Describing and Modeling Workflow and Information Flow in Chronic Disease Care

Journal of the American Medical Informatics Association

Volumn 16, Issue 6, 2009, Pages 826-836

  Unertl, Kim M ^a,b   Weinger, Matthew B ^a,b   Johnson, Kevin B ^a,b   Lorenzi, Nancy M ^a  

^a VANDERBILT UNIVERSITY MEDICAL CENTER   (United States)

^b VANDERBILT UNIVERSITY   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

ARTICLE; CHRONIC DISEASE; CLINICAL PRACTICE; COMPUTER PROGRAM; CYSTIC FIBROSIS; DIABETES MELLITUS; DOCTOR PATIENT RELATION; ELECTRONIC MEDICAL RECORD; HEALTH CARE PERSONNEL; INTERPERSONAL COMMUNICATION; MEDICAL INFORMATICS; MULTIPLE SCLEROSIS; OUTPATIENT CARE; OUTPATIENT DEPARTMENT; PATIENT CARE; SEMI STRUCTURED INTERVIEW;

AMBULATORY CARE; AMBULATORY CARE INFORMATION SYSTEMS; CHRONIC DISEASE; COMMUNICATION; ELECTRONIC HEALTH RECORDS; HUMANS; INFORMATION MANAGEMENT; MODELS, ORGANIZATIONAL; PATIENT CARE MANAGEMENT; SYSTEMS ANALYSIS; TASK PERFORMANCE AND ANALYSIS; TENNESSEE; WORKFLOW;

EID: 70350458146     PISSN: 10675027     EISSN: None     Source Type: Journal    
DOI: 10.1197/jamia.M3000     Document Type: Article

References (55)

