00:01
In this part of our series, we're going to
explore the technological aspects of how
providers and systems communicate in the
technological world.
00:09
To start, we're going to look at how
communicating health information in real-time
via technology can greatly increase
efficiency and effectiveness of coordinating
care between providers, because when there's
miscommunication, care coordination and
quality can suffer.
00:27
Technology enables providers to share
information many, many different ways instead
of real time, face-to-face communication.
00:35
The electronic health record and health
information exchanges are now the primary way
providers and systems coordinate care with
each other.
00:43
In addition to the straight exchange of
patient records or reports, secure messaging,
email and mobile health applications are
used for more time-sensitive or
individual-to-individual conversations about
care decisions.
00:57
Telemedicine platforms enable video
conferencing tools for healthcare
professionals to consult with each other
about patient cases.
01:04
All this sounds great, and it usually is.
01:07
However, as with any other technological
advancement, there are new challenges.
01:12
Using a diversity of technology, platforms
and software can strain the information
literacy levels of many healthcare
providers.
01:20
That's why the role of the informatics
specialist often includes acting as a
translator. A misinterpretation
challenge is often seen in the use of
text-based communication in health care, such
as emails, text, or electronic health record
messages.
01:36
Messages can be misinterpreted due to lack
of context, tone, or even a simple
typo. To avoid miscommunications like these,
standardized order sets, report descriptions,
or referrals are embedded between systems so
that rather than a provider manually entering
their orders, they choose from pre-vetted
lists of actions that remains consistent from
patient to patient and provider to provider.
02:00
The foundation of communication is sending
and receiving information in a technology
platform. Ensuring that information is sent
and received represents the challenge of
closing the loop.
02:13
Referral requests present a classic example
of the need for closed-loop communication.
02:18
That's a process where information is sent,
acknowledged and confirmed.
02:23
If a provider sends a referral request the
open loop but never receives confirmation
that it was received and acted upon, the
closed-loop patient care can be compromised.
02:35
Imagine a patient who needs to see a
specialist, but they fall through the cracks.
02:39
And why? Because the referral never gets
confirmed.
02:43
Creating an automatic alert system that will
notify the originator of the order that the
referral was not made, or that the patient
did not see them, and so on, means someone
gets alerted that there was a breakdown in
communication.
02:56
Another example of loop-based communication
is how individual, patient, laboratory, and
other diagnostic tests are processed.
03:03
Lack of proper tracking can lead to missed
results and delayed treatment.
03:09
For example, a patient's abnormal test
result may not be acted upon if it's lost in
the shuffle of paperwork or electronic
files.
03:17
Automated alerts to abnormal findings, and
whether the finding was seen by the provider,
or whether the finding was shared with the
patient.
03:25
These are all meant to ensure that care was
both effective and efficient.
03:29
In conclusion, each aspect of health
informatics, be it communication,
standardization or referral and lab
tracking, plays a critical role in providing
quality care.
03:40
As healthcare professionals, understanding
these concepts can help you prevent errors
and improve communication.