Lessons Learned From Provider Minder: A Provider Tracking Application for Improving Stroke Risk Screening in Sickle...

Area of Science:

• Pediatric Hematology
• Health Informatics
• Public Health Interventions

Background:

• Sickle cell anemia poses a significant stroke risk in children.
• Effective screening for stroke risk is crucial in pediatric sickle cell disease management.
• A need exists for efficient tools to monitor stroke risk screening adherence.

Purpose of the Study:

• To describe the development of Provider Minder, a web-based application for monitoring stroke risk screening in children with sickle cell anemia.
• To evaluate the implementation process of Provider Minder across multiple clinical sites.
• To identify lessons learned from the development and implementation of this novel health informatics tool.

Main Methods:

• Provider Minder was developed using an iterative process.
• A process evaluation involved surveys and interviews with 13 study sites over 2 years.
• Data from providers and coordinators were analyzed thematically to assess implementation factors.

Main Results:

• Key success factors included stakeholder coordination, high adaptability, ease of use, low cost, and effective capture of missed screenings.
• Implementation challenges comprised time burden, data redundancy, and lack of electronic medical record integration.
• Perceived successes in screening adherence monitoring were reported by users.

Conclusions:

• Despite implementation barriers, the perceived successes of Provider Minder outweighed the challenges.
• Future applications require reduced healthcare complexity burden and improved electronic health record interoperability for enhanced success.
• Provider Minder demonstrates potential for improving stroke risk screening in pediatric sickle cell anemia, with future iterations benefiting from system integration.