Journal article Open Access

Service Blueprint for Improving Clinical Guideline Adherence via Mobile Health Technology

Y. O'Connor; C. Heavin; S. O' Connor; J. Gallagher; J. Wu; J. O'Donoghue


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  <identifier identifierType="DOI">10.5281/zenodo.1109908</identifier>
  <creators>
    <creator>
      <creatorName>Y. O'Connor</creatorName>
    </creator>
    <creator>
      <creatorName>C. Heavin</creatorName>
    </creator>
    <creator>
      <creatorName>S. O' Connor</creatorName>
    </creator>
    <creator>
      <creatorName>J. Gallagher</creatorName>
    </creator>
    <creator>
      <creatorName>J. Wu</creatorName>
    </creator>
    <creator>
      <creatorName>J. O'Donoghue</creatorName>
    </creator>
  </creators>
  <titles>
    <title>Service Blueprint for Improving Clinical Guideline Adherence via Mobile Health Technology</title>
  </titles>
  <publisher>Zenodo</publisher>
  <publicationYear>2015</publicationYear>
  <subjects>
    <subject>Adherence</subject>
    <subject>community health workers</subject>
    <subject>developing
countries</subject>
    <subject>mobile clinical decision support systems</subject>
    <subject>CDSS</subject>
    <subject>service
blueprint.</subject>
  </subjects>
  <dates>
    <date dateType="Issued">2015-10-02</date>
  </dates>
  <language>en</language>
  <resourceType resourceTypeGeneral="Text">Journal article</resourceType>
  <alternateIdentifiers>
    <alternateIdentifier alternateIdentifierType="url">https://zenodo.org/record/1109908</alternateIdentifier>
  </alternateIdentifiers>
  <relatedIdentifiers>
    <relatedIdentifier relatedIdentifierType="DOI" relationType="IsVersionOf">10.5281/zenodo.1109907</relatedIdentifier>
    <relatedIdentifier relatedIdentifierType="URL" relationType="IsPartOf">https://zenodo.org/communities/waset</relatedIdentifier>
  </relatedIdentifiers>
  <version>10002844</version>
  <rightsList>
    <rights rightsURI="http://creativecommons.org/licenses/by/4.0/legalcode">Creative Commons Attribution 4.0 International</rights>
    <rights rightsURI="info:eu-repo/semantics/openAccess">Open Access</rights>
  </rightsList>
  <descriptions>
    <description descriptionType="Abstract">Background: To improve the delivery of paediatric
healthcare in low resource settings, Community Health Workers
(CHW) have been provided with a paper-based set of protocols
known as Community Case Management (CCM). Yet research has
shown that CHW adherence to CCM guidelines is poor, ultimately
impacting health service delivery. Digitising the CCM guidelines via
mobile technology is argued in extant literature to improve CHW
adherence. However, little research exist which outlines how (a) this
process can be digitised and (b) adherence could be improved as a
result. Aim: To explore how an electronic mobile version of CCM
(eCCM) can overcome issues associated with the paper-based CCM
protocol (inadequate adherence to guidelines) vis-à-vis service
blueprinting. This service blueprint will outline how (a) the CCM
process can be digitised using mobile Clinical Decision Support
Systems software to support clinical decision-making and (b)
adherence can be improved as a result. Method: Development of a
single service blueprint for a standalone application which visually
depicts the service processes (eCCM) when supporting the CHWs,
using an application known as Supporting LIFE (SL eCCM app) as
an exemplar. Results: A service blueprint is developed which
illustrates how the SL eCCM app can be utilised by CHWs to assist
with the delivery of healthcare services to children. Leveraging
smartphone technologies can (a) provide CHWs with just-in-time
data to assist with their decision making at the point-of-care and (b)
improve CHW adherence to CCM guidelines. Conclusions: The
development of the eCCM opens up opportunities for the CHWs to
leverage the inherent benefit of mobile devices to assist them with
health service delivery in rural settings. To ensure that benefits are
achieved, it is imperative to comprehend the functionality and form
of the eCCM service process. By creating such a service blueprint for
an eCCM approach, CHWs are provided with a clear picture
regarding the role of the eCCM solution, often resulting in buy-in
from the end-users.</description>
    <description descriptionType="Other">{"references": ["J. G. Yang, J.S. Yang, J. Kahn, \"Mobile health needs and opportunities\nin developing countries\", Health Affairs, vol. 29, pp. 252-258, 2010.", "L. Iwaya, M. Gomes, MA. Simplicio, TC. Carvalho, CK. Dominicini,\nRR. Sakuragui, MS. Rebelo, MA. Gutierrez, M. Naslund, P. Hakansson,\nP, \"Mobile health in emerging countries: A survey of research initiatives\nin Brazil. International Journal of Medical Informatics. 82, 283-98.\n2013.", "T. Tamrat, S. Kachnowski, \"Special delivery: An analysis of mHealth in\nmaternal and newborn health programs and their outcomes around the\nworld\", Maternal Child Health Journal, vol. 16, pp. 1092\u20131101. 