Outcomes assessment of clinical information system implementation: a practical guide.
Healthcare information systems (HIS) play a vital role in quality of care and the organization's daily operations. Consequently, increasing numbers of clinicians have been involved in HIS implementation, particularly for clinical information systems (CIS). Implementation of these systems is a major organizational investment, and its outcomes must be assessed. The purpose of this article is to provide clinicians and frontline informaticians with a practical guide to assess these outcomes, focusing on outcome variables, assessment methods, and timing of assessment. Based on in-depth literature reviews and their empirical experiences, the authors identified 3 frequently used outcomes: user satisfaction, clinical outcomes, and financial impact. These outcomes have been assessed employing various methods, including randomized controlled trials, pre- and post-test studies, time and motion studies, surveys, and user testing. The timing for outcomes assessments varied depending on several factors, such as learning curves or patients conditions. In conclusion, outcomes assessment is essential for the success of healthcare information technology, and the CIS implementation team members must be prepared to conduct and/or facilitate these studies.
University of Maryland School of Nursing, 655 W. Lombard St, Suite 455C, Baltimore, MD, USA. enahm@son.umaryland.edu
Eun-Shim
ES
Nahm
Vinay
V
Vaydia
Danny
D
Ho
Barbara
B
Scharf
Jake
J
Seagull
D001291:Attitude of Health Personnel; D001292:Attitude to Computers; D002983:Clinical Competence; D015986:Confounding Factors, Epidemiologic; D003362:Cost-Benefit Analysis; D005103:Expert Systems; D006751:Hospital Information Systems; D006801:Humans; D007256:Information Systems / Q000458:organization & administration*; D007449:Investments / Q000191:economics; D050316:Medical Order Entry Systems / Q000458:organization & administration*; D016347:Medical Records Systems, Computerized / Q000458:organization & administration*; D048108:Nursing Informatics; D015399:Nursing Research; D017063:Outcome Assessment, Health Care / Q000458:organization & administration*; D015397:Program Evaluation; D036301:Qualitative Research; D016032:Randomized Controlled Trials as Topic; D012107:Research Design; D011795:Surveys and Questionnaires; D013996:Time and Motion Studies; D014584:User-Computer Interface