Evidence map›Paper›PMID 33709928›Full record

ArticleJournal of medical Internet research2021

The Perceived Impact and Usability of a Care Management and Coordination System in Delivering Services to Vulnerable Populations: Mixed Methods Study.

Rubina Rizvi, Courtney VanHouten, Tiffani J Bright, Mollie M McKillop, Shira Alevy, David Brotman, Megan Sands-Lincoln, Jane Snowdon, Barbie J Robinson, Carolyn Staats and 2 more

Abstract read
In one paragraph

Article in Journal of medical Internet research, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors.

Rubina RizviIBM Watson Health, Cambridge, MA, United States.ORCID 0000-0001-9432-3086
Courtney VanHoutenIBM Watson Health, Cambridge, MA, United States.ORCID 0000-0003-3479-1704
Tiffani J BrightIBM Watson Health, Cambridge, MA, United States.ORCID 0000-0002-0894-0107
Mollie M McKillopIBM Watson Health, Cambridge, MA, United States.ORCID 0000-0002-4805-5989
Shira AlevyIBM Watson Health, Cambridge, MA, United States.ORCID 0000-0002-7006-4128
David BrotmanIBM Watson Health, Cambridge, MA, United States.ORCID 0000-0002-7512-2382
Megan Sands-LincolnIBM Watson Health, Cambridge, MA, United States.ORCID 0000-0001-9431-4390
Jane SnowdonIBM Watson Health, Cambridge, MA, United States.ORCID 0000-0001-7064-9305
Barbie J RobinsonDepartment of Health Services, Sonoma County, Santa Rosa, CA, United States.ORCID 0000-0003-2098-4038
Carolyn StaatsDepartment of Health Services, Sonoma County, Santa Rosa, CA, United States.ORCID 0000-0001-6018-8779
Gretchen P JacksonIBM Watson Health, Cambridge, MA, United States.ORCID 0000-0002-3242-8058
William J KasslerIBM Watson Health, Cambridge, MA, United States.ORCID 0000-0003-0238-0898

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPeople with complex needs, such as those experiencing homelessness, require concurrent, seamless support from multiple social service agencies. Sonoma County, California has one of the nation's largest homeless populations among largely suburban communities. To support client-centered care, the county deployed a Care Management and Coordination System (CMCS). This system comprised the Watson Care Manager (WCM), a front-end system, and Connect 360, which is an integrated data hub that aggregates information from various systems into a single client record.

objectiveThe aim of this study is to evaluate the perceived impact and usability of WCM in delivering services to the homeless population in Sonoma County.

methodsA mixed methods study was conducted to identify ways in which WCM helps to coordinate care. Interviews, observations, and surveys were conducted, and transcripts and field notes were thematically analyzed and directed by a grounded theory approach. Responses to the Technology Acceptance Model survey were analyzed.

resultsA total of 16 participants were interviewed, including WCM users (n=8) and department leadership members (n=8). In total, 3 interdisciplinary team meetings were observed, and 8 WCM users were surveyed. WCM provided a central shared platform where client-related, up-to-date, comprehensive, and reliable information from participating agencies was consolidated. Factors that facilitated WCM use were users' enthusiasm regarding the tool functionalities, scalability, and agency collaboration. Constraining factors included the suboptimal awareness of care delivery goals and functionality of the system among the community, sensitivities about data sharing and legal requirements, and constrained funding from government and nongovernment organizations. Overall, users found WCM to be a useful tool that was easy to use and helped to enhance performance.

conclusionsWCM supports the delivery of care to individuals with complex needs. Integration of data and information in a CMCS can facilitate coordinated care. Future research should examine WCM and similar CMCSs in diverse populations and settings.

Indexed as

Delivery of Health CareIll-Housed PersonsVulnerable PopulationsFemaleHumansInformation DisseminationSocial WorkSurveys and Questionnairesadvanced technologiesdata integrationmanaged caremixed methods studyusabilityvulnerable population

Identifiers

PMID33709928
PMCPMC7998322

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.