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With the large investments required for health IT projects, stakeholders are increasingly demanding to know what the actual value of these projects has been, or will be. Evaluations allow us to determine whether or not what one has set out to accomplish has been accomplished, and to help us to understand what has worked in a given project and what has not. Lessons that emerge from evaluations help to guide both your team, as well as others, in their approach to projects in the future. Evaluations must therefore be an integral part of any health IT project. (AHRQ Health IT Evaluation Toolkit)
The diversity and complexity of health IT projects poses challenges for those seeking to evaluate particular projects and those interested in assessing broader population impact. While support for such evaluations can be found in ongoing health service research projects (explore the database Health Services Research Projects in Progress, as well in the proliferation of Toolkits from diverse public and non-profit sources (see below), there is also an increasing literature assessing evaluation techniques and approaches appropriate for health IT interventions, particularly those related to implementation of the requirements for "Meaningful Use." This literature can be found using PubMed search strategies, such as those at http://www.nlm.nih.gov/healthit/meaningful_use.html.
Commentary reflects on what virtual high‐quality care entails and how access to these services can be expanded.
On May 1, the Office of the National Coordinator for Health Information Technology (ONC) published landmark regulations to improve health data access and interoperability for patients, providers, and app developers, using a standardized application programming interface (API) infrastructure. This new rule implements provisions of the 21st Century Cures Act of 2016. In concept, the regulations take a giant leap forward. In practice, they might fall short of the nation’s goals. How will we know? How can we spot gaps and make timely corrections?
There is an urgent need for remotely delivered Substance Use Disorder (SUD) treatments to reduce patient burden and for methods to conduct clinical trials remotely. The purpose of this NOSI is to stimulate research to evaluate the safety and efficacy of telemedicine or remotely provided treatments for SUD, and to develop tools for remote collection of data in clinical trials of treatments for SUD.
The National Cancer Institute (NCI) is seeking information on scientific gaps and research needs related to the delivery of cancer-related care via telehealth. This request for information (RFI) is part of a planning effort designed to identify promising opportunities and set priorities for research in this area.
Study used logistic regression models to identify predictors of telehealth and eICU capabilities in US hospitals.
The purpose of this commentary is to explore the use of telemedicine in reaching underserved patients.
This brief outlines how telemedicine is currently used in obstetrical care, how these services are financed and regulated, and reviews federal efforts to expand the use of telemedicine, particularly to address maternal health disparities.
This dataset provides the counts of health care providers that have reported a developer's product through participation in the Medicare EHR Incentive Program.
This dataset combines meaningful use attestations from the Medicare EHR Incentive Program and certified health IT product data from the ONC Certified Health IT Product List to identify the unique vendors, products, and product types of each certified health IT product used to attest to meaningful use. The dataset also includes important provider-specific data, related to the provider's participation and status in the program, unique provider identifiers, and other characteristics unique to each provider, like geography and provider type.
The test procedures offer guidance to Accredited Testing Laboratories as they conduct Health IT module testing in the ONC Health IT Certification Program.
Implementation tools have been adapted for use by behavioral health providers.
This scorecard allows scoring of Consolidated Clinical Document Architecture documents.
These guides and tools were developed to provide technical support and EHR implementation assistance to primary care providers.
Search for certified health IT products.
The centralized resource for CMS assessment instrument data elements (e.g. questions and responses) and their associated health information technology (IT) standards.
This toolkit is a set of field-tested tools designed to support planning for a public health surveillance program that will rely on data from EHR systems.
Toolkit was collaboratively designed to help countries or organizations holistically assess, plan, and prioritize interventions and investments to strengthen a health information system. The assessment measures current and desired HIS status across five core domains of an HIS, and 39 subcomponents, and maps a path toward improvement.
A web-based app which permits the creation of custom summaries of the latest national and state health IT data and statistics.
This guide provides strategies, and other resources for the development of technical standards and aspects of accessible health IT design,
This tool is designed for health care providers, practice staff, hospital administrators and others who are implementing a HIT system. Included are chapters on patient engagement, electronic health records, population and public health, privacy and security, patient safety, and value based care.
This report examines the safety issues surrounding the use of copy and paste, a widespread and under-reported source of adverse patient safety events.
This database is a resource of health IT surveys that may be used in the evaluation of health IT projects.
The kit contains three main pieces: a maturity model, an assessment tool, and a users' guide. The maturity model identifies the major components of HIS interoperability and lays out an organization's growth pathway through these components. The assessment tool can be used to systematically determine the maturity level of an organization or country.