1. Bodenheimer T., and Grumbach K. Electronic technology: A spark to revitalize primary care?. J Am Med Assoc 290 2 (2003) 259-264
2. Hunt D., Haynes R., Hanna S., and Smith K. Effects of computer-based clinical decision support systems on physician performance and patient outcomes: A systematic review. J Am Med Assoc 280 15 (1998) 1339-1346
3. Lapointe L., and Rivard S. Getting physicians to accept new information technology: Insights from case studies. CMAJ 174 11 (2006) 1573-1578
4. Ash J.S., Sittig D., Poon E., et al. The extent and importance of unintended consequences related to computerized provider order entry. J Am Med Inform Assoc 14 4 (2007) 415-423
5. Bardram J.E. I love the system-I just don't use it!. Proceedings of the International ACM SIGGROUP Conference on Supporting Group Work (1997) 251-260
6. Hoffman C., Rice D., and Sung H. Persons with chronic conditions: Their prevalence and costs. J Am Med Assoc 276 18 (1996) 1473-1479
7. Glasgow R.E., Nutting P., King D., et al. Randomized effectiveness trial of a computer-assisted intervention to improve diabetes care. Diabetes Care 28 1 (2005) 33-39
8. Montori V.M., Dinneen S., Gorman C., et al. The impact of planned care and a diabetes electronic management system on community-based diabetes care: The Mayo Health System diabetes translation project. Diabetes Care 25 11 (2002) 192-197
9. Dorr D., Bonner L., Cohen A., et al. Informatics systems to promote improved care for chronic illness: A literature review. J Am Med Inform Assoc 14 2 (2007) 156-163
10. Sequist T., Gandhi T., Karson A., et al. A randomized trial of electronic clinical reminders to improve quality of care for diabetes and coronary artery disease. J Am Med Inform Assoc 12 4 (2005) 431-437
11. Cheng C.H., Goldstein M., Geller E., and Levitt R. The effects of CPOE on ICU workflow: An observational study. AMIA Annu Symp Proc (2003) 150-154
12. Malhotra S., Jordan D., Shortliffe E., and Patel V. Workflow modeling in critical care: Piecing together your own puzzle. J Biomed Inform 40 2 (2007) 81-92
13. Reddy M., McDonald D., Pratt W., and Shabot M. Technology, work, and information flows: Lessons from the implementation of a wireless alert pager system. J Biomed Inform 38 3 (2005) 229-238
14. Shaw N.T., Mador R., Ho S., et al. Understanding the impact on intensive care staff workflow due to the introduction of a critical care information system: A mixed methods research methodology. Stud Health Technol Inform 143 (2009) 186-191
15. France D.J., Levin S., Hemphill R., et al. Emergency physicians' behaviors and workload in the presence of an electronic Whiteboard. Int J Med Inform 74 10 (2005) 827-837
16. Lium J.T., Tjora A., and Faxvaag A. No paper, but the same routines: A qualitative exploration of experiences in two Norwegian hospitals deprived of the paper based medical record. BMC Med Inform Decis Mak 8 (2008) 2
17. Balka E., Kahnamoui N., and Nutland K. Who is in charge of patient safety?. Work practice, work processes and utopian views of automatic drug dispensing systems. Int J Med Inform 76 Suppl 1 (2007) S48-S57
18. Symon G., Long K., and Ellis J. The coordination of work activities: Cooperation and conflict in a hospital context. CSCW 5 1 (1996) 1-31
19. Fontanesi J., De Guire M., Chiang J., Holcomb K., and Sawyer M. Applying workflow analysis tools to assess immunization delivery in outpatient primary care settings. Joint Community J Qual Improv 26 11 (2000) 654-660
20. Fontanesi J., De Guire M., Chiang J., et al. The forms that bind: Multiple data forms result in internal disaggregation of immunization information. J Pub Health Manag Pract 8 2 (2002) 50-55
21. Hallock M., Alper S., and Karsh B. A macro-ergonomic work system analysis of the diagnostic testing process in an outpatient health care facility for process improvement and patient safety. Ergonomics 49 5-6 (2006) 544-566
22. Johnson K., and Fitzhenry F. Case report: Activity diagrams for integrating electronic prescribing tools into clinical workflow. J Am Med Inform Assoc 13 4 (2006) 391-395
23. Zai A.H., Grant R., Estey G., et al. Lessons from implementing a combined workflow-informatics system for diabetes management. J Am Med Inform Assoc 15 4 (2008) 524-533
24. Michel-Verkerke M.B., Schuring R., and Spil T. Workflow Management for Multiple Sclerosis Patients: IT and Organization. Proceedings of the 37th Hawaii International Conference on System Sciences (2004) 60145a
25. Casper G., Karsh B., Or C.K., et al. Designing a technology enhanced practice for home nursing care of patients with congestive heart failure. AMIA Annu Symp Proc 116 (2005) 20
