-
digital.ahrq.gov/sites/default/files/docs/page/08-0093_cpoe.pdf
August 01, 2008 - Layout 1
Agency for Healthcare Research and Quality
Advancing Excellence in Health Care www.ahrq.gov Health IT
AHRQ's Health IT Portfolio. AHRQ’s health information technology (health IT) initiative is
part of the Nation’s strategy to put information technology to work in health care. By developing
secure and privat…
-
digital.ahrq.gov/decisionmaker-brief-computerized-provider-order-entry-cpoe
January 01, 2023 - This information is for reference purposes only. It was current when produced and may now be outdated. Archive material is no longer maintained, and some links may not work. Persons with disabilities having difficulty accessing this information should contact us at: https://digital.ahrq.gov/contact-us . Let us know th…
-
digital.ahrq.gov/sites/default/files/docs/page/08-0087-EF.pdf
October 01, 2009 - because of a lack of funding, uncertain
return on investment, limited experience with technology, and resistance … This discomfort with technology led to resistance from the staff and required limiting the
scope of … rural Oklahoma, which presented issues such as large
distances between patients and providers, local resistance … This will
assist in monitoring the implementation and in measuring levels of staff resistance. … Scanners connected to desktop computers were initially met with resistance by IT staff
working
-
digital.ahrq.gov/sites/default/files/docs/lesson/08-0087-ef-lt-care.pdf
October 01, 2009 - because of a lack of funding, uncertain
return on investment, limited experience with technology, and resistance … This discomfort with technology led to resistance from the staff and required limiting the
scope of … rural Oklahoma, which presented issues such as large
distances between patients and providers, local resistance … This will
assist in monitoring the implementation and in measuring levels of staff resistance. … Scanners connected to desktop computers were initially met with resistance by IT staff
working in
-
digital.ahrq.gov/ahrq-funded-projects/state-and-regional-demonstration-health-information-technology-tn
January 01, 2023 - department physicians and avoiding some of the traditional roadblocks of health IT projects: physician resistance
-
digital.ahrq.gov/sites/default/files/docs/health-it-implementation.pdf
December 01, 2005 - agreements
and policies early on
Political
– Assess the “climate” for change to see where the “pockets of
resistance
-
digital.ahrq.gov/sites/default/files/docs/page/Health%20IT%20Implementation.ppt
December 01, 2005 - agreements and policies early on
Political
Assess the “climate” for change to see where the “pockets of resistance
-
digital.ahrq.gov/sites/default/files/docs/medicaid/health-it-implementation.pdf
December 01, 2005 - agreements
and policies early on
Political
– Assess the “climate” for change to see where the “pockets of
resistance
-
digital.ahrq.gov/sites/default/files/docs/successful-hit-implementation-slides-071514.pdf
July 15, 2014 - health IT
implementation include:
► Kotter’s Change Management Model
► Organizational change
► Resistance
-
digital.ahrq.gov/sites/default/files/docs/AreYouReadyforEHRsPresentation.pdf
November 15, 2005 - capital and on-going cost exceed financial
benefit to physician user
Clinician support Clinician resistance
-
digital.ahrq.gov/sites/default/files/docs/AHRQ_Webinar_Aug_2009_Med_Mgmt.pdf
January 01, 2009 - Cost, learning curve
• Usability/reliability
– Interoperability, connectivity
• Perceived patient resistance
-
digital.ahrq.gov/sites/default/files/docs/page/remote_disease_monitoring__challenges_and_opportunities_for_medicaid___schip_agencies_5.pdf
November 19, 2008 - Implementation:
Overcoming Provider Resistance
■ Providers (practices) concerns
□ Too much time to review
-
digital.ahrq.gov/sites/default/files/docs/page/implementing_e_prescribing_in_the_medicaid_schip_programs__experiences_and_lessons_learned_5.pdf
April 01, 2009 - □ Connecticut: has voiced this as a challenge,
i.e., resistance from pharmacies over
transaction fees
-
digital.ahrq.gov/sites/default/files/docs/page/improving_quality_through_health_it_and_hie_in_medicaid_schip_programs__5.pdf
November 19, 2008 - Implementation:
Overcoming Provider Resistance
■ Providers (practices) concerns
□ Too much time to review
-
digital.ahrq.gov/sites/default/files/docs/page/FIP_ExecSumm_0.pdf
June 30, 2007 - Other potential barriers included resistance to change among health care staff
and lack of political … One state anticipated resistance to their proposed
ES-4 Final Implementation Plans
Executive Summary
-
digital.ahrq.gov/sites/default/files/docs/ahrq_nrc_multi_grantee_meeting_slides_patient_recruitment.pdf
April 28, 2010 - Recruitment:
Setting the Stage
Recruitment Components Challenges
Recruitment Strategies • General resistance
-
digital.ahrq.gov/sites/default/files/docs/HealthITandUnderservedPopulations.pdf
September 17, 2010 - Lack of financial, clinical, and IT resources to implement
EHRs and telemedicine
Clinician resistance
-
digital.ahrq.gov/sites/default/files/docs/page/Crandall.ppt
September 01, 2005 - Requires 20-24 Months
People
Culture and implementation strategy
Manage organizational change and resistance
-
digital.ahrq.gov/sites/default/files/docs/biblio/EHRSurvivalGuideNQF2006.pdf
January 22, 2006 - leadership and open
communication are critical
— Make training mandatory
— Be prepared for initial resistance … administrative operations
■✓ Physician champions and other sponsors should be prepared for initial resistance … the impact of EHR
systems on clinical practices and identify
strategies for mitigating clinician resistance … Expect and plan for concerns or resistance
from clinicians and do not underestimate the
disruption … Physician
champions and other sponsors should be
prepared for this initial resistance and demon
strate
-
digital.ahrq.gov/sites/default/files/docs/publication/r18hs017151-fischer-final-report-2011.pdf
January 01, 2011 - Length of Report
1
FINAL REPORT
Impact of office-based e-prescribing on prescribing
processes and outcomes
PI: Michael Fischer, MD, MS
Team members: Catherine DesRoches, Corey Angst, Ritu Agarwal, Joel Weissman,
Paola Miralles, Jennifer Lee, Shirley Wang, Niteesh Choudhry, Jerry Avorn
…