A mixed methods approach for measuring the impact of delivery-centric interventions on clinician workflow

Rhonda G Cady, Stanley M Finkelstein
2012 AMIA Annual Symposium Proceedings  
Health interventions vary widely. Pharmaceuticals, medical devices and wellness promotion are defined as 'outcome-centric.' They are implemented by clinicians for the use and benefit of consumers, and intervention effectiveness is measured by a change in health outcome. Electronic health records, computerized physician order entry systems and telehealth technologies are defined as 'delivery-centric.' They are implemented by organizations for use by clinicians to manage and facilitate consumer
more » ... alth, and the impact of these interventions on clinician workflow has become increasingly important. The methodological framework introduced in this paper uses a two-phase sequential mixed methods design that qualitatively explores clinician workflow before and after implementation of a delivery-centric intervention, and uses this information to quantitatively measure changes to workflow activities. The mixed methods protocol provides a standardized approach for understanding and determining the impact of delivery-centric interventions on clinician workflow.
pmid:23304393 pmcid:PMC3540554 fatcat:uuzsydpcl5eu5odqe4ydr46hci