Documentation Requirements Research Articles

Transfer pricing tools for adjusting the company’s profitability

The article examines the tools for adjusting the company’s profitability, which can be used in transfer pricing. In recent decades, countries have adopted various rules to combat tax evasion and tax avoidance. Among such rules, it is advisable to single out the rules of transfer pricing and the rules of controlled foreign companies. These efforts have gained significant attention considering the G20 and OECD BEPS initiative. The regulations on transfer pricing contain regulations on the implementation of the «arm's length» principle. The regulations define the methods that can be used to calculate transfer prices, define documentation requirements, include in your application various special requirements necessary to confirm the transfer prices used, and establish penalties for detection of incorrect pricing or inadequate documentation. According to the legal and regulatory norms, the profitability of the controlled operation can be within the range and outside the price range. Depending on the type of controlled transaction, the company may not take any action (if all regulations are met) or may have to make an independent price adjustment. To determine profitability, it is necessary to sample prices and financial indicators of similar comparable operations on the market. The article discusses methods of transfer pricing: comparative uncontrolled price, resale price, «cost plus», net profit, distributed profit. The reasons for the drop in profitability have been identified. A credit note is defined as an effective tool for adjusting profitability. This tool allows for quality control and minimizing possible credit risks. International practice indicates the effectiveness of using the credit note mechanism to adjust profitability in transfer pricing. It was established that in Ukraine the legal status of a credit note is not defined in the legislative framework. This situation creates problems when using this tool and does not contribute to its wider use.

Documentation and Nurses' Time Caring for Patients.

The nursing shortage is growing to dangerous levels and is impacting public safety. The health system is anticipated to need 1.1 million additional nurses by 2022. One-third of the nursing workforce will retire in the next 10 to 15 years. Research has shown that having more nurses to care for patients decreases patient complications and even death.1 Required nursing documentation has risen exponentially, with charting taking more nursing time than direct patient care. Unnecessary documentation is dangerous. Incentivizing hospitals to reduce charting waste will save lives and help nurses stay at the bedside.After being away from direct patient care for 10 years, I returned to the intensive care unit as a bedside nurse during the COVID-19 pandemic. I was overwhelmed by the sheer volume of required documentation fields. The research supports my observation. In 2017, a time-motion study found that 33% of the nurses’ shift was spent interacting with technology.2 In comparison, time spent with the patients accounted for only 22% of a 12-hour shift. No one goes into nursing to spend endless hours charting.The documentation requirements have outpaced the nursing profession’s value of integrity. For example, 5 nursing interventions were to be documented every 2 hours, creating an impossible reality. Many of the hundreds of fields were not meaningful or even used for data analysis or research. The waste was astounding when critically ill patients needed urgent care.We must challenge the longstanding nursing mantra “if care was not charted, it was not done.” Health care has reached a tipping point in quality improvement initiatives. The literature demonstrates that lower patient-to-nurse ratios improve patient care. The charting volume rises with every new clinical update, yet there is a reluctance to remove any documentation. I think hospitals’ fear of lawsuits and reduced reimbursement have created this reluctance.Highly reliable organizations standardize processes across hospital systems. Although this approach improves patient care, it complicates the process of minimizing required documentation. Filling out all the mandatory fields to document the prevention of hospital-acquired conditions, accreditation requirements, and specialty certifications such as stroke prevents nurses from directly caring for patients.Solutions to this problem are multifactorial, and innovative leadership strategies are needed for a culture change. The concept of exnovation needs a role in our health care system. Exnovation stops inefficient processes that are no longer working by removing waste.3 Reducing nursing documentation time should be a top goal in the United States to ensure patient safety. Organizations must produce outcomes highlighting strategies that keep nurses in direct patient care.4Additional strategies include block charting, especially for drip titration, and limiting new checklists. Block charting is supported by regulatory bodies such as The Joint Commission and facilitates easier charting while still providing proper patient care.5 Bedside nurses can collaborate with informatics and quality experts to create protocols that meet standards of care and save precious nursing time. The Institute for Healthcare Improvement has acknowledged that while documentation is supposed to improve patient safety, burdensome documentation has the opposite effect.4 Just because a new tool or checklist worked in one setting, it is not universally meaningful in all environments. Careful vetting of tools with an easy process to remove antiquated documentation fields is called for.A Gallup poll has rated nurses as the most trusted profession for the past 20 years.6 Nurses need the public’s support to get us back to patient care. We need a culture change that rewards organizations that increase nurses’ time caring for patients.

