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.