This toolkit assists rural health providers seeking to implement HIT to improve the overall effectiveness of their institutions.
This toolkit was designed to assist small hospitals for different points in HIT adoption.
Describes the National Library of Medicine's (NLM) role in the development of health information technology (HIT) and data standards. Also provides links to additional federal resources in the areas of HIT and data standards.
A series of tools, webinars, reports, and training modules designed to assist in the EHR process.
A Fast Healthcare Interoperability Resources (FHIR)-based testing suite with a rich and rigorous set of testing tools to help health IT developers make sure the FHIR standard is consistently implemented.
IHMI supports a continuous learning environment to enable interoperable technology solutions and care models that evolve with real-world use and feedback.
The IPG is an open platform designed to allow providers to share interoperability projects.
A series of testing tools for health IT certification programs.
Registration is required to utilize this free curriculum. Included in the course are Working with Health IT Systems, Configuring Electronic Health Records, and Planning, Management and Leadership for Health IT.
One Click Scorecard allows providers to evaluate the quality of clinical summary documents (C-CDAs) received, or created, by their system.
A section of the Health IT Playbook dealing with the roll of the HIT in working with the opioid epidemic
Designed for rural hospitals, this toolkit discusses the benefits of health IT and helps hospitals to take the first step toward implementation and attaining meaningful use.
A centralized collection of testing tools and resources designed to assist health IT developers/users fully evaluate specific technical standards and maximize the potential of their health IT implementations. SITE is organized in a collection of sandboxes that provide test tools, sample data, collaboration resources, and useful links.
The Compendium contains 32 policy levers (such as Credentialing Policies or State-level legal protections) and 300 examples of how states use these levers to promote health IT and advance interoperability.
This Resource Center provides financial and technical support to states to design and test innovative, state-based multi-payer health care delivery and payment system reform
An interactive tool that provides current telehealth laws and policies, and pending legislation and regulations.
USHIK is a registry and repository of healthcare-related metadata, specifications, and standards.
Ambulatory care centers are the focus of the workflow assessment toolkit.
This resource provide a centralized location for news, information, tools and standards related to electronic clinical quality improvement and electronic clinical quality measures
This document represents the model by which ONC will coordinate the identification, assessment, and public awareness of interoperability standards and implementation specifications that can be used by the healthcare industry to address specific interoperability needs.
Recommendations to enhance EHR usability when supporting pediatric patient care are presented, as well as identifying areas for EHR innovation.
To support HHS’s ongoing response efforts to the outbreak of Coronavirus Disease 2019 (COVID-19), ONC has partnered with the Centers for Disease Control and Prevention (CDC) to share various resources for reporting and tracking COVID-19, as well as general clinical guidance to the health IT community and healthcare providers. Health IT now plays a crucial role in the collecting and reporting of COVID-19 data.
This primer is intended to aid implementers with Change Management for EHR Implementation. Change management is the basic foundation underlying all phases of the EHR implementation lifecycle and helps achieve EHR Meaningful Use and practice transformation
This white paper describes key opportunities and challenges for realizing the potential of patient-generated health data (PGHD) use and offers relevant enabling actions that could further enhance PGHD capture, use, and sharing for health care delivery and research in the United States.
This model EHR record format for children is the result of a grant to 10 states, and several states will be evaluating the project.
This guide is aimed at IT developers, and presents the 10 recommendations that can be used to produce outstanding consumer IT products.
This document provides an outline for the processes required in selecting an electronic health record system, and in negotiating the contract appropriate for your institution.
This report reviews the evidence on the effectiveness and safety of the use of eConsults by primary care clinicians and clinicians from multiple specialties and draws on interviews with leaders of six eConsult programs, including those operated by the Los Angeles County Department of Health and a Connecticut nonprofit, Community Health Center, Inc.
This report provides an overview of methods and findings about Regional Extension Center implementation and impact. The REC provided support for 100,000 providers working in small primary care practices, practices with a large proportion of patients with Medicaid or without insurance, community health centers, rural health clinics, and critical access hospitals.
This report presents an overview of the Transforming Healthcare Quality Through IT grantees' experience.
This article from the International Journal of Medical Informatics outlines the development of a practice guideline to plan and perform evaluation studies in health informatics.
Quick Reference Guides are designed provide details about individual measures that can be incorporated into a health IT evaluation plan.
