A planning tool for multidisciplinary youth care evaluated: a case study.
OBJECTIVE
This study aims to gain more insight in whether care programming in health care can be supported by IT and what is needed for successful implementation. We evaluated a case where an organization structured its care processes into care programs and used a planning tool for planning and control of the care programs. The results of this evaluation contribute to existing knowledge about the relation between care processes and IT as well as IT implementation.


METHODS
We used multiple data sources to support and complete the results. The evaluation of the case took place by means of face-to-face interviews, a document study and analyses of emails.


CONCLUSIONS
The care programs and the planning tool were not compatible and did not achieve the intended goals. The professionals failed to appreciate flexibility of the care programs. The implementation of the planning tool failed because of too little user involvement in the implementation. Moreover, care programs were in general not accepted by the professionals. All this resulted in a non-fit between the care programs and the planning tool. We advise for routine processes as care programs to develop a balance between flexibility and standardization. This is a process of trial and error and requires adaptive information technology and user involvement in development and implementation.
Baars
I J
IJ
Maastricht University, Care And Public Health Research Institute, The Netherlands. I.Baars@beoz.unimaas.nl
van Merode
G G
GG
D001291:Attitude of Health Personnel; D002648:Child; D002662:Child Health Services / Q000458:organization & administration; D002675:Child, Preschool; D019983:Guideline Adherence; D006284:Health Plan Implementation / Q000379:methods* / Q000706:statistics & numerical data*; D006290:Health Planning Technical Assistance / Q000458:organization & administration*; D006801:Humans; D008331:Management Information Systems / Q000706:statistics & numerical data; D017146:Models, Organizational; D019982:Organizational Case Studies; D018802:Patient-Centered Care / Q000379:methods / Q000458:organization & administration; D010934:Planning Techniques; D011785:Quality Assurance, Health Care / Q000379:methods / Q000458:organization & administration; D000078329:Workforce