Health IT-Enabled Care Coordination and Redesign in Ambulatory Care
In this chapter, we present and discuss findings from a study funded by the U.S. Agency for Healthcare Research and Quality (AHRQ) to examine the workflow impact of introducing new technology, My Health Team at Vanderbilt (MHTAV), into primary care clinics to improve care coordination for patients with hypertension and diabetes. The goal of the study was to assess the alignment between health information technology (IT) and clinical workflow during the implementation of MHTAV. Our primary research question was: what is the workflow impact of implementing health IT-enabled care coordination within six ambulatory primary care clinics? We approached this question using a human factors and sociotechnical framework. Our aim was to help to fill the evidence gap regarding how health IT adoption impacts workflow, and vice versa.
KeywordsWorkflow Care coordination Implementation Qualitative research Health Information Technology Mixed methods Practice redesign Ambulatory care Chronic Condition Management Diabetes
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