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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,

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Presentation on theme: "Quality Improvement HIT Design to Support Teamwork and Communication Lecture b This material (Comp12_Unit7b) was developed by Johns Hopkins University,"— Presentation transcript:

1 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 IU24OC000013.

2 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

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

4 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

5 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

6 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

7 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

8 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

9 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

10 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

11 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

12 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

13 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;32:179-193. AHRQ & Department of Defense. TeamSTEPPS. 2006. Austin, J.L. How to do things with words. Oxford University Press: England. 1962 Edwards, A., Fitzpatrick, L.A., Augustine, S., et al. Int J. Med Infrom. 2009 Sep; 78(9):629-37. 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): 267-276. 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

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