A Novel Primary Care Planning Informatics Tool Informed by Data-Driven Multimorbidity Grouping: User-Centered Design and Feasibility Testing.

ABSTRACT:

Background

Patients with multimorbidity have complex health care needs and are at high risk for adverse health outcomes. Primary care teams need tools to effectively and proactively plan care for these patients. We developed VET-PATHS (Veteran Panel Management Tool for High-Risk Subgroups), a novel care planning informatics tool for complex primary care patients. VET-PATHS groups patients by chronic condition via latent class analysis of electronic health record data, then jump-starts care planning by suggesting "care steps" based on data-driven high-priority care for the group.

Objective

The study aimed to iteratively adapt VET-PATHS with user input, then test feasibility and acceptability by frontline primary care teams for empaneled patients at high risk.

Methods

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SUBMITTER: Schuttner L 

PROVIDER: S-EPMC12677874 | biostudies-literature | 2025 Dec

REPOSITORIES: biostudies-literature