Strategies from a Nationwide Health Information Technology Implementation: The VA CART STORY

被引：47

作者：

Box, Tamara L. ^{[1
]}

McDonell, Mary ^{[2
]}

Helfrich, Christian D. ^{[2
]}

Jesse, Robert L. ^{[3
,4
]}

Fihn, Stephan D. ^{[2
]}

Rumsfeld, John S. ^{[1
]}

机构：

[1] VA Eastern Colorado Hlth Care Syst, Denver, CO 80220 USA

[2] VA Puget Sound Hlth Care Syst, Seattle, WA USA

[3] VA Cent Off, Washington, DC USA

[4] Richmond VA Med Ctr, Richmond, VA USA

来源：

JOURNAL OF GENERAL INTERNAL MEDICINE | 2010年 / 25卷

关键词：

health information technology; implementation; barriers; facilitators; EMR; organizational culture; RECORDS;

D O I：

10.1007/s11606-009-1130-6

中图分类号：

R19 [保健组织与事业（卫生事业管理）];

学科分类号：

100404 [儿少卫生与妇幼保健学];

摘要：

The VA Cardiovascular Assessment, Reporting, and Tracking (CART) system is a customized electronic medical record system which provides standardized report generation for cardiac catheterization procedures, serves as a national data repository, and is the centerpiece of a national quality improvement program. Like many health information technology projects, CART implementation did not proceed without some barriers and resistance. We describe the nationwide implementation of CART at the 77 VA hospitals which perform cardiac catheterizations in three phases: (1) strategic collaborations; (2) installation; and (3) adoption. Throughout implementation, success required a careful balance of technical, clinical, and organizational factors. We offer strategies developed through CART implementation which are broadly applicable to technology projects aimed at improving the quality, reliability, and efficiency of health care.

引用

页码：72 / 76

页数：5

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