Use of Theoretic Frameworks and Models to Inform Design of Health Information Technology to Support Treatment of Heart Failure in VA Primary Care
Garvin J, Smith MW, Brown C, Virani S, Weir CR, Petersen LA. Use of Theoretic Frameworks and Models to Inform Design of Health Information Technology to Support Treatment of Heart Failure in VA Primary Care. Oral presentation at 2017 SciTS Conference. Clearwater Beach, FL. Jun 13, 2017. New Technologies and Evaluation Approaches. Online at: http://www.scienceofteamscience.org/2017-agenda.
Our multi-disciplinary team, of cardiologists, primary
care providers, informatics and human factors
researchers, designed a communication mechanism for
primary care teams to improve beta blocker titration for
patients with heart failure.
We used theoretic frameworks and models to inform
our work. The Cabana model identifies clinician
knowledge, attitudes, and behavior constraints.
The socio-technical model for health information
technology addresses factors including clinical content,
workflow, and organizational culture. The Promoting
Action on Research in Health Services (PARiHS)
framework identifies the role of evidence, context, and
facilitation in clinical practice.
We were primarily a distributed, virtual team using
the Department of Veterans Affairs (VA) resources to
complete our work. We used the theoretic frameworks
to inform Cognitive Task Analysis (CTA) interviews and
subsequent usability assessments (UA) with primary
care providers, clinical pharmacists, and nurses.
The theoretic frameworks contributed to our team
interactions. For example, the Cabana model provided
a frame of reference for clinicians and human factors
researchers to communicate about provider’s
information needs. The socio-technical model
facilitated communication about workflow and clinical
content among the informatics, clinical, and human
factors specialists. The PARiHS framework helped
different team members jointly conceptualize barriers
and facilitators of the adoption of beta blocker titration
Due to the frameworks and the interactions they
supported, we were able to identify challenges facing
care teams, and to develop and assess a prototype
decision support tool to assist them.
Our work illustrates the use of constructs from theoretic
frameworks, in a transdisciplinary approach, focused
our work on clinical content and communication to
support provider’s clinical needs and workflow. This research was supported by the VA, HSRD CRE 12-
037 funding. Views expressed are of the authors and
are not necessarily the views of the VA, their academic
affiliates, or the U.S. Government.
Type of Publication:
scits 2017 conference, presentation, VA, treatment of heart failure
Addresses these goal(s):
- Learn about the field of team science: history, theory and concepts
Resource created by Jane Hwang on 10/3/2017 5:12:35 PM.