Preparing for the Future: Establishing a National Consensus on Nursing Crisis Documentation.

Clinicians across the globe face overwhelming dissatisfaction and burden with electronic health records due to poor usability and the sheer volume of data collection requirements. In the United States, electronic health records are noted to be a principal source of distress, dissatisfaction, and endless workarounds, leading to poor clinician performance and, ultimately, poor patient outcomes. The purpose of this article is to present a detailed review of a 2020 Texas pilot study. The study's focus was the engagement of nursing informatics experts from around the state to gain consensus on nursing documentation's current status and if plans were being developed to modify or decrease documentation, specifically to alleviate burden during a time of crisis. The study consisted of subject matter expert focus groups, a high-level Delphi for instrument development, and the implementation of the statewide instrument to gain consensus. Ultimately, the research team learned that there were gaps in not only what documentation could be removed (either temporarily or permanently) but also what standards dictate the use of crisis documentation (ie, "surge" criteria). The study findings discussed in this article will inform improvement strategies and policy recommendations to increase the value and usability of crisis nursing documentation requirements.

Burnout Related to Electronic Health Record Use in Primary Care.

Physician burnout has been increasing in the United States, especially in primary care, and the use of Electronic Health Records (EHRs) is a prominent contributor. This review article summarizes findings from a PubMed literature search that shows the significant contributors to EHR-related burnout may be documentation and clerical burdens, complex usability, electronic messaging and inbox, cognitive load, and time demands. Documentation requirements have escalated and have inherently changed from paper-based records. Many clerical tasks have also shifted to become additional physician responsibilities. When considering factors of efficiency, effectiveness, and user satisfaction, EHRs overall have an inferior usability score when compared to other technologies. The volume and organization of data along with alerts and complex interfaces require a substantial cognitive load and result in cognitive fatigue. Patient interactions and work-life balances are negatively affected by the time requirements of EHR tasks during and after clinic hours. Patient portals and EHR messaging have created a separate source of patient care outside of face-to-face visits that is often unaccounted productivity and not reimbursable.

THE AVAILABILITY OF THE DOCUMENTATION REQUIREMENT TO OBTAIN THE ISO 9001:2015 CERTIFICATE IN PREFABRICATED BUILDING FACTORY- IRAQ: A CASE STUDY

The study aims to shed light, define, and diagnose the item (documentation requirement) within one of the components of the general requirements of the international standard (ISO 9001:2015) in the prefabricated building factory in Kirkuk Governorate, Iraq. The purpose of the study was to identify the reality of the availability and application of these requirements necessary to obtain the certificate of international standards, by indicating the levels of achievement of the documentation items, as well as trying to open horizons for the application of other items necessary for the factory to obtain the mentioned certificate. In order to achieve this goal, it relied on the checklists that contributed to obtaining the necessary data to achieve the goal of the study. Based on the conclusions and recommendations of the study in its theoretical and field terms, proposals were made that are consistent with these conclusions, the most important of which was the statistical results showing gaps between the actual reality of the resource management requirements to obtain the international standards certificate (ISO 9001, 2015) and the theoretical academic reality and the prefabricated building factory to address them, where a gap of 70% is considered significant in the degree of application and documentation of certification requirements(ISO 9001, 2015). To improve the performance of the prefabricated building factory in order to obtain the Certificate for International Standards (ISO 9001, 2015). The most important recommendation from the study was the need to set up a computerized database to collect information on the operations and activities of the factory so that it could be used in future analysis and documentation. The need to use both traditional and new TQM tools and train the workforce to use them, as well as the necessity to universally use the documentation clause throughout the factory.

