-
digital.ahrq.gov/sites/default/files/docs/survey/health-information-technology-value-project-chief-information-officer-interview-guide.pdf
October 02, 2014 - Do current organizational information systems assist in JCAHO reporting? Or
have the ability to?
-
digital.ahrq.gov/sites/default/files/docs/page/Systems%20Analysis,%20Change%20and%20Implementation%20Theories%20Group%20Report%20Day%202.pdf
September 21, 2009 - Relationships are unclear, fuzzy
Organizational cultures vary, and
individuals have different mindsets
-
digital.ahrq.gov/sites/default/files/docs/activity/enabling_medication_management_through_utilization_of_health_information_technology_2010_pdf__2.pdf
January 01, 2010 - The value of MMIT systems needs to be assessed across financial, clinical, and organizational components … Although some evidence suggests positive financial and
organizational gains, these gains are not universal
-
digital.ahrq.gov/sample-questions-answers-3
January 01, 2023 - be valid for other organizations with different technical capacities, project management expertise, organizational
-
digital.ahrq.gov/sites/default/files/docs/publication/r18hs018649-levick-final-report-2014.pdf
January 01, 2014 - information systems through qualitative
analysis of technology acceptance and use, and complementary organizational … Clinician needs/demands will vary by department and specialty, and must be weighed against
organizational … after completion of Phase II and the system changes, individual adaptation was more aligned with
organizational … Second, coordination mechanisms take time to evolve, and require the organizational imposition of new … Organizational Challenges in the Implementation and Integration of
Vendor--‐Supplied Electronic Health
-
digital.ahrq.gov/sites/default/files/docs/page/Strom.ppt
May 28, 2005 - Adherence to Warfarin Therapy
(Stephen Kimmel, MD, MSCE--PI)
To determine the clinical, demographic, organizational … say this happened a few times weekly or more frequently
CCEB
Our RECOMMENDATIONS concentrate
on organizational … CCEB
Our RECOMMENDATIONS concentrate
on organizational factors:
Episodic and incomplete error reporting
-
digital.ahrq.gov/ahrq-funded-projects/electronic-health-record-implementation-continuum-care-rural-iowa/annual-summary/2008
January 01, 2008 - measurable, and sustainable improvements in patient safety and quality of care, as well as increased organizational
-
digital.ahrq.gov/ahrq-funded-projects/symptom-monitoring-and-reporting-system-pediatric-chronic-illness/annual-summary/2011
January 01, 2011 - include delay in reporting symptoms to clinicians, limited time during clinic visits, and logistical and organizational
-
digital.ahrq.gov/sites/default/files/docs/publication/PreventiveCareHandbook_062912comp.pdf
June 01, 2012 - We have used organizational change theory to help determine the steps in this guide. … ● Organizational change theory is one model to guide an implementation
process. … Specific components include—
Learn more about organizational change theory from the National Cancer … Staff, funding, and time are needed for
organizational change.
● An existing EHR. … Research in organizational change and development. Greenwich, CN: JAI Press; 1987.
28.
-
digital.ahrq.gov/key-topics/computerized-provider-order-entry
January 01, 2007 - The costs of implementing CPOE are substantial both in terms of technology and organizational process … Organizational leaders must advocate for CPOE as a critical tool in improving health care quality. … Obstacles to successful implementation are organizational as well as technical.
-
digital.ahrq.gov/sites/default/files/docs/citation/AppendixE_HIT_Hazard_Manager_Beta_Test.pdf
May 23, 2013 - )
• Compromised communication among clinicians (2)
• Loss of pre-existing safeguards (1)
• Other organizational … processing (1)
• Data quality Other: “use of patient TEST”
• Faulty design (2)
• Software design other: “organizational … • Lack of professionalism (1)
• Inadequate training infrastructure (2)
• Unclear policies (4)
• Organizational … factors other: “test pts poorly defined,” “poor organizational oversight”
Impact
One site said the … poorly defined (1)
14
• Unclear policies (1)
• Loss of pre-existing safeguards (1)
• Other organizational
-
digital.ahrq.gov/sites/default/files/docs/activity/electronic_health_record_impl_2009_update_2.pdf
January 01, 2009 - measurable, and sustainable improvements in patient safety and quality of
care, as well as increased organizational
-
digital.ahrq.gov/sites/default/files/docs/page/2006Cauley_051311comp.pdf
May 26, 2011 - Evolved to shared community health record
Health and human services safety net providers
became organizational
-
digital.ahrq.gov/sites/default/files/docs/hit-hazard-manager-slides-061112.pdf
June 11, 2012 - Causation: usability, data quality, decision
support, vendor factors, local implementation,
other organizational … Reality (8)
• Confusing Information Display (8)
• Excessive Demands on Human Memory (8)
Other Organizational … Quality
Clinical Decision Support
Software Design
Implementation
Hardware
Other User Factors
Other Organizational
-
digital.ahrq.gov/ahrq-funded-projects/health-care-stakeholder-participation-health-information-exchanges
January 01, 2023 - What strategies do HIEs use, if any – including governance, organizational, technical, and business models
-
digital.ahrq.gov/project-background
January 01, 2023 - Legislators and organizational leaders at the federal and state levels have emphasized the need for healthcare
-
digital.ahrq.gov/ahrq-funded-projects/interoperable-reusable-and-scalable-shared-decision-aid-navigator-system
January 01, 2023 - , interoperable, and scalable; be able to be embedded into an EHR; use PDA metadata and patient and organizational
-
digital.ahrq.gov/sites/default/files/docs/page/Crandall.ppt
September 01, 2005 - Implementation Readiness
Process Requires 20-24 Months
People
Culture and implementation strategy
Manage organizational … RESPONSE TIMES
PEOPLE
- NEED DELIBERATE, WELL-DEFINED STRATEGIES FOR ACTIVELY DRIVING AND MANAGING THE ORGANIZATIONAL … processes that have been redesigned
Stage 3: Analyze the impact of the transformational change on organizational
-
digital.ahrq.gov/sites/default/files/docs/medicaid/us_chs_states-role-in-hie.pdf
September 25, 2006 - Improve quality
Eager for change Reduce expenditure on
health care spend; move
toward NHIN
Financial, organizational … care, patient
safety, administrative
efficiency, and general
health of the community
Financial, organizational … by lack of
near-term ROI
Reduce costs with faster
delivery and improve
efficiency
Financial, organizational … Deliver results faster
and cheaper
Eager for change Minimize costs for
results delivery
Financial, organizational … for change Drive down costs with
faster claims processing
and fewer dispensing
errors
Financial, organizational
-
digital.ahrq.gov/ahrq-funded-projects/care-coordination-enabled-health-information-technology-what-will-it-take
January 01, 2023 - Identify organizational and contextual factors that distinguish practices with a higher versus lower