title: Learning from colleagues about healthcare IT implementation and optimization: lessons from a medical informatics listserv.
abstract: Communication among medical informatics communities can suffer from fragmentation across multiple forums, disciplines, and subdisciplines; variation among journals, vocabularies and ontologies; cost and distance. Online communities help overcome these obstacles, but may become onerous when listservs are flooded with cross-postings. Rich and relevant content may be ignored. The American Medical Informatics Association successfully addressed these problems when it created a virtual meeting place by merging the membership of four working groups into a single listserv known as the "Implementation and Optimization Forum." A communication explosion ensued, with thousands of interchanges, hundreds of topics, commentaries from "notables," neophytes, and students--many from different disciplines, countries, traditions. We discuss the listserv's creation, illustrate its benefits, and examine its lessons for others. We use examples from the lively, creative, deep, and occasionally conflicting discussions of user experiences--interchanges about medication reconciliation, open source strategies, nursing, ethics, system integration, and patient photos in the EMR--all enhancing knowledge, collegiality, and collaboration.
authors.affiliation: Division of General Internal Medicine, Department of Medicine, Duke University Medical Center, Box 3703 DUMC, Durham, NC, 27710, USA, martha.adams@duke.edu.
authors.forename: Martha B
authors.initials: MB
authors.lastname: Adams
authors.forename: Bonnie
authors.initials: B
authors.lastname: Kaplan
authors.forename: Heather J
authors.initials: HJ
authors.lastname: Sobko
authors.forename: Craig
authors.initials: C
authors.lastname: Kuziemsky
authors.forename: Kourosh
authors.initials: K
authors.lastname: Ravvaz
authors.forename: Ross
authors.initials: R
authors.lastname: Koppel
mesh_terms: D003299:Cooperative Behavior; D057286:Electronic Health Records; D006282:Health Personnel; D006801:Humans; D020407:Internet; D008491:Medical Informatics Applications; D059065:Medication Reconciliation; D061108:Social Media; D018511:Systems Integration; D057188:Workflow