Implementing intentionally designed automation to support evidence-based practice: lessons from International...

The great need for evidence-based practice to ensure safety and quality for both those who give care and receive care is not disputed. However, the role of technology in the support of evidence-based practice requires further development, implementation and integration into workflow. Billions of dollars are being spent on the implementation of technology in the U.S. Numerous published opinions, challenges, lengthy and costly implementation processes and failure to achieve desired clinical outcomes all raise serious concerns about the best way to use technology in clinical practice transformation. This workshop will present the lessons learned in the field from an International Consortium of over 230 rural, community and university settings collectively leading the work to implement evidence-based practice and co-create the best places to work and receive care. The focus of this presentation will be on the structure, process and outcomes of implementing in 21 acute care clinical settings "Intentionally Designed Automation" (IDA) that is pre-configured, evidence-based, integrated, interdisciplinary and based on a professional practice framework called the Clinical Practice Model (CPM). The IDA delivers executable evidence based Clinical Practice Guidelines to the finger tips of clinicians within a documentation system that supports work and thought flow. The implementation methodology and clinical outcomes of 21 lives sites who have collectively implemented IDA to achieve evidence-based practice will be shared. The implications of the lessons learned within the Consortium will be correlated to the call for "Implementation Science" that demonstrates effective, efficient, cost-effective technological implementation.