Accident or child abuse? Terminological requirements for clinical documentation of child injuries

Since children are usually accompanied by an adult when they arrive at a healthcare facility, information about how the injury occurred also originates from the adult. To rule out the possibility of child abuse, the physician attending to child injuries should pay particular attention to whether the trauma marks on the child’s body correspond to the circumstances of the injury as described by the adult, e.g., whether the injury could have occurred spontaneously in the event of an accident, taking the child’s level of physical and mental maturity into consideration. As physical injuries to both the soft tissue and the skeleton heal more quickly in children than in adults, and the injury itself is the main evidence in any criminal proceedings, great care must be taken in documenting injuries. For this reason, forensic medicine has developed specialized literature on the requirements for documenting injuries in children. Such literature discusses in more detail the characteristics of each type of injury suffered by children. However, a challenging circumstance in clinical care is that the international diagnosis classification (ICD) currently used in Hungary does not treat child injuries separately, thus the pathologies, especially for bone fractures, cannot be coded in sufficient detail. In the present case study, we discuss the terminology used to describe child injuries in detail in comparison with the terminology used for adult injuries based on the literature. We then analyze the documentation of blunt force injuries in 45 clinical records of child injuries, with a special focus on the terms used to describe the external trauma marks and the pathology.

Proposed Framework to Manage Non-Functional Requirements in Agile

Agile Software Development (ASD) is a type of iterated software development that strives to maximize productivity, effectiveness, and quick delivery through the minimization of documents and needless procedures within constrained timeframes. Agile software development has a number of advantages. There are still some difficulties. For instance, during the development lifecycle, non-functional requirements (NFRs) are disregarded and not given first-class artifacts. This results in several issues, including customer dissatisfaction and a great deal of rework, which impacts time and cost. In this paper, a proposed framework for handling non-functional requirements in Agile is explained. The framework supports the several primary activities of requirements engineering including requirements elicitation, analysis, documentation, and validation. In addition, the framework handles non-functional recommendations. Results of the suggested solution validation showed that it could address the problems with non-functional requirements in Agile.

Development of Laboratory-made Compositions of Concrete Based on the Certain Raw Materials and Restrictions of the AKKUYU NPP Construction

Introduction. Concrete is one of the materials most frequently used in construction thus the technologies of its manufacturing are being constantly improved. In our article we will develop the laboratory-made compositions of concrete based on the certain raw materials resources and restrictions existing at the construction site of one of the nuclear power plants in the Republic of Türkiye. One of the results of elaborating the concrete composition design technology is the selfcompacting concrete that fosters sustainable construction due to significant reduction of energy consumption. Self–compacting concrete is a type of concrete that can completely fill in the formwork only by gravity, without need for concrete consolidating by vibration. Its high fluidity and filling capacity are its advantages over conventional concrete. Self-compacting concrete has high fluidity, high water retention capacity, good strength. The aim of the study was to obtain the laboratory-made compositions of concrete based on the certain raw materials resources and restrictions existing at the construction site.Materials and methods. The list of raw materials potentially meeting the design documentation requirements has been specified. The concrete compositions using various aggregates were selected, the minimum amount of cement was determined, aimed among other things at corrosion resistance improvement.Results. Based on the restrictions existing at the construction site and according to the results of raw materials analysis including their oxide composition specification, 5 compositions were developed for each of NPP engineering structures.Discussion and conclusions. The study has completed all the tasks set forth, the main of which are: analysis of the raw materials market, laboratory studies of raw materials, specification of their actual physical and mechanical properties, identification of components meeting the standards and requirements, obtaining the laboratory-made compositions of concrete mixtures classified by their designation. The perspectives for further research are indicated.

Teleservices use among Latinx immigrant families during the Covid-19 pandemic

Remote services are a promising option to reduce access to services inequities among underserved populations, such as immigrants families. There is evidence that Latinx immigrant families have used teleservices at lower rates than other families during the pandemic. This research explored the factors that prevented Latinxs immigrant families from engaging in teleservices during the Covid-19 pandemic. Using an inductive thematic approach, we interviewed 21 providers of services and key informants who worked with Latinxs families. Nonparticipation was driven by services unawareness, documentation requirements, a digital divide, and safety concerns. Implications for policy and practice concerning the implementation of remote services for immigrant families are discussed.

Metodological aspects of clinical hemostasiology teaching for internal medicine residents

Modern teaching to young physicians has become increasingly limited because of rising clinical workload, due to the epidemiological situation, new requirements for medical documentation, the lack of a clear timetable of working hours and other educational features. Additionally, today’s residents expect that the training sessions will provide focused content integrated into their clinical workflow. One of the classical teaching methods that is ideally suited to meet these needs is a focused thematic training session, usually conducted with the help of simple but accessible visual aids and extensive audience participation. However, most listeners will benefit from structured content and guidance on the delivery of this content, also known as a learning scenario. A good learning scenario resident’s misconception, highlights a certain number of learning moments, uses strategies to engage students and provides a cognitive basis for teaching a topic that the teacher can improve over time. The proposed pedagogical concept of teaching sections of clinical hemostasiology for residents in the specialty "Therapy" orients the professional and cognitive interest of a young specialist against the background of constantly updated new knowledge in this field with the integration of scenarios of the content of training into clinical practice.

