scholarly journals Catalysing health information technology innovation in the National Health Service

2016 ◽  
Vol 109 (12) ◽  
pp. 439-440 ◽  
Author(s):  
Kathrin M Cresswell ◽  
Aziz Sheikh
Keyword(s):  
Information Technology ◽  
National Health Service ◽  
Health Service ◽  
Health Information Technology ◽  
Health Information ◽  
National Health ◽  
Technology Innovation

scholarly journals A survey exploring National Health Service ePrescribing Toolkit use and perceived usefulness amongst English hospitals

2017 ◽  
Vol 24 (2) ◽  
pp. 247
Author(s):  
Kathrin Cresswell ◽  
Ann Slee ◽  
Aziz Sheikh
Keyword(s):  
Information Technology ◽  
National Health Service ◽  
Health Service ◽  
Health Information Technology ◽  
Health Information ◽  
Case Studies ◽  
Response Rate ◽  
Perceived Usefulness ◽  
Early Adopter ◽  
Further Development

Background: There is currently limited guidance for hospitals to implement ePrescribing systems. We have developed an ePrescribing Toolkit designed to support ongoing implementation, adoption and optimisation of efforts.Aim: To investigate the perceived usefulness, reported use and areas for further development of the Toolkit by ePrescribing implementers in English hospitals.Methods: Questionnaire-based survey of hospitals that have or are interested in implementing ePrescribing systems.Results: We received responses from a total of 78 individuals representing 49 English NHS Trusts (out of 82 different Trusts who were emailed the survey, 60% response rate). The overwhelming majority of respondents (92%) were familiar with the ePrescribing Toolkit and 66% reported using it to guide their ongoing implementation efforts. The majority of ePrescribing Toolkit users (85%) viewed it as a helpful resource. Implementers particularly valued the case studies describing lessons learnt from hospitals that had already implemented ePrescribing systems. Suggestions for improvement included more information in relation to the progress of hospitals implementing systems, the names of key contacts in these sites, a list of available systems and the contact details of ePrescribing vendors. Respondents also highlighted the need for more information on optimisation and specialist prescribing.Conclusions: Interactive elements and learning lessons from early adopter sites that had accumulated experiences of implementing systems was viewed as the most helpful aspect of the ePrescribing Toolkit. The Toolkit now needs to be further developed to facilitate the continuing implementation/optimisation of ePrescribing and other health information technology across the NHS.

scholarly journals Implementing a National Electronic Referral Program: Qualitative Study (Preprint)

2018 ◽  
Author(s):  
Marcella McGovern ◽  
Maria Quinlan ◽  
Gerardine Doyle ◽  
Gemma Moore ◽  
Susi Geiger
Keyword(s):  
Information Technology ◽  
Health Service ◽  
Health Information Technology ◽  
Health Information ◽  
National Health ◽  
Organizational Structures ◽  
Technology Program ◽  
Key Stakeholders ◽  
Electronic Referral ◽  
Electronic Referrals

