Connecting public health IT systems with enacted work: report of an ethnographic study.
As part of a larger project to improve information transfer within public health settings, we studied the information workflow associated with communicable disease (CD) activities in a local health department. As part of that study we examined a newly adopted online system used for reporting CD data to the state department of public health. An information workflow analysis was performed using the ethnographic methods of interviews and observations. In addition to providing a detailed description of the context of CD reporting activities in a local health department, our study uncovered a mismatch between the newly piloted electronic reporting system and the CD work as enacted by health department personnel. (+info)
Re-engineering opportunities in clinical research using workflow analysis in community practice settings.
In this paper we examine frequently performed clinical research activities with the objective of identifying aspects of workflow that could be amenable to informatics-based re-engineering. This paper is part of a series of studies under the NIH Roadmap initiative, which examines workflow of clinical research in community practices. We describe three common work activities, detailing the main actors involved, the tools used and the challenges faced. These activities illustrate inefficiencies in the clinical research workflow which include: a) lack of supporting tools to perform routine work activities, b) redundancy, low reuse of data and poor interoperability between systems and c) the fragmented and distributed nature of the workflow. We identify opportunities for re-engineering at both a micro (activity) and macro level (organization). (+info)
Business intelligence tools for radiology: creating a prototype model using open-source tools.