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A qualitative analysis of communication workflows between adult day service centers and primary care providers 

Article authors Jie Zhong and Tina Sadarangani discuss this month's JAMIA Journal Club selection: 

Zhong J, Boafo J, Brody AA, Wu B, Sadarangani AT. A qualitative analysis of communication workflows between adult day service centers and primary care providers [published online ahead of print, 2021 Dec 29]. J Am Med Inform Assoc. 2021;ocab284. doi:10.1093/jamia/ocab284 

Read the abstract


Jie Zhong, PhD (c)
PhD Candidate
New York University Rory Meyers College of Nursing
New York, NY

Jie Zhong is a PhD candidate at the New York University Rory Meyers College of Nursing.  She is a member of Dr. Sadarangani’s team working with stakeholders to design a mobile app supporting communication between adult day and primary care.


Tina Sadarangani, ANP-C, GNP-BC, PhD, RN
Assistant Professor
New York University Rory Meyers College of Nursing
NYU School of Medicine Department of Population Health

Tina Sadarangani is an NIH-funded Assistant Professor in NYU Rory Meyers College of Nursing, focused on integrating adult day centers into the care continuum through mhealth. She is also a board-certified adult/gerontological primary care nurse practitioner.

Manager and Moderator

Christina Baker, MS, BSN, NCSN, RN-BC
PhD Student - Faculty Teaching Fellow
University of Colorado, Anschutz Medical Campus - College of Nursing
Denver, CO

Statement of Purpose

Adult Day Care Centers (ADCs) possess a wealth of information involving the care of persons living with dementia (PLWD), that can be used to support clinical decision-making by primary care providers (PCPs). However, ADCs’ ability to exchange timely and relevant information with PCPs is limited by reliance on antiquated communication methods such as fax and voicemail. 

The purpose of this study was to characterize information exchange between ADCs and PCPs. ADCs and PCPs described communication with one another as infrequent, delayed, incomplete, unreliable, irrelevant, and generic. Conversely, communication that was bidirectional, relevant, succinct, and interdisciplinary was expected to elevate the standard of care for people living with dementia (PLWD). Stakeholders reported that communication across settings was done primarily for regulatory purposes rather than to support clinical decision-making. Integrating community-based services into the health care continuum is a necessary step in elevating the standard of care for PLWD. In the absence of interoperable electronic health record systems, which may not be financially viable for ADCs, other options, such as mobile health, should be explored to facilitate productive information exchange.

Target Audience

The target audience for this activity is professionals and students interested in health informatics.

Learning Objectives

After participating in this webinar the learner should be better able to:

  • Explore current communication workflows between adult day care centers and primary care providers
  • Identify possible strategies for optimizing communication between community-based adult day centers and primary care providers that also empower the family caregiver. 


  • 35-minute presentation by article author(s) considering salient features of the published study and its potential impact on practice
  • 25-minute discussion of questions submitted by listeners via the webinar tools and moderated by JAMIA Student Editorial Board members.

Accreditation Statement

The American Medical Informatics Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.

Commercial Support

No commercial support was received for this activity. 

Disclosures for this Activity

The following planners and staff who are in a position to control the content of this activity disclose that they have no financial relationships with commercial interests/ineligible entities:

Presenters: Jie Zhong; Tina Sadarangani
JAMIA Journal Club Planners: Christina Baker; Kirk E. Roberts
AMIA Staff: Susanne Arnold; Pesha Rubinstein


Dates and Times: -
Type: Webinar
Course Format(s): On Demand
Price: Free