Development of a Multi-Layer Systems Engineering Visualization for Diabetes Team Coordination

Abstract

Systems engineering tools have proven helpful for healthcare organizations to map sociotechnical systems, particularly prior to health IT implementation. However, these systems engineering tools are limited in that they cannot easily capture the complexities of chronic care activities. The purpose of this work is to introduce Diabetes care Roles, Information Flows and Team coordination (DRIFT), a tool and visualization framework that addresses system granularity, temporal dynamics, and sociotechnical factors within a chronic care context. Task analyses, process mapping, and information flow attributes from (N=30) semi-structured interviews of diabetes care team members were synthesized in the creation of DRIFT, including recommendations for incorporation into clinical care team coordination tasks.