Extent, trajectory, and determinants of child welfare turnover and exit destinations

PurposeThe high-stakes nature of child welfare work together with hostile clients; high caseloads; and extensive, time-sensitive documentation requirements contribute to high levels of worker turnover. Turnover impacts families through less contact with workers and disrupted worker-client relationships. This study uses an organizational social capital framework to examine extent and trajectory of child welfare turnover and the destinations of those who exit. Method: We used data from the Florida Study of Professionals for Safe Families (FSPSF), a longitudinal cohort study of frontline child welfare workers hired in 2015–16 (N = 1,285). After describing turnover and destinations, we used multinomial logistic regression to examine how organizational supports contributed to exits from child welfare and exit destinations. Results: By three years, almost 60 % of workers had left child welfare with very few returning to the field. Of those staying in child welfare positions, 50 % had switched agencies at least once. One exit path did not dominate. Those who left child welfare were relatively equally divided between exiting to a different health and human service (HHS) field, another employment sector, or without a plan for employment. Relative to staying in child welfare, organizational support decreased odds of exiting to other HHS fields, and supervisory climates emphasizing goals increased odds of exiting to a different industry. Discussion: Findings identify that although child welfare workers exit the field largely due to job- or agency-related reasons, their destinations, including many without plans, suggest agencies can address aspects of workers’ responsibility and support challenges to improve retention.

Characteristics and Challenges of Clinical Documentation in Self-Organized Fast-Paced Medical Work

Clinical documentation is a time-consuming and challenging task, especially in time-critical medical settings. Even with a dedicated scribe person, timely and accurate documentation under time constraints is never easy. In this work, we present a unique type of fast-paced medical team--emergency medical services (EMS)--which has no designated role for documentation while constantly working outside in the field to provide urgent patient care. Through interviews with 13 EMS practitioners, we reveal several interesting and prominent characteristics of EMS documentation practice as well as their associated challenges: EMS practitioners self-organize and collaborate on documentation while in the meantime being both physically and cognitively preoccupied with high-acuity patients, having limited capability to use handheld documentation systems in real-time, and being overwhelmed by strict documentation requirements and regulations. Lastly, we use our findings to discuss both technical and non-technical implications to support timely and collaborative documentation in dynamic medical contexts while accounting for care providers' physical and cognitive constraints in using computing devices.

PM 3/66 (3) Guidelines for the management of plant health risks of biowaste of plant origin

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Pain Management During West Virginia's Opioid Crisis.

Opioid use disorder has caused significant morbidity and mortality resulting in opioid prescribing limiting laws, such as State Bill 273 in West Virginia. The purpose of this study is to explore the impacts of a restrictive opioid prescription law on physicians in medical practice in West Virginia. A qualitative study with open-ended semistructured interviews with a purposive sample of physicians in West Virginia. Interviews were recorded and transcribed verbatim. A preliminary code book was developed by 3 coinvestigators. Interview transcriptions were analyzed with a code-based text search query. Content analysis was utilized as the methodological orientation underpinning for the current work. Interviews were conducted with 20 physicians (10 primary care physicians and 10 specialty physicians) in practice in West Virginia. Physicians identified 5 theoretical domains related to SB273: changing opioid prescribing and documentation requirements; rural socioeconomic disparities; a continuum between chronic pain and substance use disorder; difficulty in balancing patient needs and the concern for diversion; lack of available alternatives to opioids for chronic. Prescribing opioids in rural West Virginia is complex due to identified challenges. Recommendations for opioids prescribing legislation include clear messaging of guidelines and recommendations, efforts to address socioeconomic disparities of health and pain, and improved accessibility for treatment of both pain and dependence in rural communities are important areas of growth in the rural health care environment.

