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Lessons Learned Through Two Phases of Developing and Implementing a Technology Supporting Integrated Care: Case

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The Health TAPESTRY application (TAP-App) supports integrated care for older adults but requires human interaction to overcome implementation barriers. Lessons learned emphasize iterative feedback and human-centered design for successful information technology in healthcare.

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Area of Science:

  • Gerontology
  • Health Informatics
  • Health Services Research

Background:

  • Fragmented healthcare necessitates integrated health and social care systems, especially for aging populations.
  • Information and Communication Technology (ICT) can facilitate integrated care when aligned with functional needs.
  • Health TAPESTRY utilizes the TAP-App, an ICT tool, to support older adults' health through volunteers, primary care, and community connections.

Purpose of the Study:

  • To describe the development, evolution, and implementation of the TAP-App ICT.
  • To share lessons learned from the Health TAPESTRY program's ICT implementation.

Main Methods:

  • A case study approach focusing on the TAP-App, analyzing end-user and stakeholder perspectives.
  • Data collection through retrospective reflection, interviews, emailed questions, and team feedback.
  • Analysis of the second implementation (2018-2020) using the RE-AIM framework across six primary care sites in Ontario, Canada.

Main Results:

  • Iterative development of TAP-App (versions 1.0 and 2.0) enhanced functionality for scheduling, data collection, and research support.
  • Key lessons include the value of iterative feedback, designing ICT with research in mind, anticipating workflow integration challenges, considering interoperability, and recognizing the essential role of human interaction.

Conclusions:

  • Health TAPESTRY is fundamentally human-centered, with the TAP-App acting as an enabler, not a replacement, for these human elements.
  • Barriers to TAP-App uptake persisted, hindering full information flow between health and social care settings.
  • Continued focus on the human use of ICT is crucial for similar integrated care programs.