Appl Clin Inform 2013; 04(02): 304-316
DOI: 10.4338/ACI-2013-02-CR-0014
Case Report
Schattauer GmbH

Lessons Learned for Collaborative Clinical Content Development

S.A. Collins
1  Partners Healthcare System, Wellesley, MA
2  Division of General Internal Medicine and Primary Care, Brigham and Women’s Hospital, Boston, MA
3  Harvard Medical School, Boston, MA
,
K. Bavuso
1  Partners Healthcare System, Wellesley, MA
,
G. Zuccotti
1  Partners Healthcare System, Wellesley, MA
2  Division of General Internal Medicine and Primary Care, Brigham and Women’s Hospital, Boston, MA
3  Harvard Medical School, Boston, MA
,
R.A. Rocha
1  Partners Healthcare System, Wellesley, MA
2  Division of General Internal Medicine and Primary Care, Brigham and Women’s Hospital, Boston, MA
3  Harvard Medical School, Boston, MA
› Author Affiliations
Further Information

Correspondence to:

Sarah A. Collins, RN, PhD
Partners Healthcare Systems
93 Worcester St.
Wellesley, MA 02481
Phone: (781) 416–9287   
Fax: (781) 416–8912   

Publication History

received: 27 February 2013

accepted: 09 June 2013

Publication Date:
19 December 2017 (online)

 

Summary

Background: Site-specific content configuration of vendor-based Electronic Health Records (EHRs) is a vital step in the development of standardized and interoperable content that can be used for clinical decision-support, reporting, care coordination, and information exchange. The multi-site, multi-stakeholder Acute Care Documentation (ACD) project at Partners Healthcare Systems (PHS) aimed to develop highly structured clinical content with adequate breadth and depth to meet the needs of all types of acute care clinicians at two academic medical centers. The Knowledge Management (KM) team at PHS led the informatics and knowledge management effort for the project.

Objectives: We aimed to evaluate the role, governance, and project management processes and resources for the KM team’s effort as part of the standardized clinical content creation.

Methods: We employed the Center for Disease Control’s six step Program Evaluation Framework to guide our evaluation steps. We administered a forty-four question, open-ended, semi-structured voluntary survey to gather focused, credible evidence from members of the KM team. Qualitative open-coding was performed to identify themes for lessons learned and concluding recommendations.

Results: Six surveys were completed. Qualitative data analysis informed five lessons learned and thirty specific recommendations associated with the lessons learned. The five lessons learned are: 1) Assess and meet knowledge needs and set expectations at the start of the project; 2) Define an accountable decision-making process; 3) Increase team meeting moderation skills; 4) Ensure adequate resources and competency training with online asynchronous collaboration tools; 5) Develop focused, goal-oriented teams and supportive, consultative service based teams.

Conclusions: Knowledge management requirements for the development of standardized clinical content within a vendor-based EHR among multi-stakeholder teams and sites include: 1) assessing and meeting informatics knowledge needs, 2) setting expectations and standardizing the process for decision-making, and 3) ensuring the availability of adequate resources and competency training.

Citation: Collins SA, Bavuso K, Zuccotti G, Rocha RA. Lessons learned for collaborative clinical content development Appl Clin Inf 2013; 4: 304–316

http://dx.doi.org/10.4338/ACI-2013-02-CR-0014


#

 


#

Conflict of Interest

The authors declare that they have no conflicts of interest in the research.


Correspondence to:

Sarah A. Collins, RN, PhD
Partners Healthcare Systems
93 Worcester St.
Wellesley, MA 02481
Phone: (781) 416–9287   
Fax: (781) 416–8912