Sustainability, Partnership, and Teamwork in Health IT Implementation

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State All Applicants All Grantees Planning Only Grantees Planning and Implementation Grantees Implementation Only Grantees Value Grantees NY 44 4 1 0 2 1 OH 18 2 0 0 1 1 OK 5 2 0 1 1 0 OR 11 5 2 0 2 1 PA 34 2 0 1 1 0 RI 1 0 0 0 0 0 SC 3 0 0 0 0 0 SD 4 0 0 0 0 0 TN 11 3 1 1 1 0 TX 24 2 0 0 1 1 UT 8 2 0 0 1 1 VA 8 1 1 0 0 0 VT 4 2 0 1 1 0 WA 17 2 0 0 1 1 WI 14 4 2 0 1 1 WV 6 2 1 0 1 0 WY 3 0 0 0 0 0 Source: THQIT grantee applications Note: Grantees that received planning and implementation grants are not double counted. 14 Chapter 1. Introduction
Eighty-six percent of the grantees pursued more than one type of technology. The most common technologies pursued were HIE and EHRs. Other technologies of focus included clinical decision support, computerized provider order entry (CPOE), and telehealth. 2 More detail on the characteristics of the grantees by grant type is included in Appendix A, Table A.1. Goals of the THQIT Grant Program Planning grants (RFA-HS-04-010) ●● Foster collaboration on health IT between three or more organizations, especially between small, rural hospitals and/or multiple types of patient care delivery organizations. ●● Support health IT planning activities (for example, establishing organizational collaboratives, developing business and financial plans, improving IT infrastructure, developing health IT research capacity). ●● Support the development of viable and sustainable health IT plans that will result in data sharing across patient care delivery sites. Implementation cooperative agreements (RFA-HS-04-011, RFA-HS-04-013) ●● Foster collaboration on health IT between three or more organizations, especially between small, rural hospitals and/or multiple types of patient care delivery organizations. ●● Support organizational and community-wide implementation of health IT, with a focus on health IT that will result in sharing clinical and research data across patient care delivery organizations. ●● Assess the extent to which health IT contributes to measurable and sustainable improvements in patient safety, costs, and overall quality of care. Value grants (RFA-HS-04-012) ●● Foster collaboration on health IT between three or more organizations, especially between diverse health care settings. ●● Assess the value derived from the adoption and use of health IT, especially new health IT. ●● Support the development of tools or models that can be used to demonstrate the value of health IT, such as tools to calculate return on investment or to advance health IT adoption, especially by rural and small health care delivery organizations. 2 Most of the THQIT projects involving telehealth were of the type that provided clinical services remotely through health IT; one value grantee that studied telemonitoring of patient data was also included in this category. 15 Chapter 1. Introduction
Page 1: Sustainability, Partnership, and Te
Page 4 and 5: This document is in the public doma
Page 7 and 8: Contents Executive Summary.........
Page 9: Appendixes Appendix A: Supplemental
Page 12 and 13: Qualified Health Centers [FQHCs], h
Page 14 and 15: Figure ES.1. Reported level of heal
Page 16 and 17: Helpful Features of Grantee Partner
Page 18 and 19: Implications Sustainability How lik
Page 21 and 22: Chapter 1. Introduction Patient car
Page 23: Table 1.1. Locations of THQIT appli
Page 27: Table 1.2. Characteristics of THQIT
Page 30 and 31: Most Health IT Systems Supported by
Page 32 and 33: Expansion of THQIT Grant Projects T
Page 34 and 35: Figure 2.3. Reasons for sustained o
Page 36 and 37: Rescaling Ambitious Health IT Plans
Page 38 and 39: The Importance of Involving a Large
Page 40 and 41: (Figure 3.1). Grantees not completi
Page 42 and 43: Figure 3.3. Most important factors
Page 44 and 45: Work Collaboratively With the Vendo
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Page 48 and 49: Most Grantees Sustained Their Partn
Page 50 and 51: on improving quality of behavioral
Page 52 and 53: Moreover, partners implementing a s
Page 55 and 56: Chapter 5. Teamwork: Involving End
Page 57 and 58: Both classroom and hands-on trainin
Page 59 and 60: Did the grantees ensure the end use
Page 61 and 62: Was the training well-timed relativ
Page 63: to implementation. In one grantee
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Table A.4. Characteristics of plann
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Table A.6. Characteristics of imple
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Title of Grant Using IT to Improve
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Title of Grant Primary Organization
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Title of Grant ParentLink: Better a
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Table A.8. Reasons for scaling back
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Appendix B: Getting Ready: A Planni
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❍ ❍ For each “3”, consider
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The proposed project participants c
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Information Technology Project part
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PVrtners Use Electronic HeVlth Reco
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AHRQ Publication No. 12-0075-EF Dec
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