1 / 15

Healthcare managers & their non-clinical decision making:

Healthcare managers & their non-clinical decision making:. What information do they need and use?. Jackie MacDonald Annapolis Valley Health, South Shore Health & South West Health; Centre for Health Information Management Research, Department of Information Studies, University of Sheffield

levi
Download Presentation

Healthcare managers & their non-clinical decision making:

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. Healthcare managers & their non-clinical decision making: What information do they need and use? Jackie MacDonald Annapolis Valley Health, South Shore Health & South West Health; Centre for Health Information Management Research, Department of Information Studies, University of Sheffield Peter Bath Department of Information Studies, University of Sheffield Andrew Booth School of Health and Related Research, University of Sheffield

  2. Presentation Outline • Why • Background • Literature Review & Conceptual Framework • What? • Study questions • How? • Study design, data analysis, reporting • Selected findings related to this presentation • Phase II

  3. Some change factors in our health care workplace • Increasing costs for print information • The information explosion • Healthcare system reorganization • Advances in technology, health & medicine, electronic information … • Evidence based clinical practice • Population health • Funding cuts • Convergence of LIS/IM/IT/HIM/knowledge broker and other roles • Open access publishing …

  4. Research questions Related to this presentation • In what roles are healthcare managers engaged when faced with making decisions? • What information do they need? • How do they determine they have enough information? • What are their information issues and problems? • Are these healthcare managers typical?

  5. Approach: Qualitative Data Gathering 19 semi-structured interviews, with a warm up question Critical Incident Technique General questions Knowledge of population health. Phase 1 Research Design

  6. Data Analysis & Synthesis Taped interviews transcribed verbatim, then categorically indexed (526 terms) ATLASti NATCEN ‘Framework’ for cross case synthesis Units of Analysis Information sources used in each case The approach to information seeking in each case. Phase 1 Data Analysis

  7. Four Broad Themes Information and Decisions Information and Sharing Information and Seeking Information and Population Health Data Reporting Integrated results and discussion Explanations supported with quotations or research literature. Phase 1 Findings & Reporting

  8. Managers’ Work Roles Interpersonal Role Leader Decisional Role Improver/Changer Information Processing Monitor Decision Complexity Unstructured decisions Administrative policy decisions Multi-level decisions Naturalistic Decision Making Mode Decision Phases 1-3 Problem-Opportunity decisions Group decisions Work Roles & Decision Complexity

  9. When did they look for information? Simon/Mintzberg’s Decision Making Phases • Phase 1: Identification/Intelligence Looked for information at 5 points • Phase 2: Design/Development Looked for information at 7 points • Phase 3: Choice/Selection Looked for information at 6 points • Phase 4: Implementation & Review Looked for information at 2 points (please see Figure 1, slides handout)

  10. What information did they look for? • Explicit knowledge • Organizational values, Organizational considerations, Regulations, Resources • Cultural knowledge • Situational variables, Environmental variables • Tacit knowledge • Task importance, likelihood of successful implementation, sustainability • Gaps: Information, Information Management, Capacity, Understanding, Resources (please see Figure 2, slides handout)

  11. Did they have enough information? “I said I didn't find all the information that I needed. I still don't have other policies and procedures that I wish that I had. I think I did an ok job.” (Manager) There is also a time sensitivity to this … a decision on time is better than the right answer too late...all tied up in a nice bow … (Senior Executive).

  12. Where did they get their information? There are some people, if they told me something, I would take it with a grain of salt and would question where they got their information. There are other people that I have respect for and know their information …is very reliable. (Director)

  13. What were their information access problems and challenges? “ “We are trying to gather information on [clinic utilization] and figure out how to interpret information - we don’t have as much information and are not 100% sure of what it means.” (Director)

  14. Two theories to test in Phase II • Healthcare managers do use research information to support decision making, but not always; they are more likely to consider it if after their more basic information needs are met. • More successful information gatekeepers know what they know and also what they don’t know. They keep up with the research literature and with what is going on within their own healthcare organization and synthesize these with their own experience and expertise.

  15. The role of a librarian is to make sense of the world of information. If that's not a qualification for superhero-dom, what is? Nancy Pearl Thank you. Questions?

More Related