Development and Health System Deployment of an Electronic Health Record–Integrated Chatbot Intervention for Connecting Fall Risk Screening to Community Resources After Emergency Department Visits: Implementation Study
This study describes the formative development and system-wide implementation of the intervention. This scalable, EHR-integrated intervention demonstrates a novel and pragmatic approach to improving population health by capitalizing on existing clinical workflows and automating both risk notification and personalized resource referral for older adults without increasing clinician burden. The next steps include conducting a randomized controlled trial to assess the impact of the screening and referral tool on recurrent fall-related health care use compared with routine care in the ED. Formal evaluation of the implementation outcomes will be conducted in the planned trial.
Authors
- Jennifer Dickman Portz (ORCID: https://orcid.org/0000-0003-3107-3598)
- Audrey A. Keleman (ORCID: https://orcid.org/0000-0003-1025-3100)
- Elizabeth M. Goldberg (ORCID: https://orcid.org/0000-0003-1817-0705)
- Hillary D. Lum (ORCID: https://orcid.org/0000-0001-5637-3912)
- Megan Bounds (ORCID: https://orcid.org/0009-0000-3872-7449)
- Jonathan Gomez Picazo (ORCID: https://orcid.org/0009-0005-0542-7518)
- Maxwell Lunt
- Bucky Ferozan
- Kelly Bookman (ORCID: https://orcid.org/0000-0003-2958-3249)
Institutions
- University of Colorado Hospital (US)
- Colorado Engineering (United States) (US)
- Geriatric Research Education and Clinical Center (US)
- VA Eastern Colorado Health Care System (US)
- University of Colorado Anschutz Medical Campus (US)
- University of Colorado Denver (US)
Publication Details
- Journal
- JMIR Formative Research
- Published
- 2025-10-14
- DOI
- https://doi.org/10.2196/77237
- Citations
- 1
- Primary Topic
- Chronic Disease Management Strategies
- Type
- article
- Field-Weighted Citation Impact
- 1.35