Journal Article

Loose Coupling and Healthcare Organizations: Deployment Strategies for Groupware

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Date

2006, 2006

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Source

Computer Supported Cooperative Work (CSCW): Vol. 15, No. 0

Publisher

Springer

Abstract

Healthcare organizations are often organized in a modular, loosely coupled fashion where separate and semi-autonomous work units specialize in different areas of care delivery. This partitioning allows each unit to adapt to emerging practice standards in its area of expertise and to adjust to its local work environment. However, organizational loose coupling can limit the flow of information within organizations and can make it difficult to coordinate services when patients’ care is dependent on professionals from more than one unit. Groupware systems have the potential to improve coordination and information access in healthcare organizations. However, modularity and loose coupling make it difficult to introduce new systems when they span more than one unit, since authority is not always centralized and since perceptions and frames of reference on new deployments differ across units. In this paper, we define a groupware deployment framework for loosely coupled healthcare organizations that has two parts: a set of deployment challenges and a set of deployment strategies. The deployment challenges include: difficulties centralizing deployments, perceptions of inequity, role conflicts, and problems achieving critical mass. The deployment strategies outline a preliminary set of approaches for addressing the difficulties of deploying CSCW systems in loosely coupled healthcare organizations. We illustrate the framework by presenting a case study of a groupware deployment in a home care setting.

Description

Pinelle, David; Gutwin, Carl (2006): Loose Coupling and Healthcare Organizations: Deployment Strategies for Groupware. Computer Supported Cooperative Work (CSCW): Vol. 15, No. 0. DOI: 10.1007/s10606-006-9031-2. Springer. PISSN: 1573-7551. pp. 537-572

Keywords

deployment planning, groupware deployment, healthcare, human service organizations, loose coupling

Citation

DOI

10.1007/s10606-006-9031-2

URI

URI

http://dx.doi.org/10.1007/s10606-006-9031-2
 https://dl.eusset.eu/handle/20.500.12015/3700

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JCSCW Vol. 15 (2006)

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Number of citations to item: 27

