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Related Experiment Videos

Evaluating a comprehensive outpatient clinical information system: a case study and model for system evaluation

H L Chin1, P McClure

  • 1Kaiser Permanente, Portland, Oregon, USA.

Proceedings. Symposium on Computer Applications in Medical Care
|January 1, 1995
PubMed
Summary

Evaluating clinical information systems (CIS) is complex. A pilot project evaluation focusing on clinician acceptance, usage, and productivity offers a practical alternative to difficult cost-benefit analyses for regionalization decisions.

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Area of Science:

  • Health Informatics
  • Information Systems Management
  • Healthcare Administration

Background:

  • Cost-benefit analysis is a common method for justifying information system implementation.
  • Comprehensive clinical information systems offer potential benefits like improved efficiency, outcomes, and population-based healthcare.
  • Quantifying the impact and conducting a full cost-benefit analysis for clinical information systems is challenging due to confounding factors and necessary assumptions.

Purpose of the Study:

  • To outline an alternative evaluation approach for clinical information system (CIS) implementation.
  • To guide organizations in deciding whether to regionalize a CIS based on pilot project outcomes.
  • To present a case study of evaluating a pilot CIS implementation at Kaiser Permanente, Northwest Region.

Main Methods:

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  • Conducted an evaluation of a pilot implementation of a vendor-supplied clinical information system.
  • Focused on predefined success criteria including clinician acceptance, system usage, and technical factors.
  • Assessed quantitative effects on physician productivity and considered qualitative factors like vendor responsiveness.

Main Results:

  • The pilot project evaluation provided sufficient data to support regionalizing the clinical information system.
  • Clinician acceptance, system usage, and technical factors were key indicators of success.
  • The approach offered a practical alternative to a comprehensive cost-benefit analysis.

Conclusions:

  • A detailed cost-benefit analysis for comprehensive clinical information systems is often unrealistic.
  • Evaluating pilot implementations based on specific success criteria is a viable method for decision-making.
  • This evaluation approach can guide organizations in making informed decisions about scaling clinical information systems.