BACKGROUND Electronic referrals or e-referrals can be defined as the electronic transmission of patient data and clinical requests between health service providers. National electronic referral systems have proved challenging to implement due to problems of fit between the technical systems proposed and the existing sociotechnical systems. In seeming contradiction to a sociotechnical approach, the Irish Health Service Executive initiated an incremental implementation of a National Electronic Referral Programme (NERP), with step 1 including only the technical capability for general practitioners to submit electronic referral requests to hospital outpatient departments. The technology component of the program was specified, but any changes required to embed that technology in the existing sociotechnical system were not specified. OBJECTIVE This study aimed to theoretically frame the lessons learned from the NERP step 1 on the design and implementation of a national health information technology program. METHODS A case study design was employed, using qualitative interviews with key stakeholders of the NERP step 1 (N=41). A theory-driven thematic analysis of the interview data was conducted, using Barker et al’s Framework for Going to Full Scale. RESULTS The NERP step 1 was broadly welcomed by key stakeholders as the first step in the implementation of electronic referrals—delivering improvements in the speed, completeness of demographic information, and legibility and traceability of referral requests. National leadership and digitalized health records in general practice were critical enabling factors. Inhibiting factors included policy uncertainty about the future organizational structures within which electronic referrals would be implemented; the need to establish a central referral office consistent with these organizational structures; outstanding interoperability issues between the electronic referral solution and hospital patient administration systems; and an anticipated need to develop specialist referral templates for some specialties. A lack of specification of the sociotechnical elements of the NERP step 1 inhibited the necessary testing and refinement of the change package used to implement the program. CONCLUSIONS The key strengths of the NERP step 1 are patient safety benefits. The NERP was progressed beyond the pilot stage despite limited resources and outstanding interoperability issues. In addition, a new electronic health unit in Ireland (eHealth Ireland) gained credibility in delivering national health information technology programs. Limitations of the program are its poor integration in the wider policy and quality improvement agenda of the Health Service Executive. The lack of specification of the sociotechnical elements of the program created challenges in communicating the program scope to key stakeholders and restricted the ability of program managers and implementers to test and refine the change package. This study concludes that while the sociotechnical elements of a national health information technology program do not need to be specified in tandem with technical elements, they do need to be specified early in the implementation process so that the change package used to implement the program can be tested and refined.

scholarly journals The Broken Health Information Technology Innovation Pipeline: A Perspective from the NODE Health Consortium

2017 ◽  
pp. 64-72 ◽  
Author(s):  
Sonya Makhni ◽  
Ashish Atreja ◽  
Amy Sheon ◽  
Brian Van Winkle ◽  
John Sharp ◽  
...  
Keyword(s):  
Information Technology ◽  
Health Information Technology ◽  
Health Information ◽  
Technology Innovation

Mobile health intervention and COVID-19 pandemic outbreak: insights from Indian context

2020 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Rajesh R. Pai ◽  
Sreejith Alathur
Keyword(s):  
Information Technology ◽  
Health Service ◽  
Mobile Phone ◽  
Health Information Technology ◽  
Health Information ◽  
Mobile Health ◽  
Healthcare Professionals ◽  
Health Technology ◽  
Content Type ◽  
Indian Context

PurposeThis paper discusses the need for government and healthcare organization to implement mobile phone-based solutions for healthcare during the Coronavirus (Covid-19) pandemic. It also highlights the challenges and/or barriers to the rapid introduction, implementation and management of these and other innovative solutions to health service delivery during the current situationDesign/methodology/approachThe data include both qualitative and quantitative, collected from the primary interview-based case study and questionnaire survey. It also uses insights from the general populations, healthcare professionals and health information technology developers to understand the role of a mobile health intervention in the COVID-19 pandemic outbreak.FindingsHealthcare professionals and health information technology developers are confident that the use of mobile health technology and applications has the ability to assist in monitoring and controlling the COVID-19 outbreak. The key advantages of using mobile phone technology are: increased awareness, improved assistance in tracking and testing casualties, improved assistance in seeking and scheduling health information and medical appointments, increased social distancing, improved overall productivity and quality of life. However, data demonstrated that lack of awareness and accessibility or unwillingness to use the technology, complex healthcare needs, application infrastructure, policies and a dearth of training and support are all barriers to successful implementation of this useful tool.Practical implicationsThis research has the potential to make a significant impact on government and healthcare policy through presenting a coherent argument for the importance of designing and deploying mobile health technology and applications for the general population.Originality/valueprior literature in this domain is inadequate in explaining the importance of mobile phone-based healthcare solutions for health service and during serious disease outbreaks and, in particular, within the Indian context. The findings of this study can be used by government and healthcare organizations to improve health governance during the current global pandemic.

A comparative review of patient safety initiatives for national health information technology

2013 ◽  
Vol 82 (5) ◽  
pp. e139-e148 ◽  
Author(s):  
Farah Magrabi ◽  
Jos Aarts ◽  
Christian Nohr ◽  
Maureen Baker ◽  
Stuart Harrison ◽  
...  
Keyword(s):  
Information Technology ◽  
Patient Safety ◽  
Health Information Technology ◽  
Health Information ◽  
National Health ◽  
Comparative Review
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