Journal article
Informatics Implementation in the Veterans Health Administration (VHA) Healthcare System to Improve Quality of Care
AMIA ... Annual Symposium proceedings, Vol.2006, pp.204-208
2006
PMCID: PMC1839610
PMID: 17238332
Abstract
We describe VHA’s information technology (IT) implementation from the providers’ perspective, and identify factors influencing its effective implementation to improve care. We surveyed a stratified random national sample of 4227 clinicians from three VHA primary care provider groups: 1) physicians; 2) nurse practitioners, physician assistants; and 3) nurses. Facility-level IT support availability was rated across six dimensions: 1) access to literature/evidence, 2) computerized decision support, 3) computerized clinical data, 4) error reduction, 5) provider communication, and 6) patient communication. Factor analysis identified a 5-item scale (IT clinical support, α = 0.76). Generalized estimating equation models identified factors influencing IT clinical support. Complete data from 123 hospitals (1777 providers) were included. The final model showed IT clinical support was higher in hospitals that were urban (p<0.05) and had cooperative cultures (p<0.01). Opportunities exist to enhance effective use of IT to support clinical decision making, electronic communication with patients and access to recommendations while delivering care.
Details
- Title: Subtitle
- Informatics Implementation in the Veterans Health Administration (VHA) Healthcare System to Improve Quality of Care
- Creators
- Bradley N Doebbeling - VA HSR&D Center on Implementing Evidence-based Practice, Roudebush VAMC Indiana University (IU) Center for Health Services & Outcomes Research, Regenstrief Institute, Inc. Department of Medicine, IU School of Medicine, Indianapolis, IN Department of Health Management and Policy, University of Iowa College of Public Health, Iowa City, IA Department of Medicine, VA Greater Los Angeles Healthcare System, Geffen School of Medicine at UCLA, Los Angeles, CAThomas E Vaughn - VA HSR&D Center on Implementing Evidence-based Practice, Roudebush VAMC Indiana University (IU) Center for Health Services & Outcomes Research, Regenstrief Institute, Inc. Department of Medicine, IU School of Medicine, Indianapolis, IN Department of Health Management and Policy, University of Iowa College of Public Health, Iowa City, IA Department of Medicine, VA Greater Los Angeles Healthcare System, Geffen School of Medicine at UCLA, Los Angeles, CAKimberly D McCoy - VA HSR&D Center on Implementing Evidence-based Practice, Roudebush VAMC Indiana University (IU) Center for Health Services & Outcomes Research, Regenstrief Institute, Inc. Department of Medicine, IU School of Medicine, Indianapolis, IN Department of Health Management and Policy, University of Iowa College of Public Health, Iowa City, IA Department of Medicine, VA Greater Los Angeles Healthcare System, Geffen School of Medicine at UCLA, Los Angeles, CAPeter Glassman - VA HSR&D Center on Implementing Evidence-based Practice, Roudebush VAMC Indiana University (IU) Center for Health Services & Outcomes Research, Regenstrief Institute, Inc. Department of Medicine, IU School of Medicine, Indianapolis, IN Department of Health Management and Policy, University of Iowa College of Public Health, Iowa City, IA Department of Medicine, VA Greater Los Angeles Healthcare System, Geffen School of Medicine at UCLA, Los Angeles, CA
- Resource Type
- Journal article
- Publication Details
- AMIA ... Annual Symposium proceedings, Vol.2006, pp.204-208
- Publisher
- American Medical Informatics Association
- PMID
- 17238332
- PMCID
- PMC1839610
- eISSN
- 1942-597X
- Language
- English
- Date published
- 2006
- Academic Unit
- Health Management and Policy; Nursing; Internal Medicine
- Record Identifier
- 9984214723402771
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