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Development and Implementation of a Multi-Disciplinary Technology Enhanced Care Pathway for Youth and Adults with Concussion
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Getting from A to C: lifecycle lessons for e-health deployment.

David Kibbe1, Curtis McLaughlin

  • 1American Academic of Family Physicians, Leawood, KS 66211-2672, USA. kibbedavid@mac.com

International Journal of Electronic Healthcare
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PubMed
Summary

The adoption of electronic health records in US healthcare follows a six-stage lifecycle, the ABCs of change. This model helps understand past attempts and plan future electronic technology implementations in primary care.

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Area of Science:

  • Health Informatics
  • Information Systems Management
  • Healthcare Technology Adoption

Background:

  • The US healthcare system's decentralised nature presents unique challenges for adopting electronic technologies.
  • A 35-year history of hospital information system development precedes current electronic health record (EHR) initiatives.
  • Outpatient settings are now focusing on EHR development, indicating a need for a structured adoption process.

Observation:

  • A six-stage lifecycle, termed the ABCs of change, is proposed to model technology adoption.
  • The stages include Acceptance, Alignment, Breadboard development, Blueprint, Configuration, and Capital.
  • This lifecycle framework is relevant for analyzing past development efforts.

Findings:

  • The ABCs of change model effectively explains previous attempts at electronic technology implementation in healthcare.
  • Current efforts to implement EHRs in small, primary-care practices align with this six-stage lifecycle.
  • The model provides a useful lens for understanding the progression of EHR adoption.

Implications:

  • The ABCs of change model offers valuable insights for future planning of healthcare technology integration.
  • Understanding this lifecycle can guide strategies for successful EHR adoption, particularly in primary care settings.
  • This framework can inform policy and practice for streamlining electronic technology implementation across the US healthcare system.