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Related Concept Videos

Health Information Technology and Healthcare Information System01:30

Health Information Technology and Healthcare Information System

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Health Information Technology (HIT)
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The Participant-Reported Implementation Update and Score PRIUS: A Novel Method for Capturing Implementation-Related Data Over Time
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Supporting HITECH implementation and assessing lessons for the future: The role of program evaluation.

Emily B Jones1, Matthew J Swain1, Vaishali Patel1

  • 1Office of Economic Analysis, Evaluation, and Modeling, Office of the National Coordinator for Health Information Technology, United States Department of Health and Human Services, 200 Independence Ave, SW, Washington, DC 20201, United States.

Healthcare (Amsterdam, Netherlands)
|August 8, 2015
PubMed
Summary

Evaluating health IT programs like HITECH presents challenges due to context, complexity, and innovation. Effective evaluation requires tailored activities, flexible methods, and continuous formative assessment for successful health information technology implementation.

Keywords:
Health information technologyImplementationPerformance measurementProgram evaluationResearch methods

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Area of Science:

  • Health Services Research
  • Health Informatics
  • Program Evaluation

Background:

  • The Health Information Technology for Economic and Clinical Health (HITECH) Act funded health IT adoption and national program evaluation.
  • Evaluating large-scale health IT initiatives faces significant contextual, complexity, and innovation-related challenges.

Purpose of the Study:

  • To identify key challenges and lessons learned in evaluating the HITECH programs.
  • To provide recommendations for effective evaluation of health IT initiatives.

Main Methods:

  • The study involved analyzing the evaluation of broad and large-scale health IT programs.
  • Qualitative assessment of implementation and impact factors was considered.

Main Results:

  • Context, intervention complexity and heterogeneity, and unpredictable innovation are major evaluation challenges.
  • Tailoring evaluation to implementation phases, using flexible mixed methods, and continuous formative evaluation are crucial.

Conclusions:

  • Successful evaluation of health IT programs necessitates adaptive strategies.
  • Lessons learned emphasize the importance of flexible, context-sensitive, and ongoing evaluation approaches for health IT.