A Web-Based, Population-Based Cirrhosis Identification and Management System for Improving Cirrhosis Care:...

Area of Science:

• Health Informatics
• Chronic Disease Management
• Implementation Science

Background:

• Cirrhosis affects millions of US adults, necessitating early identification and care.
• Effective management strategies are crucial to prevent severe complications and mortality.

Purpose of the Study:

• To evaluate the Population-Based Cirrhosis Identification and Management System (P-CIMS) before implementation.
• Identify factors influencing the adoption of P-CIMS in clinical settings for cirrhosis patient management.

Main Methods:

• Conducted semistructured interviews with 10 frontline providers across 3 Veterans Health Administration medical centers.
• Utilized the Consolidated Framework for Implementation Research to guide data collection and analysis.
• Employed inductive consensus coding and content analysis of transcribed interviews.

Main Results:

• Providers recognized P-CIMS's potential for improving patient linkage and retention in cirrhosis care.
• Key implementation barriers included lack of resources, leadership support, competing priorities, and workflow integration challenges.
• Suggestions for improvement focused on enhancing usability and interface intuitiveness.

Conclusions:

• P-CIMS demonstrates significant promise for enhancing the identification, linkage, and retention of patients with cirrhosis.
• The evaluation offers valuable insights for implementing population-based management tools in chronic disease populations.