Health Services Research & Development

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2007 HSR&D National Meeting Abstract

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National Meeting 2007

2001 — Developments in Information Health Technology: Integrating and Evaluating IT to Improve Management of Complexity in Chronic Care

Bonner L (COE-Seattle) , Chaney EF (COE-Seattle), Fortney J (CeMHOR-Little Rock), Goldstein M (GRECC-Palo Alto), Nichol P (PCS & PSHCS), Oslin D (COE-Philadelphia), Perrin R (VIReC)

Workshop Objectives:
Information technology (IT) support plays a central role in quality improvement (QI) for chronic illness care as described in Wagner’s Chronic Care Model. Although the current VA Electronic Health Record (EHR) is state of the art, further developments are necessary for efficient, coordinated care of patients with multiple chronic illnesses. This workshop reviews different research approaches to inform future VA EHR developments in this area.

Activities:
Four research groups will describe development and evaluation approaches to enhancing the VA EHR for care of chronic illnesses. Topics will include strategies for coordination with the overall VA IT infrastructure so that QI products can be integrated into existing and newly developed systems and flexibility of systems so that they can easily be adapted to other disorders or novel care approaches. The moderator, Dr. Bonner, will present a conceptual framework for assessing need, determining IT structure and content priorities, evaluation methods, and fostering stakeholder relationships in QI projects incorporating IT improvements. Projects used as examples will be improving depression collaborative care in primary care (Chaney) and in contract community based outpatient clinics (Fortney), improving decision support for guideline based hypertension management (Goldstein) and improving assessment of behavioral health (Oslin). Barriers, approaches, and findings relevant to other VA QI projects for chronic illness care will be presented. Paul Nichol, co-director of MyHealtheVet, will present research opportunities in MyHealtheVet development. Ruth Perrin of the VA Information Resource Center will discuss the findings. Attendees involved in quality improvement activities incorporating IT improvements are encouraged to present their experiences for discussion.

Target Audience:
Researchers and other VA staff.

Assumed Audience Familiarity with Topic:
Basic familiarity with current VA IT and with chronic illness care concepts and an interest in evaluated quality improvement.