Table 3:

The key issues for each collaboration behavior by role

	Repository	Messenger	Orchestrator	Monitor
Trust and respect: Enhancing positive relationships between providers	Increased awareness, but cut and paste and other quality issues decrease trust.	Asynchrony helps, but lack of richness in channel can result in misinterpretation	Particularly strong in establishing clear expectations	Key appears to be common goals and measurement
Communication: Providing the information and mutual understanding needed to care for patients	Facilitates information transfer “It’s all there” (potentially), but “it’s hard to find”	But doesn’t guarantee communication Multiple channels can speed message delivery, but issues with “closing the loop”	Some successes, but clinical information is often not accessed/ignored by provider	When implemented can communicate gaps where practice improvement needed
Coordination: Having the right person do the right thing at the right time	A record of what actions and plans were, but each document frozen in time.	Issues due to variations in communications practice between providers	Bundles and “smart” worksheets particularly effective, but not implemented for enough conditions	Can facilitate team-based actions; if one member slips, another can fill in for them.
Collaboration: Facilitating collaborative decisions	Lack of interaction, one document per provider	No real time discussions, everything is lagged	Creates new boundaries, but doesn’t encourage adaptation	Using dashboard and incentives to focus on common goals promotes dialogue