Connected Health Requirements Gathering for ADHD Through Clinical Journey Mapping (Preprint)

Abstract

The creation of a robust connected health application, by its very nature, requires a multidisciplinary development team. Integrated patient journey mapping presents a fantastic opportunity to streamline the requirements gathering process by clearly illustrating the patient journey to individuals who are not familiar with the clinical practice. However, there are limitations to integrated patient journey mapping, particularly the size of the diagrams themselves which often require specialized equipment to adequately present [1]. This research has focused on ADHD as a case study for implementing Clinical Journey Mapping, with the Dundee Clinical Care Pathway [2] identified as the gold standard for ADHD treatment and thus used as the preferred patient journey template.

The objective for this paper will be to answer the following research questions: 1) How can the Dundee Clinical Care Pathway be visualized on the Integrated Journey Mapping tool? 2) How can the Integrated Journey Mapping Tool be updated in order to improve its accessibility? 3) Is visualizing the Dundee clinical care pathway beneficial to stakeholders when identifying key requirements for a connected health application designed to support the implementation of the pathway?

This study has utilized a design science approach [3] where a sample artifact is presented to a relevant audience for review and feedback, which is then leveraged to iterate the artefact. This paper has leveraged both Information Systems professionals and clinical professionals to achieve relevant feedback for each iteration.

The implementation of the above methods has resulted in the creation of a clinical patient journey map which highlights multiple persona journeys through the Dundee clinical care pathway on one diagram. Utilizing UML concepts and color coding, multiple patient personas can be mapped onto a streamlined diagram, allowing the diagram to be used in a wider variety of situations.

Based on feedback from participants, the following recommendations for where connected health can be embedded within the Dundee clinical care pathway are presented: 1) Leverage software-based screening questionnaire to reduce face to face clinician time. 2) Utilized software-based teaching materials, including digital content libraries using text, audio and/or video, to assist in the non-medical intervention stages of the pathway. 3) Adopt smart remote monitoring tools, for example Bluetooth blood pressure cuffs, to streamline the continued care process with the aim of reducing the number of required continued care appointments while maintaining a high level of oversight and care for patients.