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Outcomes assessment of clinical information system implementation: a practical guide
Eun-Shim Nahm1, Vinay Vaydia, Danny Ho
1University of Maryland School of Nursing, 655 W. Lombard St, Suite 455C, Baltimore, MD, USA. enahm@son.umaryland.edu
Nursing Outlook
|December 7, 2007
Summary
Assessing outcomes of clinical information systems (CIS) is crucial for healthcare. This guide helps clinicians evaluate user satisfaction, clinical results, and financial impact for successful healthcare information technology implementation.
Area of Science:
- Health Informatics
- Information Systems Management
- Healthcare Quality Improvement
Background:
- Healthcare information systems (HIS) are integral to quality of care and daily operations.
- Clinician involvement in implementing clinical information systems (CIS) is increasing.
- System implementation represents a significant organizational investment requiring outcome assessment.
Purpose of the Study:
- To offer a practical guide for clinicians and frontline informaticians on assessing HIS/CIS outcomes.
- To focus on key outcome variables, appropriate assessment methods, and optimal timing for evaluations.
Main Methods:
- Literature review and empirical experience synthesis.
- Identification of frequently assessed outcomes: user satisfaction, clinical outcomes, financial impact.
- Overview of assessment methodologies: randomized controlled trials, pre- and post-test studies, time and motion studies, surveys, user testing.
Main Results:
- User satisfaction, clinical outcomes, and financial impact are key assessment areas.
- Diverse methods exist for outcome evaluation, each with specific applications.
- Assessment timing is variable, influenced by factors like learning curves and patient conditions.
Conclusions:
- Outcomes assessment is fundamental for the success of healthcare information technology.
- CIS implementation teams must be prepared to conduct or facilitate outcome studies.
- Systematic evaluation ensures the value and effectiveness of HIS investments.
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