- using condition-specific templates that help remind her of the clinical observations and treatments to consider,
- viewing reminders and order sets to help her to remember to include important evidence-based services in the plan of care,
- receiving alerts to help her avoid ordering services that may cause an allergic response, conflict with other medications that the patient is taking, or that are dosed inappropriately considering the body mass of the patient,
- viewing prompts for a needed referral for care management, or
- receiving referral guidance to help direct specialty referrals to the specialists that have agreed to integrate care processes with the primary care practice within a clinically integrated network or accountable care organization.
The authors implicitly dismiss the cognitive work being done by the clinician when they are doing “documentation” and “ordering” and the support that the technology is providing to that cognitive work. They reduce it all down to being wasteful paperwork, and suggest that it be eliminated through voice dictation or assignment of such paperwork to other members of the care team — both of which would preclude the decision support to those important cognitive processes.