The repo contains background information about SSA’s health IT program and how it benefits SSA and their healthcare partners, technical documentation, and other information about what an organization needs to interoperate with SSA. SSA plans to continue to add other resources in the future.
Report provides recommendations for how health IT can facilitate proper patient identification.
From August 15, 2011 this follow-up study uses a case study approach to examine HIT strategies in use, barriers to, facilitators to, and requirements for HIT use
Reports on state health information technology initiatives.
This report focuses on the challenges facing rural and underserved communities in integrating health IT into their health care delivery systems
The Dashboard provides quick access to federal policies, programs, and research activities related to health IT.
The ISA is a coordinated online catalog platform of standards and implementation specifications that are available for use by the health IT industry to meet interoperability needs.
The results of a study that looks at published and grey literature to determine the best practices in implementing health IT.
The information in this report is intended to help health care decisionmakers make well-informed decisions and thereby improve the quality of health care services.
This outline briefly overviews the steps needed in conducting an post-implementation evaluation.
This fact sheet provides an overview of four issues that need to be addressed to facilitate adoption of data standards and potential solutions: ineffective coordination between stewards, data standards that do not meet needs of registries, expense of data standard adoption and maintenance, and lack of support from the federal government.
A catalog of clinical studies published after 2007 involving the use of telehealth as a means to achieve patient satisfaction.
PHAs preparing for Meaningful Use Modified Stage 2 and Stage 3 will have guidance documents created by the MU PH Reporting Requirements Task Force to help in implementation of the new processes.
This report discusses four mechanisms that can be used by organizations to evaluate the efficacy of certified IT products.
This is a guideline for the writing and assessing evaluation studies on HIT. It has been approved by International Medical Informatics Association and the European Federation for Medical Informatics.
This 2013 article from Applied Clinical Informatics elaborates on the 2009 STARE-HI study. Its aim is to guide those using evaluation studies in health informatics by providing explanatory examples of reporting.
This document was developed to help clinicians reduce the regulatory and administrative burden related to the use of health IT, including EHRs.
This is a validation study procedure which guides the reader to ensure that the user interface is free from critical usability issues and supports error-free user interaction with EHR.
This guide is a resource for state and territorial health officials to enhance their telehealth efforts.
Site provides consumer and provider information on telehealth, including integrating telehealth into practice, recent COVID-19 related policies, and information on what patients will need to use telehealth.
This document presents a framework on the successful implementation of an EHR system.
A multi-stakeholder committee (the Telehealth Committee) was convened to recommend various methods to measure the use of telehealth as a means of providing care. This report and the conceptual framework herein serve as the foundation for future efforts to advance quality measurement for telehealth. By identifying some of the highest-priority areas for measurement, this report may support the development of measures that incorporate into a telehealth environment as part of an iterative development process.
This study establishes a foundation for user interface design considerations and proposes an action agenda for the application of information design principles to the use of HIT in primary care settings.
Issued in December 2010, this report describes an evaluation of 16 grants that were charged with designing, creating, and implementing pilot networks to improve coordination of care in their communities, and provide lessons learned for future providers and networks in adopting HIT.
As part of the Trump Administration’s MyHealthEData initiative, this final rule is focused on driving interoperability and patient access to health information by liberating patient data using CMS authority to regulate Medicare Advantage (MA), Medicaid, CHIP, and Qualified Health Plan (QHP) issuers on the Federally-facilitated Exchanges (FFEs). This rule finalizes new policies that help liberate health information and move the healthcare system toward greater interoperability.
As a result of COVID-19 many states have taken action to remove policy barriers to telehealth utilization to address this pandemic on a temporary basis. Below is a list of state actions taken by each state’s Office of the Governor, Medicaid Program, Medical Board and/or Department of Insurance, and their current status.
The final rule creates a regulatory framework for ONC's direct review of health information technology (health IT) certified under the Program, including, when necessary, requiring the correction of non-conformities found in health IT certified under the Program and suspending and terminating certifications issued to Complete EHRs and Health IT Modules. The final rule also sets forth processes for ONC to authorize and oversee accredited testing laboratories under the Program. In addition, it includes provisions for expanded public availability of certified health IT surveillance results
MACPAC contracted with Mathematica to catalog these policy changes in all states, the District of Columbia, and the territories. The summary report synthesizes key findings from across the states. The catalog provides high level, state-specific information on telehealth policy changes pertaining to services and specialties, providers, modalities, originating site and licensure rules, and payment.
