Health Information Technology Coordination to Support Patient-centered Care Coordination

Summary

Objective: To select papers published in 2014, illustrating how information technology can contribute to and improve patient-centered care coordination.

Method: The two section editors performed a literature review from Medline and Web of Science to select a list of candidate best papers on the use of information technology for patient-centered care coordination. These papers were peer-reviewed by external reviewers and three of them were selected as “best papers”. Results: The first selected paper reports a qualitative study exploring the gap between current practices of care coordination in various settings and idealized longitudinal care plans. The second selected paper illustrates several unintended consequences of HIT designed to improve care coordination. The third selected paper shows that advanced analytic techniques in medical informatics can be instrumental in studying patient-centered care coordination.

Conclusions: The realization of true patient-centered care coordination is dependent upon a number of factors. Standardization of clinical documentation and HIT interoperability across organization and settings is a critical prerequisite for HIT to support patient-centered care coordination. Enabling patient involvement is an efficient means for goal setting and health information sharing. Additionally, unintended consequences of HIT tools (both positive and negative) must be measured and taken into account for quality improvement.

Keywords

Medical Informatics - continuity of patient care - patient care planning - interprofessional relations - patient-centered care

 

• References

• 1 McDonald KM, Sundaram V, Bravata DM, Lewis R, Lin N, Kraft SA. et al. Closing the Quality Gap: A Critical Analysis of Quality Improvement Strategies (Vol. 7: Care Coordination), Rockville (MD): Agency for Healthcare Research and Quality (US); 2007
• 2 Institute of Medicine (US) Committee on Quality of Health Care in America.. Crossing the Quality Chasm: A New Health System for the 21st Century. Washington (DC): National Academies Press (US); 2001
• 3 Dykes PC, Samal L, Donahue M, Greenberg JO, Hurley AC, Hasan O. et al. A patient-centered longitudinal care plan: vision versus reality. J Am Med Inform Assoc 2014; 21 (Suppl. 06) 1082-90.
• 4 Melby L, Hellesø R. Introducing electronic messaging in Norwegian healthcare: unintended consequences for interprofessional collaboration. Int J Med Inform 2014; 83 (Suppl. 05) 343-53.
• 5 Popejoy LL, Khalilia MA, Popescu M, Galambos C, Lyons V, Rantz M. et al. Quantifying care coordination using natural language processing and domain-specific ontology. J Am Med Inform Assoc 2015; 22 e1 e93-e103.
• 6 Collins S, Hurley AC, Chang FY, Illa AR, Benoit A, Laperle S. et al. Content and functional specifications for a standards-based multidisciplinary rounding tool to maintain continuity across acute and critical care. J Am Med Inform Assoc 2014; 21 (Suppl. 03) 438-47.
• 7 Matney SA, Maddox LJ, Staggers N. Nurses as knowledge workers: is there evidence of knowledge in patient handoffs?. West J Nurs Res 2014; 36 (Suppl. 02) 171-90.
• 8 Gurwitz JH, Field TS, Ogarek J, Tjia J, Cutrona SL, Harrold LR. et al. An electronic health record-based intervention to increase follow-up office visits and decrease rehospitalization in older adults. J Am Geriatr Soc 2014; 62 (Suppl. 05) 865-71.
• 9 Graetz I, Reed M, Shortell SM, Rundall TG, Bellows J, Hsu J. The association between EHRs and care coordination varies by team cohesion. Health Serv Res 2014; 49 1 Pt 2 438-52.
• 10 Kern LM, Edwards A, Kaushal R. The patient-centered medical home, electronic health records, and quality of care. Ann Intern Med 2014; 160 (Suppl. 11) 741-9.
• 11 Carrillo JE, Carrillo VA, Guimento R, Mucaria J, Leiman J. The NewYork-Presbyterian Regional Health Collaborative: a three-year progress report. Health Aff (Millwood) 2014; 33 (Suppl. 11) 1985-92.
• 12 Bouamrane M-M, Mair FS. Implementation of an integrated preoperative care pathway and regional electronic clinical portal for preoperative assessment. BMC Med Inform Decis Mak 2014; 14: 93.
• 13 Caron F, Vanthienen J, Vanhaecht K, Limbergen EV, De Weerdt J, Baesens B. Monitoring care processes in the gynecologic oncology department. Comput Biol Med 2014; 44: 88-96.
• 14 Prey JE, Woollen J, Wilcox L, Sackeim AD, Hripcsak G, Bakken S. et al. Patient engagement in the inpatient setting: a systematic review. J Am Med Inform Assoc 2014; 21 (Suppl. 04) 742-50.
• 15 Adams WG, Phillips BD, Bacic JD, Walsh KE, Shanahan CW, Paasche-Orlow MK. Automated conversation system before pediatric primary care visits: a randomized trial. Pediatrics 2014; 134 (Suppl. 03) e691-699.
• 16 Turvey C, Klein D, Fix G, Hogan TP, Woods S, Simon SR. et al. Blue Button use by patients to access and share health record information using the Department of Veterans Affairs’ online patient portal. J Am Med Inform Assoc 2014; 21 (Suppl. 04) 657-63.
• 17 Davis Giardina T, Menon S, Parrish DE, Sittig DF, Singh H. Patient access to medical records and healthcare outcomes: a systematic review. J Am Med Inform Assoc 2014; 21 (Suppl. 04) 737-41.
• 18 De Lusignan S, Mold F, Sheikh A. et al. Patients’ online access to their electronic health records and linked online services: a systematic interpretative review. BMJ Open 2014; 4 (Suppl. 09) e006021
• 19 Scholl I, Zill JM, Härter M, Dirmaier J. An integrative model of patient-centeredness - a systematic review and concept analysis. PLoS ONE 2014; 9 (Suppl. 09) e107828.
• 20 Lund S, Rasch V, Hemed M, Boas IM, Said A, Said K. et al. Mobile phone intervention reduces perinatal mortality in zanzibar: secondary outcomes of a cluster randomized controlled trial. JMIR Mhealth Uhealth 2014; 2 (Suppl. 01) e15.
• 21 Le XH, Doll T, Barbosu M, Luque A, Wang D. Evaluation of an Enhanced Role-Based Access Control model to manage information access in collaborative processes for a statewide clinical education program. J Biomed Inform 2014; 50: 184-95.