title: Organizational framework for health information technology.
abstract: OBJECTIVE
  We do not yet know how best to design, implement, and use health information technology (IT). A comprehensive framework that captures knowledge on the implementation, use, and optimization of health IT will help guide more effective approaches in the future.
  
  
  METHODS
  The authors conducted a targeted review of existing literature on health IT implementation and use, including health IT-related theories and models. By crosswalking elements of current theories and models, the authors identified five major facets of an organizational framework that provides a structure to organize and capture information on the implementation and use of health IT.
  
  
  RESULTS
  The authors propose a novel organizational framework for health IT implementation and use with five major facets: technology, use, environment, outcomes, and temporality. Each major facet is described in detail along with associated categories and measures.
  
  
  CONCLUSIONS
  The proposed framework is an essential first step toward ensuring a more consistent and comprehensive understanding of health IT implementation and use and a more rigorous approach to data collection, measurement development, and theory building.
authors.affiliation: Westat, Rockville, MD 20850, USA. helgarippen@westat.com
authors.forename: Helga E
authors.initials: HE
authors.lastname: Rippen
authors.forename: Eric C
authors.initials: EC
authors.lastname: Pan
authors.forename: Cynthia
authors.initials: C
authors.lastname: Russell
authors.forename: Colene M
authors.initials: CM
authors.lastname: Byrne
authors.forename: Elaine K
authors.initials: EK
authors.lastname: Swift
mesh_terms: D017598:Efficiency, Organizational; D008490:Medical Informatics