Sustainability, Partnership, and Teamwork in Health IT Implementation

More documents

Recommendations

Info

Most Grantees Sustained Their Partnerships 7 All but two of the planning and implementation grantees continued to work together on health care improvement activities after their grant period ended (Figure 4.5). Half of those partnerships were sustained in their entirety, while others proceeded to work on future projects with some of the partners. Patient care delivery organizations that stopped working together reported financial constraints at a partner, different levels of readiness across partners, and/or a divergence in health IT strategy among partners were contributing factors (Figure 4.6). Grantees with more complex and larger THQIT projects—those with more than one type of patient care delivery organization and/or involving more than 10 organizations of any type—were as likely as their smaller or simpler counterparts to continue their partnerships, with all partners remaining involved (Appendix A, Table A.4). Similarly, projects with a focus on different types of health IT were as likely as others to have all partners continue to work together after the grant period ended. Figure 4.4. Percentage of grantees whose partnerships included organizations that do not deliver patient care 60% 50% Percentage of grantees (n=85) 40% 30% 20% 51% 50% 10% 9% 8% 20% 29% 29% 26% 18% 10% 0% Universities Health IT vendors Other research organizations Health IT consulting firms Health departments Professional associations Other consulting firms Social service agencies Schools Other organizations Source: Survey of THQIT Grantees, conducted in summer 2011. 7 This section focuses on the partnerships of planning and implementation grantees because they were formed for the purpose of implementation, whereas the value partnerships were formed for evaluation. 38 Chapter 4. Other Cross-Organizational Partnerships for Health IT Implementation
Figure 4.5. Continuation of planning and implementation partnerships after conclusion of the grant Did partners continue to work together? (n=65) Yes, 63 (97%) No, 2 (3%) With all or just some partners? All, 32 (51%) Some, 31 (49%) Who stopped? Patient care delivery organization, 22 (71%) Research organization, 5 (16%) Other, 11 (35%) Source: Survey of THQIT Grantees, conducted in summer 2011 Note: Implementation grantees (those that received prior planning grants and those that did not) are more likely than planning-only grantees to have all partners continue to work together after the grant period. Largely successful at sustaining activities with some or all of their grant partners for at least 1.5 years, the THQIT grantees provided insight into strategies that can be used to build lasting relationships between organizations that deliver patient care. Finding the Unifying Factor Strong, sustainable partnerships identified a shared vision for their projects and continued to focus on helping partners achieve their goal for health IT implementation. One HIE-focused planning grantee reflected, “Having a shared vision and recognizing the value of that mission helps strike a balance between individual interests and achieving a greater good for everyone.” Grantees suggested that health IT partnerships were most successful when their aim was not simply to implement technology, but rather to select and implement health IT to meet a broader common goal. One value grantee indicated that patient care delivery organizations that compete for the same patients were able to successfully work together on the project because the partners “really came together to take care of the Medicaid population. It was the unifying factor.” To identify common goals, grantees held stakeholder meetings and conducted needs assessments to determine common areas for quality improvement. For example, one successful grantee partnership formed when stakeholders at a meeting 39 Chapter 4. Other Cross-Organizational Partnerships for Health IT Implementation
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 and 24: Table 1.1. Locations of THQIT appli
Page 25 and 26: Eighty-six percent of the grantees
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
Page 46 and 47: to be included (Figure 4.1; Appendi
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
Page 66 and 67: References 1. Aranaydo L, Dahl D, C
Page 69: Appendix A: Supplemental Tables A.1
Page 72 and 73: Table A.2. Types of patient care de
Page 74 and 75: Table A.4. Characteristics of plann
Page 76 and 77: Table A.6. Characteristics of imple
Page 78 and 79: Title of Grant Using IT to Improve
Page 80 and 81: Title of Grant Primary Organization
Page 82 and 83: Title of Grant ParentLink: Better a
Page 84 and 85: Table A.8. Reasons for scaling back
Page 87 and 88: Appendix B: Getting Ready: A Planni
Page 89 and 90: ❍ ❍ For each “3”, consider
Page 91 and 92: The proposed project participants c
Page 93 and 94: Information Technology Project part
Page 95 and 96: PVrtners Use Electronic HeVlth Reco
Page 97: AHRQ Publication No. 12-0075-EF Dec

Sustainability, Partnership, and Teamwork in Health IT Implementation

You also want an ePaper? Increase the reach of your titles

Delete template?

Save as template?