Sustainability, Partnership, and Teamwork in Health IT Implementation

Figures
Figure ES.1. Reported level of health IT use in summer 2011, compared with end of
grant period...................................................................................................................................... 4
Figure ES.2. Percentage of implementation grantees where intended users
attended competency-based training................................................................................................. 7
Figure 2.1. Use of health IT—summer 2011 compared with end of grant period........................... 20
Figure 2.2. Reported level of health IT use in summer 2011, compared with end of
grant period.................................................................................................................................... 21
Figure 2.3. Reasons for sustained or increased use of health IT...................................................... 24
Figure 2.4. Needs and support for extended planning process by planning grantees....................... 25
Figure 2.5. Comparison of selected implementation features among grantees
that did and did not experience a show-stopper.............................................................................. 27
Figure 3.1. Association between strengths of implementation grant projects and
completing a thorough vendor-selection process............................................................................. 30
Figure 3.2. Percentage of implementation grantees who undertook steps for vendor selection........ 31
Figure 3.3. Most important factors in purchasing a health IT product for
implementation grantees................................................................................................................. 32
Figure 4.1. Types of patient care delivery organizations included in grantee partnerships............... 36
Figure 4.2. Types of hospitals included in grantee partnerships (n = 488 hospitals)........................ 37
Figure 4.3. Size of private physician practices included in grantee partnerships
(n = 528 private physician practices)............................................................................................... 37
Figure 4.4. Percentage of grantees whose partnerships included organizations
that do not deliver patient care........................................................................................................ 38
Figure 4.5. Continuation of planning and implementation partnerships after
conclusion of the grant.................................................................................................................... 39
Figure 4.6. Reasons patient care delivery organizations stopped working together
after the planning or implementation grant period......................................................................... 40
Figure 4.7. Association between strengths of planning and private physician involvement
for planning and implementation grantees (combined)................................................................... 43
Figure 5.1. Encouraging training of all targeted end users.............................................................. 48
Figure 5.2. Percentage of implementation grantees that had users attend
competency-based training............................................................................................................. 49
Figure 5.3. Training super users and champions early..................................................................... 50
Figure 5.4. Timing of training relative to go-live............................................................................ 51
Figure 5.5. Percentage of grantees with formal and informal process redesign (n = 41)................... 52
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