Supporting the information systems requirements of distributed healthcare teams

The adoption of a patient-centric approach to healthcare delivery in the National Health Service (NHS) in the UK has led to changing requirements for information systems supporting the work of health and care practitioners. In particular, the patient-centric approach emphasises teamwork and cross-boundary coordination and collaboration. Although a great deal of both time and money has been invested in modernising healthcare information systems, they do not yet meet the requirements of patient-centric work. Current proposals for meeting these needs focus on providing cross-boundary information access in the form of an integrated Electronic Patient Record (EPR). This research considers the requirements that are likely to remain unmet after an integrated EPR is in place and how to meet these. Because the patient-centric approach emphasises teamwork, a conceptual model which uses care team meta-data to track and manage team members and professional roles is proposed as a means to meet this broader range of requirements. The model is supported by a proof of concept prototype which leverages team information to provide tailored information access, targeted notifications and alerts, and patient and team management functionality. Although some concerns were raised regarding implementation, the proposal was met with enthusiasm by both clinicians and developers during evaluation. However, the area of need is broad and there is still a great deal of work to be done if this work is to be taken forward.