The Value From Investments In Health Information Technology At The U.S. Department Of Veterans Affairs

Byrne, Colene; Mercincavage, Lauren M.; Pan, Eric; Vincent, Adam; Johnston, Douglas; Middleton, Blackford

doi:10.1377/hlthaff.2010.0119

Cited by 62 publications

(51 citation statements)

References 17 publications

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“…17–57 Twelve papers focused on costs and impacts, that is, costs and benefits or cost-effectiveness 2223 30 32 33 38 39 41 42 47 51 55 Twelve papers were on system costs,4 17–19 26 27 34 37 40 45 53 56 while 12 others examined the impact of systems on costs 20…”

Section: Resultsmentioning

confidence: 99%

Measuring value for money: a scoping review on economic evaluation of health information systems

Bassi

Lau

2013

J Am Med Inform Assoc

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ObjectiveTo explore how key components of economic evaluations have been included in evaluations of health information systems (HIS), to determine the state of knowledge on value for money for HIS, and provide guidance for future evaluations.Materials and methodsWe searched databases, previously collected papers, and references for relevant papers published from January 2000 to June 2012. For selection, papers had to: be a primary study; involve a computerized system for health information processing, decision support, or management reporting; and include an economic evaluation. Data on study design and economic evaluation methods were extracted and analyzed.ResultsForty-two papers were selected and 33 were deemed high quality (scores ≥8/10) for further analysis. These included 12 economic analyses, five input cost analyses, and 16 cost-related outcome analyses. For HIS types, there were seven primary care electronic medical records, six computerized provider order entry systems, five medication management systems, five immunization information systems, four institutional information systems, three disease management systems, two clinical documentation systems, and one health information exchange network. In terms of value for money, 23 papers reported positive findings, eight were inconclusive, and two were negative.ConclusionsWe found a wide range of economic evaluation papers that were based on different assumptions, methods, and metrics. There is some evidence of value for money in selected healthcare organizations and HIS types. However, caution is needed when generalizing these findings. Better reporting of economic evaluation studies is needed to compare findings and build on the existing evidence base we identified.

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Section: Resultsmentioning

confidence: 99%

Measuring value for money: a scoping review on economic evaluation of health information systems

Bassi

Lau

2013

J Am Med Inform Assoc

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“…Hwang and Christensen (2008) discuss the important elements of developing a profitable business model to promote disruptive innovations in health care delivery, starting with establishing and delivering the product's value proposition. One of the goals of broader HIT use in general is to make U.S. health care more affordable and sustainable (Taylor et al 2005) (Chen et al 2009) and VHA (remote patient monitoring and Vista EHR) (Byrne et al 2010). These large systems have the financial and human resources (Simon et al 2005), as well as the aligned financial incentives, to overcome challenges in the diffusion process.…”

Section: Section II Diffusion Strategies: Important Actions For Collmentioning

confidence: 99%

The ADOPT Model: Accelerating Diffusion of Proven Technologies for Older Adults

Wang

Redington²,

Steinmetz³

et al. 2010

Ageing Int

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The growing older adult population faces unprecedented health challenges. Home and community-based technologies have proven to be an effective way of helping older adults improve health outcomes and maintain independence. However, such technologies are currently not widely used by older adults for health purposes. Nor have they been widely adopted by the providers serving older adults; to date, successful health technology diffusion has occurred mainly within capitated and integrated health systems, such as the Veterans Health Administration (VHA) and Kaiser Permanente (KP). This article presents a conceptual model of technology diffusion, ADOPT (Accelerating Diffusion of Proven Technologies), which discusses important considerations for diffusing health technologies in home and community-based settings for older adults. At the center of the ADOPT model is a framework that highlights factors that affect technology adoption and use relevant to older adults, their collaborators, and their context. The model then overlays seven important "diffusion strategies" that older adults' collaborators (including technology companies, aging services organizations, formal/informal caregivers, family members, medical providers, insurance companies, and others) can undertake to help facilitate technology diffusion. The goal of this article is to introduce the ADOPT model to guide older adults' collaborators in achieving greater technology diffusion, in order to create widespread health outcome improvements and promote independent living for this population.

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“…The implementation of it can overcome many problems of paper prescribing process and will bring benefits, including cost savings, reducing prescription errors, increasing prescription legibility, improving medication therapy outcomes, reducing redundant paperwork, electronically accessing to updated pharmacopeia information, and patient medication history. [91011121314151617]…”

Section: Introductionmentioning

confidence: 99%

A copmarative review of electronic prescription systems: Lessons learned from developed countries

et al. 2017

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This review study aimed to compare the electronic prescription systems in five selected countries (Denmark, Finland, Sweden, England, and the United States). Compared developed countries were selected by the identified selection process from the countries that have electronic prescription systems. Required data were collected by searching the valid databases, most widely used search engines, and visiting websites related to the national electronic prescription system of each country and also sending E-mails to the related organizations using specifically designed data collection forms. The findings showed that the electronic prescription system was used at the national, state, local, and area levels in the studied countries and covered the whole prescription process or part of it. There were capabilities of creating electronic prescription, decision support, electronically transmitting prescriptions from prescriber systems to the pharmacies, retrieving the electronic prescription at the pharmacy, electronic refilling prescriptions in all studied countries. The patient, prescriber, and dispenser were main human actors, as well as the prescribing and dispensing providers were main system actors of the Electronic Prescription Service. The selected countries have accurate, regular, and systematic plans to use electronic prescription system, and health ministry of these countries was responsible for coordinating and leading the electronic health. It is suggested to use experiences and programs of the leading countries to design and develop the electronic prescription systems.

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The Value From Investments In Health Information Technology At The U.S. Department Of Veterans Affairs

Cited by 62 publications

References 17 publications

Measuring value for money: a scoping review on economic evaluation of health information systems

Measuring value for money: a scoping review on economic evaluation of health information systems

The ADOPT Model: Accelerating Diffusion of Proven Technologies for Older Adults

A copmarative review of electronic prescription systems: Lessons learned from developed countries

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