Quality Improvement HIT Design to Support Teamwork and Communication Lecture b This material (Comp12_Unit7b) was developed by Johns Hopkins University,

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Quality Improvement HIT Design to Support Teamwork and Communication Lecture b This material (Comp12_Unit7b) was developed by Johns Hopkins University, funded by the Department of Health and Human Services, Office of the National Coordinator for Health Information Technology under Award Number IU24OC

HIT Design to Support Teamwork and Communication Learning Objective ─ Lecture b Investigate ways in which HIT design can serve as a barrier to effective communication. 2 Health IT Workforce Curriculum Version 3.0/Spring 2012 Quality Improvement HIT Design to Support Teamwork and Communication─Lecture b

HIT and Communication 3 Health IT Workforce Curriculum Version 3.0/Spring 2012 Quality Improvement HIT Design to Support Teamwork and Communication─Lecture b

HIT and Communication Barriers to Communication 4 Health IT Workforce Curriculum Version 3.0/Spring 2012 Quality Improvement HIT Design to Support Teamwork and Communication─Lecture b

HIT and Communication Communication is characterized by social interactions and norms. Behavioral expectations Cues within a group. When information technology is introduced into the social group, we need to plan for potential changes in communication patterns. 5 Health IT Workforce Curriculum Version 3.0/Spring 2012 Quality Improvement HIT Design to Support Teamwork and Communication─Lecture b

HIT and Communication We don’t talk to each other the way we used to, and that has an impact on care. 6 Health IT Workforce Curriculum Version 3.0/Spring 2012 Quality Improvement HIT Design to Support Teamwork and Communication─Lecture b

HIT and Communication HIT alters the form and pattern of communication and information exchange. Design problems can interfere with the clarity of information communicated between providers. Patch-work systems that do not interact with each other, or that interact inefficiently, and lead to gaps in information, resulting in error. 7 Health IT Workforce Curriculum Version 3.0/Spring 2012 Quality Improvement HIT Design to Support Teamwork and Communication─Lecture b

HIT and Communication Social Network Analysis Study of interaction pattern among people, departments, organizations, social groups For example, physicians consult with one another in diagnosing a patient’s illness. They interact with nurses, pharmacists, and medical technicians in providing patient care. Physicians, clinics, hospitals, medical laboratories, home care agencies, and insurance companies may all share a common electronic medical record system. (Anderson, 2002 ) 8 Health IT Workforce Curriculum Version 3.0/Spring 2012 Quality Improvement HIT Design to Support Teamwork and Communication─Lecture b

HIT and Communication Social Network Analysis 9 Health IT Workforce Curriculum Version 3.0/Spring 2012 Quality Improvement HIT Design to Support Teamwork and Communication─Lecture b

HIT and Communication Workflow Support & System Design 10 Health IT Workforce Curriculum Version 3.0/Spring 2012 Quality Improvement HIT Design to Support Teamwork and Communication─Lecture b

HIT and Communication Workflow Support & System Design “The physician in this case study attempted to make three consultations by landline telephone as the first mode of contact. In the case of consult #3, the physician called, paged, and called a second time, finally leaving a message with the secretary. Each of the three attempts at contact resulted in deferment to an asynchronous mode of communication. Perhaps, had the physician been able to rely on a single, trusted, method of communication, he could have saved time by forgoing the follow-up page and phone call.” (Edwards,2009) 11 Health IT Workforce Curriculum Version 3.0/Spring 2012 Quality Improvement HIT Design to Support Teamwork and Communication─Lecture b

HIT Design to Support Teamwork and Communication Summary ─ Lecture b Communication within the healthcare system is poor. –HIT cannot make bad communication good. HIT can make good channels of communication more efficient. 12 Health IT Workforce Curriculum Version 3.0/Spring 2012 Quality Improvement HIT Design to Support Teamwork and Communication─Lecture b

HIT Design to Support Teamwork and Communication References ─ Lecture b References Anderson, J. Evaluation in health informatics: social network analysis. Computers in Biology and Medicine. 2002;32: AHRQ & Department of Defense. TeamSTEPPS Austin, J.L. How to do things with words. Oxford University Press: England Edwards, A., Fitzpatrick, L.A., Augustine, S., et al. Int J. Med Infrom Sep; 78(9): Epub 2009 May 23. Gurses, A.P. A systematic review of the literature on multidisciplinary rounds to design information technology. Journal of the American Medical Informatics Association. 2006; 13(3): Images Slide 3: IT, Communication, & Workflow. Courtesy Dr. Stephanie Poe Slide 4: Barriers to Communication. Courtesy Dr. Stephanie Poe Slide 6: Female Silhouette. Creative Commons Credits to all-silhouettes.com Slide 9: Social Network Analysis. Adapted from Anderson et al, 2002 by Dr. Stephanie Poe Slide 10: Communication Workflow Support and System Design. Adapted from Anderson et al, 2002 by Dr. Stephanie Poe 13 Health IT Workforce Curriculum Version 3.0/Spring 2012 Quality Improvement HIT Design to Support Teamwork and Communication─Lecture b