scholarly journals Ten Key Considerations for the Successful Implementation and Adoption of Large-Scale Health Information Technology

2013 ◽  
pp. 9-23 ◽  
Author(s):  
Kathrin Cresswell ◽  
David Bates ◽  
Aziz Sheikh
Keyword(s):  
Information Technology ◽  
Health Information Technology ◽  
Health Information ◽  
Large Scale ◽  
Successful Implementation

Parallel Assessment Tracks for Human-Centered Design (PATH): A Framework for Transitioning to a New Health Information Technology System

2021 ◽  
Vol 65 (1) ◽  
pp. 294-298
Author(s):  
Jason J. Saleem ◽  
Kyle Maddox ◽  
Jennifer Herout ◽  
Kurt Ruark
Keyword(s):  
Information Technology ◽  
Human Factors ◽  
Health Information Technology ◽  
Health Information ◽  
Large Scale ◽  
Comprehensive Evaluation ◽  
Customer Relationship ◽  
Human Factors Engineering ◽  
Human Centered Design ◽  
Legacy System

This practice-oriented paper presents a human-centered design (HCD) framework that we developed to perform a comprehensive evaluation of a new health information technology (HIT) system under development, intended to replace a legacy system. The Department of Veterans Affairs (VA) Veteran Crisis Line (VCL) program provides a vital service in crisis intervention and suicide prevention. VCL staff rely on a Customer Relationship Management (CRM) legacy system, Medora. VCL intended to replace Medora with Microsoft Dynamics 365 (D365) CRM system. Due to wide-spread criticism of D365, the VA Human Factors Engineering (HFE) team engaged in a multi-study, mixed-method HCD evaluation to investigate the legacy system and intended replacement in terms of ability to support VCL staff needs. The HCD framework we developed to perform this evaluation may be adapted for other large-scale HIT transitions and may provide human factors practitioners with guidance to make evidence-based decisions to support (or abandon) such transitions.

scholarly journals The Health Information Technology Workforce

2010 ◽  
Vol 01 (02) ◽  
pp. 197-212 ◽  
Author(s):  
W. Hersh
Keyword(s):  
Information Technology ◽  
Health Information Technology ◽  
Health Information ◽  
Successful Implementation ◽  
Web Searching ◽  
Domain Experts ◽  
Job Roles ◽  
Staffing Ratios ◽  
Diverse Backgrounds ◽  
Information Technology Workforce

Summary Background: There is increasing recognition that a competent and well-trained workforce is required for successful implementation of health information technology. Methods: New and previous research was gathered through literature and Web searching as well as domain experts. Overall themes were extracted and specific data collated within each. Results: There is still a paucity of research concerning the health information technology workforce. What research has been done can be classified into five categories: quantities and staffing ratios, job roles, gaps and growth, leadership qualifications, and education and competencies. From several countries it can be seen that substantial numbers of individuals are needed with diverse backgrounds and competencies. Conclusions: Additional research is necessary to determine the optimal organization and education of the health information technology workforce. Citation: Hersh W. : The health information technology workforce: Estimations of demands and a framework for requirements. Appl Clin Inf 2010; 1: 197–212 http://dx.doi.org/10.4338/ACI-2009-11-R-0011

scholarly journals Ten key considerations for the successful optimization of large-scale health information technology

2016 ◽  
Vol 24 (1) ◽  
pp. 182-187 ◽  
Author(s):  
Kathrin M Cresswell ◽  
David W Bates ◽  
Aziz Sheikh
Keyword(s):  
Health Care ◽  
Information Technology ◽  
Health Information Technology ◽  
Health Information ◽  
Large Scale ◽  
Health Care Organizations ◽  
Organization Level ◽  
Leadership Strategy ◽  
Starting Point ◽  
Expensive Process

Implementation and adoption of complex health information technology (HIT) is gaining momentum internationally. This is underpinned by the drive to improve the safety, quality, and efficiency of care. Although most of the benefits associated with HIT will only be realized through optimization of these systems, relatively few health care organizations currently have the expertise or experience needed to undertake this. It is extremely important to have systems working before embarking on HIT optimization, which, much like implementation, is an ongoing, difficult, and often expensive process. We discuss some key organization-level activities that are important in optimizing large-scale HIT systems. These include considerations relating to leadership, strategy, vision, and continuous cycles of improvement. Although these alone are not sufficient to fully optimize complex HIT, they provide a starting point for conceptualizing this important area.

scholarly journals Adoption of health technologies for effective health information system: Need of the hour for Pakistan

PLoS ONE ◽  
2021 ◽  
Vol 16 (10) ◽  
pp. e0258081
Author(s):  
Madeeha Malik ◽  
Ahmad Furqan Kazi ◽  
Azhar Hussain
Keyword(s):  
Information Technology ◽  
Information System ◽  
Health Information Technology ◽  
Health Information ◽  
Information Management ◽  
Primary Healthcare ◽  
Health Information System ◽  
Health Information Management ◽  
Successful Implementation ◽  
Healthcare Facilities

Health information technology systems have the capacity to improve health outcomes for the patients thus ensuring quality and efficient services. Health information systems (HIS) are important tools in guidance towards patient safety and better outcomes. However, still, morbidity and mortality attributed to medical errors remain an important issue that needs to be addressed. The objective of the present study was to assess the health information system in terms of technological, environmental, organizational and human factors affecting the adoption as well as the perceptions of stakeholders along with barriers and constraints related to successful implementation. A descriptive cross-sectional study design was used. Prospective data was collected from primary sources by self-administering the pre-validated questionnaires as well as by physical verification of the availability of equipment. After data collection, data was analyzed to assess the health information management systems. The results of the present study showed that the health information system in Pakistan is not up to the mark. The equipment was mostly unavailable at the primary healthcare facilities. The staff was also unsatisfied with the available services. Administrative, financial and human constraints were identified as the major barriers towards successful implementation and management of HIS. The present study concluded that the health information system of Pakistan needs to be revamped. Health information management system partially existed at district and sub-district offices, while was completely absent at tertiary, secondary and primary healthcare levels. The poor adoption of health information technology systems at healthcare facilities might largely be attributed to insufficient human resources with limited resources and budget allocation for health in Pakistan. Effective and timely strategies involving all important stakeholders and healthcare professionals must be designed and implemented at the National level to restructure an affordable, resilient and quality healthcare system.

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