AMIA2014 Workflow Paper (Monday) Examining the Multi-level Fit between Work and Technology in a Secure Messaging Implementation

(Quotes from 2014 AMIA proceedings that interest me due to workflow-related implications: Take me to my Workflow-Related #AMIA2014 Papers and Posters rationale!)

1:45PM Monday

“Secure messaging (SM) allows patients to communicate with their providers for non-urgent health issues. Like other health information technologies, the design and implementation of SM should account for workflow to avoid suboptimal outcomes. SM may present unique workflow challenges because patients add a layer of complexity, as they are also direct users of the system. This study explores SM implementation at two Veterans Health Administration facilities. We interviewed twenty-nine members of eight primary care teams using semi-structured interviews. Questions addressed staff opinions about the integration of SM with daily practice, and team members’ attitudes and experiences with SM. We describe the clinical workflow for SM, examining complexity and variability. We identified eight workflow issues directly related to efficiency and patient satisfaction, based on an exploration of the technology fit with multilevel factors. These findings inform organizational interventions that will accommodate SM implementation and lead to more patient-centered care.”

[see Figure 1. Overview of SM workflow across teams]

American Medical Informatics Association 2014 Proceedings

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