Investing in E-Health : What It Takes to Sustain Consumer Health Informatics

Investing in eHealth: What it Takes to Sustain Consumer Health Informatics examines the evolution of the IHCS and the significant changes in organizational culture and operational systems that may be required for successful and sustained implementation. This book culminates a set of general guidelines for any health care provider striving to successfully employ the model, and suggests directions for future research on the diffusion of IHCSs and related technologies. Investing in eHealth provides a principled approach to support health care managers, clinicians, and educators interested in complementing clinical services with interactive health communication systems (IHCSs). David H. Gustafson, PhD, is a professor of Industrial Engineering and Preventive Medicine at the University of Wisconsin-Madison. He is also Director of the University’s Center of Excellence in Cancer Communication Research and Director of the National Program Office for the National Improvement Network for Addiction Treatment. Patricia Flatley Brennan, RN, PhD, is a Moehlman Bascom Professor for the School of Nursing and College of Engineering at the University of Wisconsin-Madison. She has also served as director of HeartCare and president of the American Medical Informatics Association. Robert Hawkins, PhD, is a professor at the School of Journalism and Mass Communication at the University of Wisconsin-Madison. As the Internet's presence in health care grows more pervasive, an increasing number of health care providers have begun to implement eHealth innovations in their practice. The interactive health communication system (IHCS), one such eHealth solution, provides consumers with information, informal support, and a venue for communication. "Investing in eHealth: What it Takes to Sustain Consumer Health Informatics" examines the evolution of the IHCS and the significant changes in organizational culture and operational systems that may be required for successful and sustained implementation. This book explores the development of a model (funded by the Agency for Healthcare Research and Quality in 1998) to predict and explain the degree of success of such implementation efforts. This model allows an institution to benchmark its progress towards IHCS implementation and advises administrators where to invest resources to increase the chance of successful implementation. A set of case studies highlights key features of the model; each study describes an attempt by an organization to implement the Comprehensive Health Enhancement Support System (CHESS), a proven IHCS. After examining the success or failure of each particular implementation, the book suggests steps that could have been taken to address weaknesses identified by the model. "Investing in eHealth" culminates in a set of general guidelines for any health care provider striving to successfully employ the model, and suggests directions for future research Patient-focused technology and the health care delivery system / Patricia Flatley Brennan CHESS : translating research into practice / Robert P. Hawkins and Susan Dinauer Theory and literature review / Robert P. Hawkins and John Fellows Considerations for successful implementation of newly adopted technologies / David H. Gustafson and John Fellows Implementation model development and testing / David H. Gustafson, Kuang-Yi Wen, and John Fellows Introduction to case studies / David H. Gustafson Associated Practice, 1992-1997 / Susan Dinauer, Pauley R. Johnson, Tracy Siegler, Gail Casper, and John Fellows Union Hospital, 1993-2001 / Susan Dinauer, Betta Owens, Tracy Siegler, Gail Casper, and John Fellows Strand Hardin Health Care, 1995-2002 / Tracy Siegler, Betta Owens, Gail Casper, and John Fellows Grace Hospital, 1996-2000 / Pauley R. Johnson, Robert P. Hawkins, Joanna Bates, Gail Casper, and John Fellows Simpson Hospital, 1997-2000 / Pauley R. Johnson, Susan Dinauer, Gail Casper, and John Fellows Caregiver Resource Center Network, 1999-2002 / Leah Eskenazi, Pauley R. Johnson, Tracy Siegler, Gail Casper, and John Fellows Key learning and advice for implementers / David H. Gustafson and Patricia Flatley Brennan. Table of Contents......Page 6 Foreword......Page 8 List of Contributors......Page 10 1. Patient-Focused Technology and the Health Care Delivery System......Page 12 2. CHESS: Translating Research into Practice......Page 18 3. Theory and Literature Review......Page 29 4. Considerations for Successful Implementation of Newly Adopted Technologies......Page 39 5. Implementation Model Development and Testing......Page 49 6. Introduction to Case Studies......Page 65 7. Associated Practice, 1992–1997......Page 75 8. Union Hospital, 1993–2001......Page 99 9. Strand Hardin Health Care, 1995–2002......Page 124 10. Grace Hospital, 1996–2000......Page 145 11. Simpson Hospital, 1997–2000......Page 163 12. Caregiver Resource Center Network, 1999–2002......Page 180 13. Key Learning and Advice for Implementers......Page 200 B......Page 227 C......Page 228 E......Page 231 G......Page 232 I......Page 233 O......Page 235 R......Page 236 S......Page 237 U......Page 239 Z......Page 240 As the Internet's presence in health care grows more pervasive, an increasing number of health care providers have begun to implement eHealth innovations in their practice. This book explores the development of a model to predict and explain the degree of success it is possible to achieve in implementing e-health systems. This model allows an institution to benchmark its progress towards IHCS implementation and advises administrators where to invest resources to increase the chance of successful implementation. A set of case studies highlights key features of the model, with each case study fully analysed for strengths and weaknesses.