The Science Behind Health Information Technology Implementation: Understanding Failures and Building on Successes

摘要

Everyone attending the AMIA conference has likely either heard about or had firsthand experience of a failed health information technology implementation. The line dividing failed implementations from successful ones frequently seems perilously thin, dependent on people and organizational factors as much as on technology design. What implementation lessons have informatics researchers and practitioners learned from prior failures and successes? Can the research domain of Implementation Science assist practitioners to improve implementation planning and execution? Implementation Science draws on multiple disciplines and perspectives (e.g., clinical, organizational, engineering, behavioral, social science) to understand technology adoption, explore patterns of technology use, and define organizational strategies for sustainable deployment. Through two case study presentations and a series of questions, our presentation will actively engage the audience in a discussion of what an evidence-based approach to implementation might mean at different institutions and explore practical implications of Implementation Science for decision-makers and technology implementers. The presentation will translate research on implementation into implementation lessons and practical strategies for practitioners.