Information Systems and Health Care - V: A MultiModal Approach to Health Care Decision Support Systems

Decision Support Systems (DSS) in health care must be designed in consideration of the empirical context and problem space where they are being applied. However differences such as workflow, clinical expertise and organizational norms make it hard to define the context where a DSS will be used. What is needed is a DSS that is able to enhance health care delivery in different contexts. In this paper we present a multi-modal DSS that supports decision making in different contexts. The paper describes the theoretical basis for the DSS, explores a problem space in palliative care and describes a prototype implementation of the DSS to address the issues from the problem space

An interdisciplinary team communication framework and its application to healthcare 'e-teams' systems design

<p>Abstract</p> <p>Background</p> <p>There are few studies that examine the processes that interdisciplinary teams engage in and how we can design health information systems (HIS) to support those team processes. This was an exploratory study with two purposes: (1) To develop a framework for interdisciplinary team communication based on structures, processes and outcomes that were identified as having occurred during weekly team meetings. (2) To use the framework to guide 'e-teams' HIS design to support interdisciplinary team meeting communication.</p> <p>Methods</p> <p>An ethnographic approach was used to collect data on two interdisciplinary teams. Qualitative content analysis was used to analyze the data according to structures, processes and outcomes.</p> <p>Results</p> <p>We present details for team meta-concepts of structures, processes and outcomes and the concepts and sub concepts within each meta-concept. We also provide an exploratory framework for interdisciplinary team communication and describe how the framework can guide HIS design to support 'e-teams'.</p> <p>Conclusion</p> <p>The structures, processes and outcomes that describe interdisciplinary teams are complex and often occur in a non-linear fashion. Electronic data support, process facilitation and team video conferencing are three HIS tools that can enhance team function.</p