PMID- 27081407
OWN - NLM
STAT- MEDLINE
DCOM- 20161222
LR  - 20181113
IS  - 1869-0327 (Electronic)
IS  - 1869-0327 (Linking)
VI  - 7
IP  - 1
DP  - 2016
TI  - Managing and Communicating Operational Workflow: Designing and Implementing an 
      Electronic Outpatient Whiteboard.
PG  - 59-68
LID - 10.4338/ACI-2015-07-CR-0082 [doi]
AB  - BACKGROUND: Healthcare team members in emergency department contexts have used 
      electronic whiteboard solutions to help manage operational workflow for many 
      years. Ambulatory clinic settings have highly complex operational workflow, but 
      are still limited in electronic assistance to communicate and coordinate work 
      activities. OBJECTIVE: To describe and discuss the design, implementation, use, 
      and ongoing evolution of a coordination and collaboration tool supporting 
      ambulatory clinic operational workflow at Vanderbilt University Medical Center 
      (VUMC). METHODS: The outpatient whiteboard tool was initially designed to support 
      healthcare work related to an electronic chemotherapy order-entry application. 
      After a highly successful initial implementation in an oncology context, a high 
      demand emerged across the organization for the outpatient whiteboard 
      implementation. Over the past 10 years, developers have followed an iterative 
      user-centered design process to evolve the tool. RESULTS: The electronic 
      outpatient whiteboard system supports 194 separate whiteboards and is accessed by 
      over 2800 distinct users on a typical day. Clinics can configure their 
      whiteboards to support unique workflow elements. Since initial release, features 
      such as immunization clinical decision support have been integrated into the 
      system, based on requests from end users. CONCLUSIONS: The success of the 
      electronic outpatient whiteboard demonstrates the usefulness of an operational 
      workflow tool within the ambulatory clinic setting. Operational workflow tools 
      can play a significant role in supporting coordination, collaboration, and 
      teamwork in ambulatory healthcare settings.
FAU - Steitz, Bryan D
AU  - Steitz BD
AD  - Department of Biomedical Informatics, Vanderbilt University School of Medicine.
FAU - Weinberg, Stuart T
AU  - Weinberg ST
AD  - Department of Biomedical Informatics, Vanderbilt University School of Medicine; 
      Department of Pediatrics, Vanderbilt University School of Medicine.
FAU - Danciu, Ioana
AU  - Danciu I
AD  - Department of Biomedical Informatics, Vanderbilt University School of Medicine; 
      Department of Quality Safety and Risk Prevention, Vanderbilt University Medical 
      Center.
FAU - Unertl, Kim M
AU  - Unertl KM
AD  - Department of Biomedical Informatics, Vanderbilt University School of Medicine.
LA  - eng
GR  - R25 LM011174/LM/NLM NIH HHS/United States
GR  - T15 LM007450/LM/NLM NIH HHS/United States
PT  - Journal Article
DEP - 20160203
PL  - Germany
TA  - Appl Clin Inform
JT  - Applied clinical informatics
JID - 101537732
SB  - IM
MH  - Academic Medical Centers/organization & administration
MH  - Ambulatory Care/*organization & administration
MH  - *Communication
MH  - *Computers
MH  - Humans
MH  - Organization and Administration
MH  - *Outpatients
MH  - Patient Care Management/*organization & administration
MH  - *Workflow
PMC - PMC4817335
OTO - NOTNLM
OT  - Workflow
OT  - ambulatory care
OT  - decision making
OT  - health information technology
EDAT- 2016/04/16 06:00
MHDA- 2016/12/23 06:00
PMCR- 2017/02/03
CRDT- 2016/04/16 06:00
PHST- 2015/07/09 00:00 [received]
PHST- 2015/12/06 00:00 [accepted]
PHST- 2016/04/16 06:00 [entrez]
PHST- 2016/04/16 06:00 [pubmed]
PHST- 2016/12/23 06:00 [medline]
PHST- 2017/02/03 00:00 [pmc-release]
AID - 10.4338/ACI-2015-07-CR-0082 [doi]
PST - epublish
SO  - Appl Clin Inform. 2016 Feb 3;7(1):59-68. doi: 10.4338/ACI-2015-07-CR-0082. 
      eCollection 2016.