![]() This homeless crisis has been intensified by natural disasters, most recently the Kincaid Fire (October 23 to November 6, 2019), which threatened more than 90,000 structures and burned 77,758 acres, resulting in evacuations throughout Sonoma County. The 2019 Sonoma County Homeless Census and Survey Comprehensive Report suggested that approximately 3000 homeless people live primarily in vehicles (29%) and emergency shelters (25%) on streets (24%) and in various other shelters (22%), such as tents, transitional housing, or abandoned buildings. Sonoma County is a large county in California, with over 500,000 residents and a disproportionately large homeless population compared with similarly sized communities. Currently, limited evidence exists about the use, benefits, and shortcomings of social management tools built on advanced technologies. These existing silos could be further addressed by using technology as a common platform, which could serve as a reliable information repository for data aggregation, reporting, and exchange. ![]() To mitigate this growing challenge, synchronization of agencies at different levels is required to successfully provide holistic, client-centered care in an effective and timely manner. These processes often involve agencies such as health care, law, housing, and law enforcement, which tend to work independently and lack effective, seamless communication across agencies. Care management processes are often complicated when such organizations operate in information silos. Providing comprehensive services to vulnerable populations is a complex task requiring effective and efficient collaboration and resource alignment among various safety net agencies. Future research should examine WCM and similar CMCSs in diverse populations and settings. Integration of data and information in a CMCS can facilitate coordinated care. Overall, users found WCM to be a useful tool that was easy to use and helped to enhance performance.Ĭonclusions: WCM supports the delivery of care to individuals with complex needs. Constraining factors included the suboptimal awareness of care delivery goals and functionality of the system among the community, sensitivities about data sharing and legal requirements, and constrained funding from government and nongovernment organizations. Factors that facilitated WCM use were users’ enthusiasm regarding the tool functionalities, scalability, and agency collaboration. ![]() WCM provided a central shared platform where client-related, up-to-date, comprehensive, and reliable information from participating agencies was consolidated. In total, 3 interdisciplinary team meetings were observed, and 8 WCM users were surveyed. Results: A total of 16 participants were interviewed, including WCM users (n=8) and department leadership members (n=8). Responses to the Technology Acceptance Model survey were analyzed. Interviews, observations, and surveys were conducted, and transcripts and field notes were thematically analyzed and directed by a grounded theory approach. Methods: A mixed methods study was conducted to identify ways in which WCM helps to coordinate care. Objective: The aim of this study is to evaluate the perceived impact and usability of WCM in delivering services to the homeless population in Sonoma County. This system comprised the Watson Care Manager (WCM), a front-end system, and Connect 360, which is an integrated data hub that aggregates information from various systems into a single client record. To support client-centered care, the county deployed a Care Management and Coordination System (CMCS). Sonoma County, California has one of the nation’s largest homeless populations among largely suburban communities. JMIR Bioinformatics and Biotechnology 27 articlesĮmail: People with complex needs, such as those experiencing homelessness, require concurrent, seamless support from multiple social service agencies.JMIR Biomedical Engineering 65 articles.JMIR Perioperative Medicine 75 articles.Journal of Participatory Medicine 75 articles.JMIR Rehabilitation and Assistive Technologies 184 articles.JMIR Pediatrics and Parenting 251 articles.Interactive Journal of Medical Research 274 articles.JMIR Public Health and Surveillance 998 articles.Journal of Medical Internet Research 7021 articles.
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