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Evaluating implementation fidelity in health information technology interventions.

Publication ,  Journal Article
Eisenstein, EL; Lobach, DF; Montgomery, P; Kawamoto, K; Anstrom, KJ
Published in: AMIA ... Annual Symposium proceedings. AMIA Symposium
October 2007

Health information technology evaluators need to distinguish between intervention efficacy as assessed in the ideal circumstances of clinical trials and intervention effectiveness as assessed in the real world circumstances of actual practice. Because current evaluation study designs do not routinely allow for this distinction, we have developed a framework for evaluation of implementation fidelity that considers health information technologies as complex interventions and makes use of common intervention components as defined in the Oxford Implementation Index. We also propose statistical methods for the evaluation of interventions at the system and component level using the Rubin Causal Model. We then describe how to apply this framework to evaluate an ongoing clinical trial of three health information technology interventions currently implemented in a 17,000 patient community-based health network caring for Medicaid beneficiaries in Durham County, North Carolina.

Duke Scholars

Published In

AMIA ... Annual Symposium proceedings. AMIA Symposium

EISSN

1942-597X

Publication Date

October 2007

Start / End Page

211 / 215

Related Subject Headings

  • United States
  • Treatment Outcome
  • Reminder Systems
  • Randomized Controlled Trials as Topic
  • Patient Compliance
  • North Carolina
  • Medical Informatics Applications
  • Medicaid
  • Humans
  • Evaluation Studies as Topic
 

Citation

APA
Chicago
ICMJE
MLA
NLM
Eisenstein, E. L., Lobach, D. F., Montgomery, P., Kawamoto, K., & Anstrom, K. J. (2007). Evaluating implementation fidelity in health information technology interventions. AMIA ... Annual Symposium Proceedings. AMIA Symposium, 211–215.
Eisenstein, Eric L., David F. Lobach, Paul Montgomery, Kensaku Kawamoto, and Kevin J. Anstrom. “Evaluating implementation fidelity in health information technology interventions.AMIA ... Annual Symposium Proceedings. AMIA Symposium, October 2007, 211–15.
Eisenstein EL, Lobach DF, Montgomery P, Kawamoto K, Anstrom KJ. Evaluating implementation fidelity in health information technology interventions. AMIA . Annual Symposium proceedings AMIA Symposium. 2007 Oct;211–5.
Eisenstein, Eric L., et al. “Evaluating implementation fidelity in health information technology interventions.AMIA ... Annual Symposium Proceedings. AMIA Symposium, Oct. 2007, pp. 211–15.
Eisenstein EL, Lobach DF, Montgomery P, Kawamoto K, Anstrom KJ. Evaluating implementation fidelity in health information technology interventions. AMIA . Annual Symposium proceedings AMIA Symposium. 2007 Oct;211–215.

Published In

AMIA ... Annual Symposium proceedings. AMIA Symposium

EISSN

1942-597X

Publication Date

October 2007

Start / End Page

211 / 215

Related Subject Headings

  • United States
  • Treatment Outcome
  • Reminder Systems
  • Randomized Controlled Trials as Topic
  • Patient Compliance
  • North Carolina
  • Medical Informatics Applications
  • Medicaid
  • Humans
  • Evaluation Studies as Topic