  • Rebecka Janols (2012): Time does not heal usability issues!, In: Proceedings of the 24th Australian Computer-Human Interaction Conference, doi:10.1145/2414536.2414582
  • Hideaki Kanai (2020): An Information-Sharing System for Multiprofessional Collaboration in the Community-Based Integrated Healthcare System: A Case Study of Nomi City in Japan, In: Business Innovation with New ICT in the Asia-Pacific: Case Studies, doi:10.1007/978-981-15-7658-4_17
  • Valeria Herskovic, Sergio F. Ochoa, Jose A. Pino, Andres Neyem (2008): General requirements to design mobile shared workspaces, In: 2008 12th International Conference on Computer Supported Cooperative Work in Design, doi:10.1109/cscwd.2008.4537043
  • Sarah Goodrum, Jessie Slepicka, William Woodward, Beverly Kingston (2022): Learning from Error in Violence Prevention: A School Shooting as an Organizational Accident, In: Sociology of Education 4(95), doi:10.1177/00380407221120431
  • Olivia K. Richards, Adrian Choi, Gabriela Marcu (2021): Shared Understanding in Care Coordination for Children's Behavioral Health, In: Proceedings of the ACM on Human-Computer Interaction CSCW1(5), doi:10.1145/3449095
  • Alan Chong W. Lee, Bambang Parmanto, Andi Saptono, Wayan Pulantara, Barbara Sargent, José Luis Figueroa Arroyo (2012): The VISYTER Telerehabilitation System for Globalizing Physical Therapy Consultation: Issues and Challenges for Telehealth Implementation, In: Journal of Physical Therapy Education 1(26), doi:10.1097/00001416-201210000-00014
  • Maximiliano Canché, Sergio F. Ochoa (2018): Modeling Computer-Mediated User Interactions in Ubiquitous Collaborative Systems, In: UCAmI 2018, doi:10.3390/proceedings2191250
  • Lise-Lotte Omran, Magnus Andersson Hagiwara, Goran Puaca, Hanna Maurin Söderholm (2024): The impact of video consultation on interprofessional collaboration and professional roles: a simulation-based study in prehospital stroke chain of care, In: Journal of Interprofessional Care 4(38), doi:10.1080/13561820.2024.2344075
  • Roc Messeguer, Sergio F. Ocho, Jose A. Pino, Leandro Navarro, Andres Neyem (2008): Communication and coordination patterns to support mobile collaboration, In: 2008 12th International Conference on Computer Supported Cooperative Work in Design, doi:10.1109/cscwd.2008.4537040
  • Stefan Stieglitz, Christoph Lattemann, Tobias Brockmann (2015): Mobile Applications for Knowledge Workers and Field Workers, In: Mobile Information Systems, doi:10.1155/2015/372315
  • Miria Grisot, Polyxeni Vassilakopoulou (2017): Re-Infrastructuring for eHealth: Dealing with Turns in Infrastructure Development, In: Computer Supported Cooperative Work (CSCW) 1-2(26), doi:10.1007/s10606-017-9264-2
  • Ellen Balka, Pernille Bjorn, Ina Wagner (2008): Steps toward a typology for health informatics, In: Proceedings of the 2008 ACM conference on Computer supported cooperative work, doi:10.1145/1460563.1460645
  • Bambang Parmanto, Andi Saptono, Gede Pramana, Wayan Pulantara, Richard M. Schein, Mark R. Schmeler, Michael P. McCue, David M. Brienza (2010): VISYTER: Versatile and Integrated System for Telerehabilitation, In: Telemedicine and e-Health 9(16), doi:10.1089/tmj.2010.0033
  • Ofra Amir, Barbara J. Grosz, Krzysztof Z. Gajos, Sonja M. Swenson, Lee M. Sanders (2015): From Care Plans to Care Coordination, In: Proceedings of the 33rd Annual ACM Conference on Human Factors in Computing Systems, doi:10.1145/2702123.2702320
  • Jane Li, Toni Robertson, Susan Hansen, Tim Mansfield, Jesper Kjeldskov (2008): Multidisciplinary medical team meetings, In: Proceedings of the 20th Australasian Conference on Computer-Human Interaction: Designing for Habitus and Habitat, doi:10.1145/1517744.1517766
  • Davide Vega, Esunly Medina, Roc Messeguer, Dolors Royo, Felix Freitag (2011): A Node Placement Heuristic to Encourage Resource Sharing in Mobile Computing, In: Lecture Notes in Computer Science, doi:10.1007/978-3-642-21931-3_42
  • Andrés Neyem, Sergio F. Ochoa, José A. Pino (2000): Designing Mobile Shared Workspaces for Loosely Coupled Workgroups, In: Lecture Notes in Computer Science, doi:10.1007/978-3-540-74812-0_14
  • (2022): References, In: A Sociological Perspective on Hierarchies in Educational Institutions, doi:10.1108/978-1-80382-229-720221011
  • Maximiliano Canché, Sergio F. Ochoa, Daniel Perovich, Francisco J. Gutierrez (2019): Analysis of notations for modeling user interaction scenarios in ubiquitous collaborative systems, In: Journal of Ambient Intelligence and Humanized Computing 11(13), doi:10.1007/s12652-019-01578-7
  • Alessandro Russo, Massimo Mecella, Massimiliano de Leoni (2011): ROME4EU – A service‐oriented process‐aware information system for mobile devices, In: Software: Practice and Experience 10(42), doi:10.1002/spe.1138
  • Gabriela Marcu, Anind K. Dey, Sara Kiesler, Madhu Reddy (2016): Time to reflect, In: Proceedings of the 19th ACM Conference on Computer-Supported Cooperative Work & Social Computing, doi:10.1145/2818048.2820079
  • Mark J. Handel, Steven Poltrock (2011): Working around official applications, In: Proceedings of the ACM 2011 conference on Computer supported cooperative work, doi:10.1145/1958824.1958870
  • Jane Li, Toni Robertson (2011): Physical space and information space: studies of collaboration in distributed multi-disciplinary medical team meetings, In: Behaviour & Information Technology 4(30), doi:10.1080/0144929x.2011.577194
  • Stephan Wolff (2010): Soziale personenbezogene Dienstleistungsorganisationen als lose gekoppelte Systeme und organisierte Anarchien, In: Soziale personenbezogene Dienstleistungsorganisationen, doi:10.1007/978-3-531-92474-8_9
  • Andrés Neyem, Sergio F. Ochoa, José A. Pino (2008): Coordination Patterns to Support Mobile Collaboration, In: Lecture Notes in Computer Science, doi:10.1007/978-3-540-92831-7_21
  • Valeria Herskovic, Andres Neyem, Sergio F. Ochoa, Jose A. Pino, Pedro Antunes (2012): Understanding presence awareness information needs among engineering students, In: Proceedings of the 2012 IEEE 16th International Conference on Computer Supported Cooperative Work in Design (CSCWD), doi:10.1109/cscwd.2012.6221827
  • Christopher Wolfe, T.C. Nicholas Graham, W. Greg Phillips, Banani Roy (2009): Fiia, In: Proceedings of the 1st ACM SIGCHI symposium on Engineering interactive computing systems, doi:10.1145/1570433.1570484
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