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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;

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

Methods:
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.

Results:
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.

Implications:
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.

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


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