| Clinics n (%) | PHAs n (%) | |
---|---|---|---|
Theme 1: Greater reporting knowledge and experience is associated with perceptions of a minimal reporting burden | |||
Sub-themes: | Notifiable condition reporting is not a burden or time-consuming activity or interruptive of daily workflow for regular reporters | 7 (63.6) | - |
Reporting requirements (who should report, which conditions are reportable, which forms to use, reporting timeframes for different conditions) are clear for regular reporters | 7 (63.6) | - | |
Clinic settings in which regular reporters work have a well-established flow of information and process for handling new positive cases of reportable conditions | 7 (63.6) | - | |
Infrequent reporters perceive notifiable condition reporting as burdensome and interruptive of their workflow | 4 (36.4) | - | |
Reporting requirements are not clear for infrequent reporters | 4 (36.4) | - | |
Infrequent reporters assume that labs report notifiable conditions | 4 (36.4) | - | |
Infrequent reporters express confusion about whether their organization requires notifiable condition reporting | 4 (36.4) | - | |
Theme 2: A positive laboratory report initiates the case reporting process in both clinic and PHA settings | |||
Sub-themes: | Reporting workflow in begins with receipt of a positive lab result in both clinics and PHAs | 11 (100) | 9 (100) |
PHA workers begin case processing activities with receipt of a positive lab result | - | 9 (100) | |
Other than treatment orders based on a lab report, physicians are not involved reporting workflow | 11 (100) | Â | |
Lab reports are missing critical information, such as clinic name, patient phone number, etc., so are insufficient alone for case reporting | - | 9 (100) | |
Delays in lab reporting contribute to delayed CDR form completion | 3 (27.3) | Â | |
Theme 3: Inaccurate or missing information interrupts and delays reporting which contributes to timeliness, data quality and completeness issues | |||
Sub-themes: | PHA workers perceive the majority of CDR forms they receive as generally incomplete, missing crucial information and low in data quality | - | 9 (100) |
PHA workers report frequent communications with clinics to gather needed case information | - | 9 (100) | |
PHA workers perceive that communications with clinics around reporting can be unproductive and frustrating | - | 9 (100) | |
Clinics are perceived as infrequent reporters due to their assumption that labs report to PHAs | - | 9 (100) | |
Specific to communications around notifiable condition reporting, clinic reporters perceive frequency of contact from PHAs as rare | 8 (72.7) | - | |
Inaccurate or missing contact information prevents reaching patients regarding treatment | 6 (54.5) | 9 (100) | |
Clinic reporters assume labs report so do not regularly submit CDR forms | 4 (36.4) | - | |
Clinic reporters are unaware that they are required to submit CDR forms | 4 (36.4) | - | |
Clinic reporters knowingly submit CDR forms with missing information | 3 (27.3) | - | |
Clinic reporters only complete CDR form fields that they deem pertinent | 2 (18.2) | - | |
Theme 4: Searching for needed information interrupts and delays reporting and case investigation workflow | |||
Sub-themes: | Numerous and varied information resources are utilized to complete CDR forms, conduct investigations and/or close cases | 9 (81.8) | 9 (100) |
Clinic reporters spend time looking for, waiting for and compiling information from various sources (EHRs, different reporting and/or clinical systems, chart notes, lab reports, online searches, etc.) | 7 (63.6) | - | |
PHA workers spend a majority of their time looking for and compiling information from various sources to conduct case processing | - | 9 (100) | |
Theme 5: PHAs cannot be certain that the clinical advisories, updates and information they send are reaching their target audience | |||
Sub-themes: | Clinic reporters do not have a clear idea about how information such as CDR form data is used by PHAs | 8 (72.7) | - |
Announcements and information sent by PHAs (fax, email) are not routinely distributed throughout the clinic | 5 (45.5) | - | |
Some clinics report they never receive announcements or information from PHAs | 4 (36.4) | - | |
Only PHA information deemed relevant is disseminated but how that determination is made is unclear to recipients | 3 (27.3) | - |