Table 1 Observations regarding staff responses to alternate active time-use data collection methods
Question | Observations regarding staff response |
|---|---|
Method 1a | |
Survey item: “I’d like you to think about your experience with dual screening over the past week. By dual screening, we mean screening for both social determinants of health and arranging FIT testing in the same outreach session. To the best of your recollection, how many hours did you spend on dual screening?” | • Staff at three of four sites (sites B, C, D) provided specific estimates of time spent on dual screening in a given week. Times varied week to week depending on competing priorities • At one of the four sites (site A), the staff reported it was difficult to say how much time they spent on bundled screening in the past week because of the competing priorities |
Method 1b | |
Survey item: “Thinking about the past month, in a typical half-day session, how much time do you spend managing colorectal cancer and social determinants screening for your patients, including documentation, time in clinical encounters, and time coordinating care?” | • Staff at three of four sites (sites A, B, C) responded with the number of patients contacted about bundled screening in a half-day session rather than indicating how much time was devoted to outreach about bundled screening in a typical half-day session • On one occasion, the staff at one site (site A) replied with a time estimate • Staff at one site (site D) indicated they could not make an estimate |
Method 2 | |
Survey item: “How much time do you think you spend on these activities for a typical patient?” | • Staff at three of four sites (sites A, B, D) provided time ranges. The ratios of the longest to shortest times in the ranges varied from 1.3 to 5 • Staff at one site (site C) did not provide time estimates per patient |
Survey item: “Are there some patients that take significantly longer than others? If so, how much longer and why?” | • Staff across sites noted patients with the following characteristics take longer: o Need an interpreter o Patient has many questions o Incorrect contact information o Positive screen for adverse SDOH o Mental health or cognitive issues • Staff did not ultimately estimate the extra time required for these patients |
Method 3 | |
Spreadsheet tracking | • Each site used spreadsheets for some time use tracking • When collected, time-use data had plausibly narrow ranges with occasional outliers • Existing spreadsheets not set up to track the time use of follow-up calls |