Clinician Perspectives on Workflow, EHR Integration, and Dementia Care Management for Hospice Transitions - Abstract citation ID igaf122.3896

Sep 28, 2026

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Study of clinician perspectives on workflow, electronic health record (EHR) use, and care management during hospice transitions for people with dementia and their care partners. Eighteen nurses, nurse practitioners, and physicians participated in three semi-structured virtual focus groups, with inductive coding supporting thematic analysis. Results identified three connected domains—structured workflows, EHR integration, and optimizing care manager roles—emphasizing multi-step communication, privacy-aware timing, follow-up, and interdisciplinary collaboration. Findings highlight direct messaging, EHR-embedded checklists, and templates to reduce alert fatigue, clarify responsibilities, and improve continuity of care.

LanguageEnglish

CategoryResearch & Report

FormatPDF

Pages2

Reading Time5 min

AccessFree to download

Abstract

Study design and participants

Thematic domains and key findings

Implications for interventions

1162 Innovation in Aging, 2025, Vol. 9, No. S2 Abstract citation ID: igaf122.3896 CLINICIAN PERSPECTIVES ON WORKFLOW, EHR INTEGRATION, AND DEMENTIA CARE MANAGEMENT FOR HOSPICE TRANSITIONS Daniella Torres1, and Komal Murali2, 1. NYU College of Global Public Health, New York, New York, United States, 2. New York University Rory Meyers College of Nursing, New York, New York, United States This study explores healthcare professional perspectives on workflow, electronic health record (EHR) use, and care management during hospice transitions for persons with dementia and their care partners. Eighteen nurses, nurse practitioners, and physicians (with experience in acute care and home healthcare) participated across three semi-structured virtual focus groups. Inductive coding was applied to identify key themes. The thematic analysis revealed three interconnected domains of facilitating optimal hospice transitions: structured workflows, EHR integration, and optimizing care manager roles. Participants emphasized the importance of structured, multi-step communication to clarify responsibilities, improve care partner support, and ensure continuity of care. Workflow integration was described as requiring clinical flexibility to balance thoroughness Innovation in Aging, 2025, Vol. 9, No. S2 1163 with feasibility, including proper timing, patient privacy, follow-up, and interdisciplinary collaboration. EHR use emerged as central to supporting seamless workflow and documentation. Clinicians preferred direct messaging over automated flags to reduce alert fatigue and favored embedding hospice transitions checklists and advanced care planning templates within the EHR to facilitate information sharing and linking documentation to actionable outcomes. Care managers were identified as facilitators rather than decision-makers who provide targeted guidance and have defined responsibilities in hospice transitions. Telephonic, virtual, and in-person communication were highlighted as context-dependent strategies, complemented by follow-up hospice resources for caregivers. Findings suggest that hospice transitions care relies on structured workflows, EHR optimization, and care manager roles. Interventions that balance standardized tools with personalized communication and provider workflow and caregiver experience may improve the quality and consistency of hospice care delivery for persons with dementia and their care partners.

FAQs

What topics does the study examine during hospice transitions for dementia patients?

The study examines clinician perspectives on workflow, electronic health record (EHR) use, and care management during hospice transitions for people with dementia and their care partners.

How was the qualitative data analyzed in this study?

Eighteen clinicians participated in three semi-structured virtual focus groups. Inductive coding was used to identify themes, followed by thematic analysis across the dataset.

Which three domains were identified as facilitating optimal hospice transitions?

The analysis identified three interconnected domains: structured workflows, EHR integration, and optimizing the care manager roles.

Sep 28, 2026

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