This multi-methods-multi-site study aims to adapt and evaluate the effects of an implementation support package of strategies to assist primary care clinics in documenting patients' communication disability (CD) and accommodation needs in the electronic health record (EHR) and providing communication accommodations through EHR data extraction, surveys, focus groups, interviews, and clinical practice observations.
Adults 18+ years
Patients who had at least one visit within the 21-month EHR data collection period at participating study clinics.
Adults 18+ years
Individuals of all genders and members of all racial and ethnic categories employed at participating study clinics will be eligible for inclusion. NYULH study personnel will enroll providers and staff referred for study inclusion from all participating study clinics; not just NYULH staff exclusively.
Patients whose records are unavailable due to technical issues.
Patients who are not seen at least once at participating study clinics during the 21-month data collection period.
Duplicate records (e.g., duplicative EHR records marked for deletion).
Patients who have opted-out of research participation.