26. Unertl K.M., Weinger M., and Johnson K. Applying direct observation to model workflow and assess adoption. AMIA Annu Symp Proc (2006) 794-798
27. Huberman A., and Miles M. Data Management and Analysis Methods in Collecting and Interpreting Qualitative Materials (1998), Sage Publications, Thousand Oaks, CA 179-210
28. Ash J.S., Smith A., and Stavri P. Performing Subjectivist Studies in the Qualitative Traditions Responsive to Users in Evaluation Methods in Biomedical Informatics (2006), Springer, New York, NY 267-300
29. Corbin J., and Strauss A. Introduction in Basics of Qualitative Research (2008), Sage Publications, Thousand Oaks, CA 1-18
30. Rubin H., and Rubin I. Why We Do What We Do: Philosophy of Qualitative Interviewing in Qualitative Interviewing: The Art of Hearing Data (2005), Sage Publications, Thousand Oaks, CA 19-38
31. Pelto P., and Pelto G. Research Designs in Medical Anthropology in Medical Anthropology: Contemporary Theory and Method (1996), Praeger, Westport, CT 293-324
32. Casebeer A. Application of SWOT analysis. Br J Hosp Med 49 6 (1993) 430-431
33. Emerson R., Fretz R., and Shaw L. Processing Fieldnotes: Coding and Memoing in Writing Ethnographic Fieldnotes (1995), University of Chicago Press, Chicago, IL 142-168
34. Notebook by Circus Ponies Software. http://www.circusponies.com/ Accessed: Feb 6, 2009
35. Charmaz K. Coding in Grounded Theory Practice in Constructing Grounded Theory: A Practical Guide Through Qualitative Analysis (2006), Sage Publications, Thousand Oaks, CA 42-71
36. Shepherd A. Hierarchical Task Analysis (2000), CRC Press, Danvers, MA
37. Checkland P., and Scholes J. Soft Systems Methodology in Action: A 30-Year Retrospective (1999), Wiley, New York
38. Ash J.S., Stavri P., Dykstra R., and Fournier L. Implementing computerized physician order entry: The importance of special people. Int J Med Inform 69 2-3 (2003) 235-250
39. Unertl K., Weinger M., and Johnson K. Variation in use of informatics tools among providers in a diabetes clinic. AMIA Annu Symp Proc (2007) 756-760
40. Johnson K., Chark D., Chen Q., Broussard A., and Rosenbloom S. Performing without a net: Transitioning away from a health information technology-rich training environment. Acad Med 83 12 (2008) 1179-1186
41. Nemeth C., Nunnally M., O'Connor M., Klock P., and Cook R. Getting to the point: Developing IT for the sharp end of healthcare. J Biomed Inform 38 1 (2005) 18-25
42. Makoul G., Curry R., and Tang P. The use of electronic medical records: Communication patterns in outpatient encounters. J Am Med Inform Assoc 8 6 (2001) 610-615
43. Ventres W., Kooienga S., Vuckovic N., Marlin R., Nygren P., and Stewart V. Physicians, patients, and the electronic health record: An ethnographic analysis. Ann Fam Med 4 2 (2006) 124-131
44. Hsu J., Huang J., Fung V., et al. Health information technology and physician-patient interactions: Impact of computers on communication during outpatient primary care visits. J Am Med Inform Assoc 12 4 (2005) 474-480
45. Brixey J., Tang Z., Robinson D., et al. Interruptions in a level one trauma center: A case study. Int J Med Inform 77 4 (2008) 235-241
46. Coiera E., and Tombs V. Communication behaviours in a hospital setting: An observational study. BMJ 316 7132 (1998) 673-676
47. Coiera E. When conversation is better than computation. J Am Med Inform Assoc 7 3 (2000) 277-286
48. Nemeth C., Nunnally M., O'Connor M., and Cook R. Creating resilient IT: How the sign-out sheet shows clinicians make healthcare work. AMIA Annu Symp Proc (2006) 584-588
49. Crosson J., Isaacson N., Lancaster D., et al. Variation in electronic prescribing implementation among twelve ambulatory practices. J Gen Intern Med 23 4 (2008) 364-371
50. Computational technologies for effective health care: Immediate steps and strategic directions (document on the internet). http://www.nlm.nih.gov/pubs/reports/comptech_prepub.pdf Accessed Feb 21, 2009
51. Gregg W., Jirjis J., and Garriss G. Experiences with the academic chronic care collaborative. Clin Diabetes 25 2 (2007) 72-73
52. Patterson E., Cook R., and Render M. Improving patient safety by identifying side effects from introducing bar coding in medication administration. J Am Med Inform Assoc 9 5 (2002) 540-553
53. Lorenzi N., Novak L., Weiss J., Gadd C., and Unertl K. Crossing the implementation chasm: A proposal for bold action. J Am Med Inform Assoc 15 3 (2008) 290-296
54. Lincoln Y.S., and Guba E. Naturalistic Inquiry (1985), Sage Publications, Beverly Hills, CA
55. Joos D., Chen Q., Jirjis J., and Johnson K. An Electronic Medical Record in Primary Care. Impact on satisfaction, work efficiency and clinic processes. AMIA Annu Symp Proc (2006) 394-398