Table 2 –

Technology-related barriers: Definitions, examples and frequency

Categories	Definitions	Examples	Occurrences
Inadequate access to health IT and other tools	CM is unable or has limited ability to physically or electronically access health IT and other tools.	• No direct/full access to local or external EHR • No access to CM documentation and reporting software when away from workstation • Fax machine located far from workstation	28 (17%)
Inadequate information in health IT	CM does not find or use information in health IT because the information is unavailable, untimely, or incomplete.	• No patient authorization available • Incomplete patient information in EHR • Information not timely in health IT • Progress notes in EHR very long	48 (29%)
Limited usefulness	Health IT has features that interfere with CM’s ability to perform work.	• Discharge instructions pended in EHR are not accessible to CM • Unable to fax directly from EHR • Patient record in CM software cannot be used by multiple CMs	9 (6%)
Poor usability	Design of health IT or tool makes it difficult to use.	• Navigation not easy in EHR • CM software not user friendly • Limited field length for documenting in CM software	25 (15%)
Challenge with use of multiple health IT	Using multiple health IT hinders CM’s work performance.	• Double documentation required in multiple health IT because of lack of inter-operability • Slow computer response due to use of multiple health IT	20 (12%)
Technical problems	Health IT problems interfere with CM’s work.	• Computers are down • Internet connection problems	33 (20%)
Total			163 (100%)