Jim Younkin, MBA, FACHDM

Coordinating care for hospitalized patients requires the use of multiple sources of information. Using a macroergonomic framework (i.e. the work system model), we conducted interviews and observations of care managers involved in care coordination across transitions of care. When information is distributed across multiple health IT applications, care managers experience a range of challenges, including organizational barriers, technology design problems, skills and knowledge issues, and task… Show more

Coordinating care for hospitalized patients requires the use of multiple sources of information. Using a macroergonomic framework (i.e. the work system model), we conducted interviews and observations of care managers involved in care coordination across transitions of care. When information is distributed across multiple health IT applications, care managers experience a range of challenges, including organizational barriers, technology design problems, skills and knowledge issues, and task performance demands (i.e. issues related to individual information processing and management and sharing of information). These challenges can be used as a checklist to evaluate the proposed IT infrastructure that will allow the integration of multiple health IT applications and, therefore, support coordination across transitions of care. Show less

Coordinating care for hospitalized patients requires the use of multiple sources of information. Using a macroergonomic framework (i.e. the work system model), we conducted interviews and observations of care managers involved in care coordination across transitions of care. When information is distributed across multiple health IT applications, care managers experience a range of challenges, including organizational barriers, technology design problems, skills and
knowledge issues, and… Show more

Coordinating care for hospitalized patients requires the use of multiple sources of information. Using a macroergonomic framework (i.e. the work system model), we conducted interviews and observations of care managers involved in care coordination across transitions of care. When information is distributed across multiple health IT applications, care managers experience a range of challenges, including organizational barriers, technology design problems, skills and
knowledge issues, and task performance demands (i.e. issues related to individual information processing and management and sharing of information). These challenges can be used as a checklist to evaluate the proposed IT infrastructure that will allow the integration of multiple health IT applications and, therefore, support coordination across transitions of care. Show less

Implementing large-scale complex health IT projects poses significant challenges to organizations. This paper discusses one Office of the National Coordinator for Health IT Beacon project aimed at implementing an IT-mediated care coordination model across multiple care settings in multiple communities. We posit that using participatory ergonomic methods to collect and promptly report findings to the project management team provides significant impetus for organizational learning and increases… Show more

Implementing large-scale complex health IT projects poses significant challenges to organizations. This paper discusses one Office of the National Coordinator for Health IT Beacon project aimed at implementing an IT-mediated care coordination model across multiple care settings in multiple communities. We posit that using participatory ergonomic methods to collect and promptly report findings to the project management team provides significant impetus for organizational learning and increases the likelihood of success of this large-scale health IT implementation project. We describe how we involve management team members in the ongoing regular evaluation of the project through short monthly Web-based surveys and semi-annual individual interviews. The goal of this process is to promote organizational learning and impact the success of this and future complex large-scale projects. Show less

Written by the HIMSS RHIO Guidebook Task Force, this book is a comprehensive resource to support and guide those who are exploring, or actively involved in community initiatives to establish a RHIO to support the interoperable exchange of health information. This guide
• Explores the role of stakeholders and the concept of collaboration, as well as governance models associated with more formal organizational structures.
• Provides a practical “how to” approach for RHIOs to address… Show more

Written by the HIMSS RHIO Guidebook Task Force, this book is a comprehensive resource to support and guide those who are exploring, or actively involved in community initiatives to establish a RHIO to support the interoperable exchange of health information. This guide
• Explores the role of stakeholders and the concept of collaboration, as well as governance models associated with more formal organizational structures.
• Provides a practical “how to” approach for RHIOs to address financing and the process of evaluating whether a new separate entity is appropriate.
• Addresses planning, evaluation and sustainability and how a newly forming RHIO anticipates barriers to its long-term survival before the first data is exchanged.
• Orients readers to the industry perspective regarding patient identification, reviews privacy and security considerations and explores the most common models for data exchange and business components
• Explores HIPAA Privacy and Security regulations and the need to take applicable state laws and regulations governing the privacy and confidentiality of patient information into account as part of the creation, organization and operation of a RHIO.
• Presents case studies and illustrates potential use cases for RHIOs. 2007 Show less