Define the desirable features of HIT design that serve both well-being and effectiveness and that can be used in product evaluation and comparison by purchasers or health care leaders.

M3 – Class2 – After reading the article, provide recommendations on the following:

TABLE. Efforts to Support Well-being in Technology-Mediated Work

Design technology for the health care we need

Generate a collaborative vision of next-generation health care

• Establish workgroups of technology and industry experts to assess potential models of care and their requirements.

Use team-based care and technology to support care innovation

• Enhance coordination through integrated interprofessional care plans with goals, steps to reach them, and overall progress.
• Generate evidence to improve team-based models.
• Support patient-created data and remote monitoring.

Align human and technology resources with chronic conditions

• Support a longitudinal view of a patient’s treatments, disease progression or remission, etc. Support registry management.
• Establish chronological models for various conditions. Use tools to analyze risk trajectories and respond to window periods or stages of disease with timely targeted interventions. Augment human interactions with technology-driven checkups to monitor for physical or mental health changes.
• Integrate nonmedication interventions into care plans including individualized behavioral interventions, caregiver roles, and technology “prescriptions.”

Understand the essential roles for physicians

Align physician roles with future care models

• Discern the essential and compelling roles for physicians in future models of care.
• Design HIT to support and quantify nonencounter physician activities toward quality, productivity, and other health care imperatives.

Develop leadership and strategies to reduce a physician bottleneck

• Coordinate and prioritize encounter expectations from a perspective of the time, attention, and cognitive constraints of physicians in encounters.
• Orient health care information and tasks increasingly around the patient vs “through” physicians.

Educate new physicians for emerging roles

• Assess trends in HIT and develop core curriculum for human-computer collaboration in health care.
• Train doctors in the use and oversight of AI-enhanced risk prediction, decision support, diagnostics, surveillance, etc.

Design technology for a well workforce

Develop foundational principles and methods

• Research the intermediates of well-being and burnout in HIT, ranging from simple usability issues to satisfaction with advanced collaborative technology interactions.
• Establish fundamental principles, goals, and methods in HIT design that lead to guidelines, standard use cases, and evaluation methods.
• Use terms and make reference to design taxonomies to enculturate well-being as a normative design consideration.

Define the desirable features of HIT for well-being

• Define the desirable features of HIT design that serve both well-being and effectiveness and that can be used in product evaluation and comparison by purchasers or health care leaders.

Establish accountability for well-being in the work environment

• Establish leadership accountable to the work environment, especially HIT impacts. This is contrasted with, but complementary to, current resiliency-focused efforts.

Monitor HIT for human impacts and remediate

• Assess HIT impacts not only for outcomes but for efficiency, user stress, etc. Seek feedback from physicians and objective measures via audit logs etc.
• Increase the overlap between design and implementation to allow for change in technologies that fall short in effectiveness or humanistic design.