game completion and game repetition frequency; and (4) an internet survey about the game’s impact on the player’s every-day life.
Sockolow PS, Schug S, Zhu J, Smith TJ, Senathirajah Y, Bloom S. At-risk adolescents as experts in a new requirements elicitation procedure for the development of a smart phone psychoeducational trauma-informed care application. Informatics for Health and Social Care. 2017; 42(1):77-96. PMID: 27259373
Sockolow PS, Radhakrishnan K, Chou E, Wojciechowicz C. Patient health goals elicited during home care admission: A categorization. Western Journal of Nursing Research. 2016 Nov 1:193945916676541. PMID: 27837160
Gray K, Sockolow PS. Conceptual models in health informatics research: A literature review and suggestions for development. JMIR Med Inform. 2016; 4(1):e7. doi: 10.2196/medinform.5021. PMID: 26912288; PMCID: PMC4785238
Sockolow PS, Dowding D, Randell R, Favela J. Using mixed methods in health information technology evaluation. Stud Health Technol Inform. 2016; 225:83-7. PMID: 27332167
Sockolow P, Bass EJ, Eberle CL, Bowles KH. Homecare Nurses' Decision-Making During Admission Care Planning. Stud Health Technol Inform. 2016; 225:28-32. PMID: 27332156
Sockolow PS, Bowles KH, Rogers M. Health Information Technology Evaluation Framework (HITREF) Comprehensiveness as Assessed in Electronic Point-of-Care Documentation Systems Evaluations. Stud Health Technol Inform. 2015; 216:406-9. PMID: 26262081.
Sockolow PS, Bowles KH, Rogers M, Adelsberger M, Liao C, Chittams JL. Opportunities in interdisciplinary care team adoption of electronic point-of-care documentation systems. Stud Health Technol Inform. 2014; 201:371-9. PMID: 24943569
Sockolow PS, Adelsberger M, Liao C, Chittams JL, Bowles KH. Impact of homecare electronic health record on timeliness of clinical documentation, reimbursement, and patient outcomes. Applied Clinical Informatics. 2014; 5(2) 445-462. PMID 25024760, PMCID: PMC4081747
Sockolow PS, Bowles KH, Adelsberger M, Chittams JL, Liao C. Challenges and facilitators to adoption of a point-of-care electronic health record in home care. Home Health Care Services Quarterly. 2014; 33(1):14-35. doi: 10.1080/01621424.2013.870098. PubMed PMID: 24528226
Sockolow PS, Rogers M, Bowles KH, Hand KE, George J. Challenges and facilitators to nurse use of a guideline-based nursing information system: Recommendations for nurse executives. Appl Nurs Res. 2014 Feb;27(1):25-32. doi: 10.1016/j.apnr.2013.10.005. Epub 2013 Oct 31. PubMed PMID: 24360777
Rogers M, Sockolow PS, Bowles KH, Hand KE, George J. Use of a human factors approach to uncover informatics needs of nurses in documentation of care. International Journal of Medical Informatics. 2013 Nov;82(11):1068-74. doi: 10.1016/j.ijmedinf.2013.08.007. Epub 2013 Aug 15. PubMed PMID: 24008175
Lei J, Sockolow P, Guan P, Meng Q, Zhang J. A Comparison of electronic health records at two major Peking university hospitals in China to United States Meaningful Use objectives. BMC Medical Informatics and Decision Making. 2013 Aug 28;13:96 doi:10.1186/1472-6947-13-96. PMID: 23984797; PMCID: PMC3847100
Sockolow PS, Bowles KH, Lehmann HP, Abbott PA, Weiner JP. Community-based, interdisciplinary geriatric care team satisfaction with an electronic health record: a multi-method study. Comput Inform Nurs 2012; 30(6): 300-311. doi: 10.1097/NCN.0b013e31823eb561; PMID: 22411417. Also in second 2013 print collection centered on the theme "EHR Acceptance/Productivity.”
Sockolow PS, Crawford PR, Lehmann HP. Health services research evaluation principles. Broadening a general framework for evaluating health information technology through health services research evaluation principles. Methods of Information in Medicine. 2012; 51(2) 122-130. PMID: 22311125
Sockolow PS, Weiner JP, Bowles KH, Lehmann HP. A new instrument for measuring clinician satisfaction with electronic health records. Comput Inform Nurs: CIN. 2011; 29(10) 2011: 574-585; PMID: 21543972. Also in 29(11) topic collection issue centered on the theme "Nurses' Attitudes toward Computers".
Sockolow PS, Lehmann HP, Bowles KH, Abbott PA, Weiner JP. Advice for decision makers based on an electronic health record evaluation at a Program for All-inclusive Care for Elders site. Applied Clinical Informatics. 2011; 2(1):18-38. PMID: 23616858; PMCID: PMC3631909
Sockolow PS, Taylor HA. Confronting and resolving an ethical dilemma associated with a practice based evaluation using observational methodology of health information technology. Applied Clinical Informatics. 2010; 1(3): 244-255. PMID: 23616839; PMCID: PMC3631900
Sockolow PS, Bowles KH. Including information technology project management in the nursing informatics curriculum. Comput Inform Nurs. 2008 Jan-Feb; 26(1) 2008:14-20. PMID: 18091616; DOI: 10.1097/01.NCN.0000304759.71918.74