Super Users' Reported Best Practices for Coordinating Proactive Integrated Use of Virtual Health Care Resources: Prospective Concurrent Mixed Methods Human-Centered Design Study
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View abstract on PubMed
Summary
This summary is machine-generated.Virtual health resource (VHR) super users integrate VHRs across clinical workflows, establishing 57 best practices. These findings inform VHR best practices and deimplementation strategies for improved healthcare delivery.
Area Of Science
- Health Informatics
- Clinical Workflow Optimization
- Virtual Health Systems
Background
- Proactive integrated virtual health resource (VHR) use involves self-initiated, coordinated use of virtual systems for timely, high-quality healthcare.
- Super users are clinical team members recognized as proactive VHR users who coordinate care and champion resource adoption.
- Previous research has not explored super users' integrated VHR use across the healthcare continuum or within specific clinical workflows.
Purpose Of The Study
- To describe the activities and outcomes of VHR super users.
- To document super user practices for identifying and disseminating best practices in VHR utilization.
Main Methods
- A prospective, concurrent, mixed-methods design incorporating qualitative interviewing and human-centered design.
- Purposive sampling to recruit 15 super users across 5 specialty services at a Department of Veterans Affairs hospital.
- Data collection via tailored scripts and surveys, analyzed using rapid iterative content analysis and data triangulation.
Main Results
- Identified 57 best practices (48 data-derived, 9 established) across 11 task categories and 43 subcategories, utilizing 60 VHRs.
- The most commonly used VHRs included the computerized patient record system, Secure Messaging, telephone, VA Video Connect, and Microsoft Teams.
- Key best practices emerged in patient-generated health data (15) and appointment management/technology access for patients and staff (13).
Conclusions
- Super user practices illustrate VHR integration within and across service-specific workflows, informing best practices for VHR use across the care continuum.
- Findings, though specific to 5 services, offer transferable practices for broader application and inform deimplementation strategies.
- Results provide a foundation for training, education, and disseminating best practices to foster a culture of VHR super users within the Veterans Health Administration.
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