Expanding the Characterization of Collaborative Workflow and Health IT
摘要
Despite increased calls for more team-based care delivery, it remains a challenge to implement it in practice. Health information technology (HIT) can support team-based care delivery, but there is currently a gap between the workflow of teams and the technology that we design to support it. To address this gap, we first formalize team-based workflows according to structural and behavioral aspects, including the emerging virtual workspaces. Then, we describe collaborative workflows, and considerations for HIT design to support collaborative workflows. HIT design for collaborative workflow goes beyond just automating the task at hand, as collaborative workflows are a social construction between data, people and processes; and we need to understand how these connections form and evolve before looking to technology to automate it. Collaborative workflows are not static, but rather are dynamic processes with clinical, social and system design implications. Growth of technologies like telehealth offer opportunities to expand team-based care into communities. However, there is no one size fits all model for HIT supported teamwork. HIT design for healthcare teams needs to be flexible so that it can be tailored for the setting and task at hand and also to evolve along with the collaborative processes that it is automating.