A rise in chronic conditions has put a strain on our healthcare system. Treatment for chronic conditions spans time, agencies, and providers. Information systems such as electronic health records should be helping with the challenge of coordination, but too often they do not. My research aims to alleviate this problem by designing health information systems that fit social practices and workflow. In this talk I will describe my research agenda around collaborative reflection – an informal, unpredictable, and adaptive type of coordination, which tends to not be data-driven. I have studied collaborative reflection in behavioral and mental health services for children, which are coordinated across clinical, home, and special education settings. Through participatory design I developed Lilypad, a tablet-based information system meant to increase data-driven coordination. I evaluated Lilypad in a five-month deployment study, and another deployment study is underway. I will discuss what the Lilypad project tells us about the way health information systems should be designed, and integrated within health service organizations, if they are to have a positive impact on stakeholders involved with managing chronic conditions.
Gabriela Marcu is an Assistant Professor in the College of Computing and Informatics at Drexel University. She holds a Ph.D. in Human-Computer Interaction from Carnegie Mellon University, and a B.S. in Informatics from U.C. Irvine. Her research is in the areas of health informatics, ubiquitous computing, and computer-supported cooperative work. She uses fieldwork to study real-world social problems, and she uses methods from human-computer interaction to design and evaluate sociotechnical solutions. She has studied coordination in behavioral and mental health services for seven years. She has been named a Siebel Scholar, NSF Graduate Research Fellow, Microsoft Research Graduate Women Scholar, and a Google Anita Borg Scholar.