Evidence map›Paper›PMID 28882812›Full record

ArticleJMIR medical informatics2017

Health Information Technology (HIT) Adaptation: Refocusing on the Journey to Successful HIT Implementation.

Po-Yin Yen, Ann Scheck McAlearney, Cynthia J Sieck, Jennifer L Hefner, Timothy R Huerta

Abstract read
In one paragraph

Article in JMIR medical informatics, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 30 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
30citing papers in PubMed, 3 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

30 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Pooled it
  2. Getting Connected to M-Health Technologies through a Meta-Analysis.International journal of environmental research and public health · 2023
    Pooled it
  3. Pooled it
  4. Article
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  8. Article
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  10. Article
  11. Article
  12. Implementation of Health Information Systems to Improve Patient Identification.International journal of environmental research and public health · 2022
    Article
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  14. Article
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  16. Review
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Po-Yin YenWashington University in St Louis, Institute for Informatics, St Louis, MO, United States.ORCID http://orcid.org/0000-0002-7061-4185
Ann Scheck McAlearneyThe Ohio State University, Department of Family Medicine, Columbus, OH, United States.ORCID http://orcid.org/0000-0001-9107-5419
Cynthia J SieckThe Ohio State University, Department of Family Medicine, Columbus, OH, United States.ORCID http://orcid.org/0000-0002-6517-885X
Jennifer L HefnerThe Ohio State University, Department of Family Medicine, Columbus, OH, United States.ORCID http://orcid.org/0000-0001-8083-8038
Timothy R HuertaThe Ohio State University, Department of Family Medicine, Columbus, OH, United States.ORCID http://orcid.org/0000-0002-9978-3564

Funding

High Tech and High Touch (HT2): Transforming patient engagement through portal technology at the bedsideR01HS024091 · AHRQ · OHIO STATE UNIVERSITY · PI MCALEARNEY, ANN SCHECK · 2015 to 2018
$967k
Development and Evaluation of Socio-Technical Metrics to Inform HIT AdaptationR21HS024767 · AHRQ · WASHINGTON UNIVERSITY · PI YEN, PO-YIN · 2016 to 2017
$291k
AHRQ HHS R01 HS024091AHRQ HHS R21 HS024767
6 · The paper itself

Abstract

In past years, policies and regulations required hospitals to implement advanced capabilities of certified electronic health records (EHRs) in order to receive financial incentives. This has led to accelerated implementation of health information technologies (HIT) in health care settings. However, measures commonly used to evaluate the success of HIT implementation, such as HIT adoption, technology acceptance, and clinical quality, fail to account for complex sociotechnical variability across contexts and the different trajectories within organizations because of different implementation plans and timelines. We propose a new focus, HIT adaptation, to illuminate factors that facilitate or hinder the connection between use of the EHR and improved quality of care as well as to explore the trajectory of changes in the HIT implementation journey as it is impacted by frequent system upgrades and optimizations. Future research should develop instruments to evaluate the progress of HIT adaptation in both its longitudinal design and its focus on adaptation progress rather than on one cross-sectional outcome, allowing for more generalizability and knowledge transfer.

Indexed as

acceptanceadaptationadoptionhealth information technology

Identifiers

PMID28882812
PMCPMC5608986

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.