2012.", "A. Chib, MH. Van Velthoven, J. Car, \"mHealth adoption in lowresource\nenvironments: A review of the use of mobile healthcare in\ndeveloping countries\", Journal of Health Communication, vol. 20, no. 1,\npp. 4-34. 2015.", "WHO. URL: http://www.who.int/gho/child_health/mortality/en/", "CJ. Briggs, P. Garner, \"Strategies for integrating primary health services\nin middle- and low-income countries at the point of delivery\", Cochrane\nDatabase of Systematic Reviews, vol. 19, no.2, CD003318, 2006.", "World Health Organisation Report. The Multi-Country Evaluation of\nIMCI Effectiveness, Cost and Impact (MCE): Progress Report, May\n2001 - April 2002 World Health Organisation. Available at:\nhttp://www.who.int/imci-mce/Publications/WHO_FCH_CAH_02.16.pdf", "AK. Rowe, D. de Savigny, CF. Lanata, CG. Victora, \"How can we\nachieve and maintain high-quality performance of health workers in\nlow-resource settings?\", Lancet, vol. 366, no. 9490,pp. 1026\u20131035.\n2005.", "S. Gove, \"Integrated management of childhood illness by outpatient\nhealth workers: technical basis and overview. The WHO Working\nGroup on Guidelines for Integrated Management of Sick Children\",\nBulletin of the World Health Organisation, vol. 75, suppl. 1, pp. 7-\n24.1999.\n[10] J. Bryce, CG. Victoria, Habicht, JP., RE Black, RW Scherpnier; MCEIMCI\nTechnical Advisors, Programmatic pathways to child survival:\nresults of a multi-country evaluation of Integrated Management of\nChildhood Illness. Health Policy and Planning, vol. 20, suppl. 1, pp. i5-\ni17. 2005.\n[11] J. Bryce, S. el Arifeen, G. Pariyo, C. Lanaa, D. Gwatkin, J. Habicht,\nReducing child mortality: can public health deliver? Lancet, vol. 362,\nno. 9378, pp. 159-164. 2003.\n[12] B. DeRenzi, N. Lesh, T. Parikh, et al., E-IMCI: Improving pediatric\nhealth care in low-income countries, In Proc. of the SIGCHI conference\non human factors in computing systems, 753-762. 2008.\n[13] T. Adam, F. Manzi, JA. Schellenberg, L. Mgalula, D. de Savigny, DB\nEvans, \"Does the Integrated Management of Childhood Illness cost\nmore than routine care? Results from the United Republic of Tanzania,\"\nBulletin of the World Health Organization, vol.83, no. 5.pp, 369-377.\n[14] HM Admed, M. Mitchell, B. Hedt. National implementation of\nIntegrated Management of Childhood Illness (IMCI): Policy constraints\nand strategies. Health Policy, vol. 96, no.2. pp.128-133. 2010.\n[15] M. Mitchell, M. Getchell, M. Nkaka, D. Msellemu J. Van Esch, B. Hedt-\nGauthier, \"Perceived improvement in integrated management of\nchildhood illness implementation through use of mobile technology:\nqualitative evidence from a pilot study in Tanzania,\" Journal of Health\nCommunication, Vol. 13, sup 1, pp. 118-127. 2012.\n[16] C. Gronroos, \"Service management: a management focus for service\ncompetition,\" International Journal of Service Industry Management,\nvol. 1, no. 1, pp. 6-14, 1990.\n[17] E. Gummesson, \"Relationship marketing and a new economy: it's time\nfor de-programming,\" Journal of Services Marketing, vol. 16, no. 7, pp.\n585-589. 2002.\n[18] B. O'Flaherty, S. Woodworth, C, Thornton, Y. O'Connor Y. \"An\nExploration of Customer-Centric Cloud Service Design\". In: Helfert M,\nand Donnellan B, ed. Design Science: Perspectives from Europe.\nSpringer International Publishing, vol. 388, pp. 99-111.2013.\n[19] I. Sim, P. Gorman, R. Greenes, BR. Haynes, B. Kaplan, H. Lehmann,\nPC. Tang, \"Clinical Decision Support Systems for the Practice of\nEvidence-based Medicine\", Journal of the American Medical\nInformatics Association, vol. 8, no. 6, pp. 527-534. 2001.\n[20] AX. Garg, N. Adhikari, H. McDonald, et al., \"Effects of computerized\nclinical decision support systems on practitioner performance and\npatient outcomes. A systematic review,\" Journal of the American\nMedical Association, vol. 293, no. 10, pp. 1223-1238. 2009.\n[21] C. McGowan, RG. Neville, IW. Ricketts, FC. Warner, G. Hoskins, GE.\nThomas, \"Lessons from a randomized controlled trial designed to\nevaluate computer decision support software to improve the\nmanagement of asthma,\" Medical Informatics and Internet in Medicine,\nvol. 26, no. 3, pp. 191-201. 2001.\n[22] A. Zarabzadeh, J. O'Donoghue, Y. O'Connor, T. O'Kane, S.\nWoodworth, G. Gallagher, S. O'Connor, \"Variations in health care\nproviders' perceptions: decision making based on patient vital signs,\"\nJournal of Decision Systems, vol. 22, no. 3, pp. 168-189. 2013.\n[23] D.L. Hunt, R.B. Haynes, S.E. Hanna, K. Smith, \"Effects of Computer-\nBased Clinical Decision Support Systems on Physician Performance and\nPatient Outcomes. A Systematic Review,\" Journal of the American\nMedical Association, vol. 280, no.15, pp. 1339-1346. 1998.\n[24] SS. Intille, \"Ubiquitous computing technology for just-in-time\nmotivation of behavior change\", In Proc. of Medinfo, vol. 11, pp. 1434-\n1437. 2004.\n[25] GL. Shostack, \"How to design a service,\" European Journal of\nMarketing, vol. 16, no. 1, pp. 49-63. 1982.\n[26] MJ. Bitner, AL. Ostrom, F. Morgan F. \"Service blueprinting: a practical\ntechnique for service innovation,\" California Management Review, vol.\n50, no. 3, pp. 66-94. 2008."]}</description>
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