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Related Concept Videos

Integrated Healthcare System01:20

Integrated Healthcare System

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An integrated healthcare system (IHS) is a set of organizations that provides for or arranges to provide coordinated and continuous service to a defined population. The IHS takes responsibility for that particular population's health status and outcome, both clinically and fiscally. An integrated healthcare system is a well-organized, well-coordinated, and collaborative network. The integrated delivery system is a network that connects different healthcare providers to deliver organized,...
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Interdisciplinary Care: The Health Care Team-II01:18

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An interdisciplinary team includes many healthcare professionals working together and utilizing their skills, knowledge, and expertise to provide holistic and quality patient care. Here are a few more healthcare professionals.
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At the different levels of the healthcare system, we see varying methods of healthcare used. These methods include managed care systems, case management, and primary healthcare.
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Nursing Implementation01:15

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Implementation is the execution of the nursing care plan developed during the planning phase.
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Related Experiment Video

Updated: Sep 3, 2025

Methodology for Establishing a Community-Wide Life Laboratory for Capturing Unobtrusive and Continuous Remote Activity and Health Data
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Integrating CFIR-ERIC and e-Delphi Methods to Increase Telegeriatrics Uptake.

Laura M Kernan1,2, Eileen M Dryden1, Kathryn Nearing3,4

  • 1Center for Healthcare Organization and Implementation Research, Department of Veterans Affairs (VA) Bedford Healthcare System, Bedford, Massachusetts, USA.

The Gerontologist
|July 28, 2022
PubMed
Summary
This summary is machine-generated.

This study outlines a participatory method to enhance the adoption of Geriatric Research Education and Clinical Center (GRECC) Connect, a telehealth service for rural older veterans. The approach successfully identified and prioritized implementation strategies for improved geriatric care delivery.

Keywords:
Health care systems and management telehealthImplementation scienceQuality improvementRural and urban issuesVeterans

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Area of Science:

  • Geriatric Health Care
  • Implementation Science
  • Telehealth Services

Background:

  • Growing population of older adults requires improved geriatric health care.
  • Participatory implementation methods are crucial for enhancing care and services.
  • Geriatric Research Education and Clinical Center (GRECC) Connect utilizes telehealth to link geriatric specialists with rural veterans.

Purpose of the Study:

  • To describe an efficient participatory approach for improving the uptake of GRECC Connect.
  • To identify high-priority implementation strategies for national application.

Main Methods:

  • A three-phase participatory method was employed.
  • Qualitative interviews with GRECC Connect staff and community clinicians informed strategy identification.
  • A two-step modified e-Delphi process with expert panelists prioritized implementation strategies nationally using the CFIR-ERIC Strategy Matching Tool.

Main Results:

  • Qualitative interviews identified key barriers, facilitators, and recommendations for GRECC Connect uptake.
  • CFIR-ERIC strategies required tailoring to the specific context.
  • Expert panelists reached a consensus on nationally prioritized strategies through the e-Delphi process.

Conclusions:

  • The study demonstrates the feasibility and benefits of using subject matter experts to identify national-level implementation strategies.
  • Future research should consider weighting survey responses, regional variations, and Likert scale sensitivity in e-Delphi processes.