Improvement of Procedure Documentation Compliance With the Implementation of a Visual Aid

BackgroundEmergency department (ED) providers face increasing task burdens and requirements related to documentation and paperwork. To decrease the mental task burden for providers, our institution developed an infographic that illustrates which forms are necessary for complete documentation of nonemergent invasive procedures. ObjectivesOur study aims to analyze the effect of a nonelectronic health record-based infographic, paired with direct feedback, on compliance with nonemergent invasive procedure documentation performed in the ED. MethodsThis was a retrospective, observational study of all procedure documentation performed in the ED with a pre-/post-test design. The study included two 8-month study periods, 1 year apart. The preimplementation period used for comparison was January 1, 2019–August 31, 2019, and the postimplementation period was January 1, 2020–August 31, 2020. All invasive procedures that required documentation in addition to a procedure note were included in the study. The primary outcome was the percentage of compliance with documentation requirements. ResultsDuring the pre- and postimplementation study periods, 486 and 405 charts with nonemergent procedures were identified, respectively. In the preimplementation period, 278 (57%) procedures were compliant with all documentation, vs. the postimplementation period, where 287 (71%) procedures were compliant (p < 0.001). ConclusionImplementing an invasive procedure documentation infographic and direct feedback improved overall documentation compliance for nonemergent invasive procedures.

Stakeholders’ solutions to antiretroviral therapy interruption during the COVID-19 pandemic in China: a short report

ABSTRACT Obtaining antiretroviral therapy (ART) was a challenge for people living with HIV (PLHIV) in China during the COVID-19 outbreak. On 26 January 2020, the Chinese Center for AIDS/STD Control and Prevention issued a nationwide directive to relax restrictions on where and when PLHIV could refill ART. This qualitative study explored unexpected barriers under this directive and recommendations to improve future ART delivery. Between February 11 and February 15 2020, in-depth interviews of 4 groups of stake holders related to ART refilling (i.e., PLHIV, community-based organization employees, CDC staff, infectious disease physicians and nurses), were conducted via WeChat. Data were managed by NVivo 11.0 and transcripts were coded using thematic analysis. Sixty-two interviews were conducted. The main barriers to refilling ART included: (1) inconsistent documentation requirements to refill ART, (2) lack of specific protocols on ART refilling, (3) insufficient staffing, and (4) regimen verification and drug shortages. The most common recommendations to improve future ART delivery were: (1) to establish a nationwide system to distribute ART and (2) increase the number of pills delivered with each ART refill. Strengthening protocols and systems to refill ART and improving collaboration is key to preventing interruptions in ART among PLHIV during public health emergencies.

ANALISIS PERANCANGAN FITUR PADA SISTEM ERP UNTUK INVENTORY MODULE DI PT XYZ UNTUK MENGURANGI BULLWHIP EFFECT

PT XYZ, which is implementing ERP for the POS and Inventory modules, made a request to modify the ERP system, especially the inventory module to reduce the Bullwhip Effect (BE), where when this system was implemented it did not yet have this feature, but PT XYZ's request needed to be analyzed further. so that the developed features do not waste resources, budget and time from the project. To validate the request for modification of PT XYZ, it is necessary to analyze the identification of non-conformities first by conducting in-depth interviews with the top management of PT XYZ who were selected based on purposive sampling with the criteria of 1 decade of work and the party responsible for supervising all divisions at PT XYZ , the top management statement is supported by the calculation of the value of the bullwhip effect and data visualization. After it was proven that there was a bullwhip effect at PT XYZ and supported by the results of the BE calculation for 5 outlets, all of which exceeded the BE parameter, and found the cause of BE through data visualization in which PT XYZ forecast demand. Based on the data and facts that have been collected, prototype features are designed that can reduce BE as stated in the Product Requirement Document where product requests, delivery and receipts are included in the prototype features and the type of prototype used is an evolutionary prototype. The prototype was tested for 1 month and according to the Management Representative's and BE calculation results after the implementation of the feature showed a reduction in the Bullwhip effect on PT XYZ&#x0D; Keywords : Bullwhip Effec, ERP Modification, Product Requirement Document, Prototype, Supply Chain

Quality of endodontic record-keeping and root canal obturation performed by final year undergraduate dental students: An audit during the COVID-19 pandemic.

