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

Warning: fopen(amia2014pre.txt) [function.fopen]: failed to open stream: No such file or directory in /home/content/41/4031141/html/000websites/wareflo/wp-content/plugins/allow-php-execute/allow-php-execute.php(13) : eval()’d code on line 3

Warning: filesize() [function.filesize]: stat failed for amia2014pre.txt in /home/content/41/4031141/html/000websites/wareflo/wp-content/plugins/allow-php-execute/allow-php-execute.php(13) : eval()’d code on line 4

Warning: fread(): supplied argument is not a valid stream resource in /home/content/41/4031141/html/000websites/wareflo/wp-content/plugins/allow-php-execute/allow-php-execute.php(13) : eval()’d code on line 4

Warning: fclose(): supplied argument is not a valid stream resource in /home/content/41/4031141/html/000websites/wareflo/wp-content/plugins/allow-php-execute/allow-php-execute.php(13) : eval()’d code on line 5

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]

Warning: fopen(amia2014post.txt) [function.fopen]: failed to open stream: No such file or directory in /home/content/41/4031141/html/000websites/wareflo/wp-content/plugins/allow-php-execute/allow-php-execute.php(13) : eval()’d code on line 17

Warning: filesize() [function.filesize]: stat failed for amia2014post.txt in /home/content/41/4031141/html/000websites/wareflo/wp-content/plugins/allow-php-execute/allow-php-execute.php(13) : eval()’d code on line 18

Warning: fread(): supplied argument is not a valid stream resource in /home/content/41/4031141/html/000websites/wareflo/wp-content/plugins/allow-php-execute/allow-php-execute.php(13) : eval()’d code on line 18

Warning: fclose(): supplied argument is not a valid stream resource in /home/content/41/4031141/html/000websites/wareflo/wp-content/plugins/allow-php-execute/allow-php-execute.php(13) : eval()’d code on line 19

Leave a Reply

Your email address will not be published. Required fields are marked *