Designing health information technology tools for behavioral health clinicians integrated within a primary care team
Background: Electronic health records (EHRs) are a key tool for primary care practice. However, EHR functionality is not keeping pace with the evolving informational and decision-support needs of behavioral health clinicians (BHCs) working on integrated teams. Objective: Describe workflows and tasks...
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doaj-d0e4842af8044058960c95738d7c91b82020-11-25T00:44:11ZengBCS, The Chartered Institute for ITJournal of Innovation in Health Informatics2058-45552058-45632018-10-0125315816810.14236/jhi.v25i3.998873Designing health information technology tools for behavioral health clinicians integrated within a primary care teamTanisha Tate Woodson0Rose Gunn1Khaya D Clark2Bijal A Balasubramanian3Katelyn K Jetelina4Brianna Muller5Benjamin F. Miller6Timothy E. Burdick7Deborah J Cohen8Department of Family Medicine, Oregon Health & Science University, Portland, Oregon, USADepartment of Family Medicine, Oregon Health & Science University, Portland, Oregon, USADepartment of Family Medicine, Oregon Health & Science University, Portland, Oregon, USADepartment of Epidemiology, Human Genetics, and Environmental Sciences, University of Texas School of Public Health-Dallas Campus, Dallas, TX, USADepartment of Epidemiology, Human Genetics, and Environmental Sciences, University of Texas School of Public Health-Dallas Campus, Dallas, TX, USADepartment of Family Medicine, Oregon Health & Science University, Portland, Oregon, USAEugene S. Farley, Jr. Health Policy Center, Department of Family Medicine, University of Colorado School of Medicine, Denver, CO, USADepartment of Community & Family Medicine, Geisel School of Medicine at Dartmouth, Hanover, NH; Department of Biomedical Data Science, Geisel School of Medicine at Dartmouth, Hanover, NH; Department of Medical Informatics & Clinical Epidemiology, OHSU School of Medicine, Portland, ORDepartment of Family Medicine, Oregon Health & Science University, Portland, Oregon, USABackground: Electronic health records (EHRs) are a key tool for primary care practice. However, EHR functionality is not keeping pace with the evolving informational and decision-support needs of behavioral health clinicians (BHCs) working on integrated teams. Objective: Describe workflows and tasks of BHCs working with integrated teams, identify their health information technology needs, and develop EHR tools to address them. Method: A mixed-methods, comparative-case study of six community health centers (CHCs) in Oregon, each with at least one BHC integrated in their primary care team. We observed clinical work and conducted interviews to understand workflows and clinical tasks, aiming to identify how effectively current EHRs supported integrated care delivery, including transitions, documentation, information sharing, and decision making. We analyzed these data and employed a user-centered design process to develop EHR tools addressing the identified needs. Results: BHCs used the primary care EHR for documentation and communication with other team members, but the EHR lacked the functionality to fully support integrated care. Needs include the ability to: (1) automate and track paper-based screening; (2) document behavioral health history; (3) access patient social and medical history relevant to behavioral health issues, and (4) rapidly document and track progress on goals. To meet these needs, we engaged users and developed a set of EHR tools called the BH e-Suite. Conclusion: Integrated primary care teams, and particularly BHCs, have unique information needs, workflows and tasks. These needs can be met and supported by the EHR with a moderate level of modification.https://hijournal.bcs.org/index.php/jhi/article/view/998qualitative researchintegrated careprimary careelectronic health recordsbehavioral health clinicals |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Tanisha Tate Woodson Rose Gunn Khaya D Clark Bijal A Balasubramanian Katelyn K Jetelina Brianna Muller Benjamin F. Miller Timothy E. Burdick Deborah J Cohen |
spellingShingle |
Tanisha Tate Woodson Rose Gunn Khaya D Clark Bijal A Balasubramanian Katelyn K Jetelina Brianna Muller Benjamin F. Miller Timothy E. Burdick Deborah J Cohen Designing health information technology tools for behavioral health clinicians integrated within a primary care team Journal of Innovation in Health Informatics qualitative research integrated care primary care electronic health records behavioral health clinicals |
author_facet |
Tanisha Tate Woodson Rose Gunn Khaya D Clark Bijal A Balasubramanian Katelyn K Jetelina Brianna Muller Benjamin F. Miller Timothy E. Burdick Deborah J Cohen |
author_sort |
Tanisha Tate Woodson |
title |
Designing health information technology tools for behavioral health clinicians integrated within a primary care team |
title_short |
Designing health information technology tools for behavioral health clinicians integrated within a primary care team |
title_full |
Designing health information technology tools for behavioral health clinicians integrated within a primary care team |
title_fullStr |
Designing health information technology tools for behavioral health clinicians integrated within a primary care team |
title_full_unstemmed |
Designing health information technology tools for behavioral health clinicians integrated within a primary care team |
title_sort |
designing health information technology tools for behavioral health clinicians integrated within a primary care team |
publisher |
BCS, The Chartered Institute for IT |
series |
Journal of Innovation in Health Informatics |
issn |
2058-4555 2058-4563 |
publishDate |
2018-10-01 |
description |
Background: Electronic health records (EHRs) are a key tool for primary care practice. However, EHR functionality is not keeping pace with the evolving informational and decision-support needs of behavioral health clinicians (BHCs) working on integrated teams. Objective: Describe workflows and tasks of BHCs working with integrated teams, identify their health information technology needs, and develop EHR tools to address them. Method: A mixed-methods, comparative-case study of six community health centers (CHCs) in Oregon, each with at least one BHC integrated in their primary care team. We observed clinical work and conducted interviews to understand workflows and clinical tasks, aiming to identify how effectively current EHRs supported integrated care delivery, including transitions, documentation, information sharing, and decision making. We analyzed these data and employed a user-centered design process to develop EHR tools addressing the identified needs. Results: BHCs used the primary care EHR for documentation and communication with other team members, but the EHR lacked the functionality to fully support integrated care. Needs include the ability to: (1) automate and track paper-based screening; (2) document behavioral health history; (3) access patient social and medical history relevant to behavioral health issues, and (4) rapidly document and track progress on goals. To meet these needs, we engaged users and developed a set of EHR tools called the BH e-Suite. Conclusion: Integrated primary care teams, and particularly BHCs, have unique information needs, workflows and tasks. These needs can be met and supported by the EHR with a moderate level of modification. |
topic |
qualitative research integrated care primary care electronic health records behavioral health clinicals |
url |
https://hijournal.bcs.org/index.php/jhi/article/view/998 |
work_keys_str_mv |
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