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2012 HSR&D/QUERI National Conference Abstract

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2012 National Meeting

3145 — Health Information Technology (HIT) to Improve Healthcare Quality: A QUERI Case Study Evaluation

Hynes DMWhittier ER, and Weddle T, VIReC; Atkins D, HSR&D/QUERI;

We sought to identify barriers and facilitators related to the use of HIT in implementation research.

We reviewed the QUERI Program FY2008 Annual Reports to identify projects utilizing HIT in implementation research. We selected cases that: 1) were actively using or deploying HIT as a key component of an intervention, and 2) were active in FY2009. We conducted face-to-face interviews with key informants (KI) for each project: Principal Investigator, Implementation Science Coordinator and Informatics Scientist/Developer. Transcripts were recorded and transcribed. We used ATLAS.ti™ to identify themes within and across interview items.

Among the 88 projects that used HIT, nine projects were selected; twenty-nine KI interviews were conducted. Among the case studies, the specific HIT included personal digital assistants (1), clinical decision support tools or care templates (3), clinical reminder(1), telehealth (2), in-clinic kiosks (1), and a program-wide database and tracking system (1). We identified three major themes in the development and use of HIT: 1) organizational technology compliance requirements (Information Technology), 2) collaboration with multiple stakeholders, including end-users, clinicians, and facility administrators (Operations), and 3) availability of research resources and research compliance processes (Research). Most researchers relied on collegial relationships with local informatics offices for solutions integrating with CPRS/VistA (Information Technology). End-user participation (Operations) and continuous funding support (Research) were among the critical factors in HIT implementation research successes.

Results highlight the importance of attention to and collaboration with multiple stakeholders in information technology, operations, and research, for the successful use of HIT in quality improvement research efforts.

These thematic pathways provide an organizing framework for future evaluations of HIT in quality improvement research settings.

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