To assess the quality of endodontic record-keeping and root canal obturation performed by undergraduate final year dental students during the COVID-19 pandemic. Dental records and dental radiographs of patients who received endodontic treatments between March 2020 and March 2022 by undergraduate students during the COVID-19 pandemic were included. The audit data were collected based on the European Society of Endodontology guidelines retrospectively via assessing the patient's clinical records and intraoral periapical radiograph. Root canal obturation quality was evaluated based on the following parameters: adaptation, length, taper, and mishap. A root filling is defined as satisfactory only when all four parameters were graded as acceptable. Subsequently, the data were recorded and analysed using Chi-Square test with the level of significance set at p = 0.05. A total of 111 patient records with 111 root canal-treated teeth were evaluated. The highest percentage of documented evidence was noted in the patient's general records, while the endodontic treatment records showed the lowest percentage of documented evidence. 78 (70.3%) of root canal-treated teeth were deemed satisfactory with acceptable adaptation, length, taper, and absence of mishap. Moreover, no statistical significance in terms of root canal filling quality was noted between anterior and posterior teeth, and between maxillary and mandibular arch. Although patient records and root canal fillings quality were deemed satisfactory in most cases, strict documentation requirements and continuing dental education in audit training are necessary for quality assurance.

Engineering requirements for the formation of a system of estimate documents in construction

Introduction. In modern conditions, clearly formulated requirements for the estimated documentation used to justify the estimated construction costs (major repairs, reconstruction) of a capital construction facility contribute to the unambiguous formation of goals, functions, restrictions, requirements for its creation and subsequent operation. During the reformation of the pricing system and the estimated rationing of the construction industry, the issue of methodological support for the process of substantiating the value of estimated costs in construction, as well as full and reliable reflection of costs in the estimated documentation, is acute. The analysis of the main forms of primary estimate documentation on the example of local estimates (estimates), developed using federal or territorial estimate standards, confirmed the need for work on the development of uniform requirements for the preparation of all forms of estimate documentation. In addition, for the introduction and use of information modeling technologies in construction, it is also necessary to develop a set of requirements for estimate documents in order to systematize and unify the information provided in them.&#x0D; &#x0D; Materials and methods. System approach, general theoretical methods of cognition (analysis, synthesis, analogy, generalization, comparison and others), project management methods.&#x0D; &#x0D; Results. It is proposed to use a system for managing the requirements for the estimate documentation. The stages of the development of the system of requirements for the estimate documentation, the processes within each stage, as well as the performance indicators of the process, allowing to evaluate the process itself during its implementation, are determined. The requirements for the composition and design of the estimate documentation are formulated.&#x0D; &#x0D; Conclusions. The implementation of the proposed management system for the requirements for the estimate documentation in practice, of course, will contribute to increasing the reliability of the estimated costs in construction, as well as minimizing the time spent on the implementation of the process of passing the examination of the estimate documentation.

Identifying sources of burnout among clinicians at a cancer center: A qualitative analysis.

429 Background: Clinician burnout leads to increased job turnover and workforce shortages, and reduced patient satisfaction and quality of care. Despite its importance, there has been limited study of burnout among the cancer care workforce including sources of burnout. This information can be used to inform intervention design for use in the cancer care setting specifically. To address this gap, we analyzed open-ended responses to a well-being survey administered to clinicians (physicians and advanced practice providers) at a Cancer Center. Methods: In February 2022, we electronically administered the American Medical Association’s clinician well-being survey to all practicing clinicians at a National Cancer Institute-designated Comprehensive Cancer Center in Florida. Of 700 clinicians, 405 (58%) responded. Of the respondents, 259 (64.0%) answered the free-text question “Tell us more about your stressors and what we can do to minimize them.” We used in-vivo coding to develop qualitative themes across responses. If a given response incorporated multiple themes, we coded the response under all pertinent themes. Results: A majority (76/259) of respondents commented on staffing issues, such as their clinics being understaffed or the quality of current staff. Another frequent theme (64/259) was the electronic health records (EHR) system, such as lack of integration between modules, inbox fatigue, alert fatigue, and inefficient documentation review processes. Respondents also reported scheduling issues as a pain point (56/259), such as having schedules that do not reflect actual clinical practice, being overbooked, and scheduling errors. Documentation burden was also highlighted as an issue across respondents (34/259). Documentation was considered tedious and some respondents reported a mismatch between available documentation tools in the EHR and actual documentation needs. Less common themes reported across respondents included design issues of facility space (e.g., no dedicated workspace to complete work without interruptions) and insufficient time to complete administrative, research, and documentation requirements. Conclusions: Our findings suggest that interventions that optimize staffing models, EHR processes (e.g., documentation), and scheduling practices may reduce burnout for a considerable number of cancer care clinicians.