#HITsm T3: How important is understanding culture and organizational workflows to achieve coordinated, seamless care?And my response was: Sometimes you need to understand the workflows just to tell providers what is wrong with them.
— HL7 Standards (@HealthStandards) November 30, 2012
A perfect example of this showed up the other day as I listened to members of a House Subcommittee talk about Health IT and the Meaningful Use program.
If you list to this video around 1:11:35, you can hear an anesthesiologist explain how he cannot do med/med/allergy interaction checking on his patients in the operating room.
I'm not a Doctor, but I do know that most surgeries are scheduled well ahead of time. I also know that the anesthesiologist has a pretty good idea of what medications he or she may be using. It isn't Health IT that is broken here. It's the workflow that's broken, and perhaps even the culture. If you can identify the problem, surely, you can figure out a solution. The first thing that comes to my mind is to check for interactions using the EHR pre-operatively.
When your workflow doesn't work with your technology, perhaps it's not your technology, but rather your workflow that's broken.