The clinics will be in different phases of adopting and using electronic health-record systems as they embark on a care-coordination and work-flow redesign project called My Health Team. The cost of the AHRQ research project is estimated at just under $800,000.
The study will include baseline-setting interviews with as many as 10 clinical staffers at each site. After one year, the researchers again will interview staffers at each of the clinics to identify work-flow changes and enablers of or barriers to process change. Researchers also will interview as many as 64 patients in total. At two clinics, researchers will conduct midyear staff interviews to assess the pace of change.
The researchers also will gather "spatial data, such as still photographs of the workplace and/or objects in the workplace" to add to observation data, according to the notice. "These will enable the researcher to capture spatial relationships and other dimensions, such as the proximity of workstations, exam rooms and technology. For example, a health IT tool may include the functionality to print information to give to the patient, but if the printer is not conveniently located for the user, busy clinic staff may choose not to use this function."
Lessons learned from the research may help "identify additional work-flow components that ambulatory practices should consider when implementing health IT systems," as well as "issues for consideration in the design and evaluation of other health IT tools."