Accepted for/Published in: JMIR Human Factors
Date Submitted: Dec 11, 2019
Date Accepted: May 26, 2020
Warning: This is an author submission that is not peer-reviewed or edited. Preprints - unless they show as "accepted" - should not be relied on to guide clinical practice or health-related behavior and should not be reported in news media as established information.
The ‘Integrated Patient Journey Map’: A Design Tool for Embedding the Pillars of Quality in Health Information Technology Solutions
ABSTRACT
Background:
Health information technology (HIT) and associated data analytics offer significant opportunities for tackling some of the more complex challenges currently facing the healthcare sector. However, in order to deliver robust healthcare service improvements, it is essential that the design of these solutions considers in parallel the three core pillars of healthcare quality - clinical effectiveness, patient safety, and patient experience. This requires multidisciplinary teams to explore performance goals, medical protocols alongside the various touchpoints which affect clinicians’ interventions and patient experiences.
Objective:
In this paper, we present a design tool called the ‘Integrated Patient Journey Map’ (IPJM) which has been developed to assist multidisciplinary teams in designing effective health IT solutions to address these three core pillars of healthcare quality. IPJM is intended to support the analysis of requirements, as well as promote empathy and the emergence of shared commitment and shared understanding amongst teams.
Methods:
A six-month in-depth case study was undertaken to derive findings on the use of this tool from ‘LEANBH’, a connected health project which developed HIT solutions for the perinatal health context. Data was collected through over 700 hours of participant observations and 10 semi-structured interviews.
Results:
Findings indicate that the Integrated Patient Journey Map offers a constructive tool for multi-disciplinary teams to explore the physical and emotional journey of patients, as well as their touchpoints with health IT solutions. In addition, it allows team members to consider the goals, tasks, constraints, and actors involved in delivery of this journey, and derive precise and complete sets of requirements for health IT applications.
Conclusions:
Overall, the IPJM facilitates the implementation of balanced leadership for these type of complex Health Information Systems projects where multiple viewpoints must be considered.
Citation
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Copyright
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