Utilize the interactive 50 state legislation and regulatory tracking tool to browse telehealth legislation and regulation across the nation for the current legislative session.
The Final Rule, dated September 4, 2012, contains standards for Privacy and Security Certification and on the technical capabilities and implementation standards for the EHR.
The health systems research community should prepare to submit applications to AHRQ to fund critical research focused on evaluating topics such as innovations and challenges encountered in the rapid expansion of telemedicine in response to COVID-19, effects on quality, safety, and value of health system response to COVID-19, and the role of primary care practices and professionals during the COVID-19 epidemic. AHRQ is particularly interested in understanding how digital health innovations contributed to health system and healthcare professional innovation and challenges and solutions to meeting the needs of vulnerable populations including older adults, people living with multiple chronic conditions, rural communities, and uninsured and underinsured populations.
The COVID-19 Telehealth Program will provide $200 million in funding, appropriated by Congress as part of the Coronavirus Aid, Relief, and Economic Security (CARES) Act, to help health care providers provide connected care services to patients at their homes or mobile locations in response to the novel Coronavirus 2019 disease (COVID-19) pandemic.
The purpose of this funding opportunity is to focus on the role and impact of digital health interventions [e.g., mobile health (mhealth), telemedicine and telehealth, health information technology (IT), and wearable devices] to address access, reach, delivery, effectiveness, scalability and sustainability of health assessments and interventions for secondary effects (e.g., behavioral health or self-management of chronic conditions) that are utilized during and following the pandemic, particularly in populations who experience health disparities and vulnerable populations.
The purpose of this funding opportunity announcement is to solicit research to develop, optimize and test mental health telehealth methods (i.e., without involving in-person interaction between a mental health clinician and the patient) to help evaluate and treat emergency department (ED) patients with suicide risk, compared to usual care of such patients in emergency departments without adequate on-site mental health specialty consultation.
This FOA issued by AHRQ invites grant applications for funding to conduct exploratory and developmental research grants (R21) for projects in the early and conceptual stages of development that will contribute to the evidence base of how health information technology (IT) improves health care quality and outcomes.
This Funding Opportunity Announcement (FOA) invites U18 cooperative agreement applications to stimulate innovative and collaborative research by utilizing new health information technology (IT) strategies for collecting and using patient-reported outcome (PRO) measures in primary care and other ambulatory care settings.
A competition for state and community leaders in the aging and disability network, health care systems, health plans, and health IT vendors to cultivate care coordination by developing and/or optimizing interoperable and scalable technology platforms.
This Funding Opportunity Announcement (FOA) encourages applications for investigator-initiated fully remotely delivered and conducted clinical trials to assess the efficacy or effectiveness of complementary and integrative health interventions in NCCIH designated areas of high research priority.
NIMH seeks applications for innovative research projects to test strategies to increase the reach, efficiency, effectiveness, and quality of digital mental health interventions. This FOA is intended to support the development of digital health test beds that leverage well-established digital mental health platforms ,to rapidly refine and optimize existing evidence-based digital health interventions and conduct clinical trials testing digital mental health interventions that are statistically powered to provide a definitive answer regarding the intervention's effectiveness.
This funding opportunity will address well-documented and fast emerging challenges that inhibit the development, use, and/or advancement of well-designed, interoperable health IT. It is expected to further a new generation of health IT development and inform the innovative implementation and refinement of standards, methods, and techniques for overcoming major barriers and challenges as they are identified.
This funding opportunity announcement (FOA) seeks to support research that examines how health information technology adoption impacts minority health and health disparity populations in access to care, quality of care, patient engagement, and health outcomes.
Funding to encourage exploratory/developmental research applications that propose to study the development, validation, feasibility, and effectiveness of innovative mobile health (mHealth) interventions or tools specifically suited for low- and middle-income countries (LMICs) that utilize new or emerging technology, platforms, systems, or analytics.
Funding for broad scope projects in informatics and data science, including health care delivery, basic biomedical research, clinical and translational research, precision medicine, public health, biosurveillance, health information management in disasters, and similar areas.
The goal of the program is to support the development of research capability in mobile and wireless health technology (e.g., wearable devices, mobile applications, electronic health records, data analytics).
Funding for research utilizing Mobile Health (mHealth) tools aimed at the improvement of effective patient-provider communication, adherence to treatment and self-management of chronic diseases.
Funding for research utilizing Mobile Health (mHealth) tools aimed at the improvement of effective patient-provider communication, adherence to treatment and self-management of chronic diseases.
July 14, 2020 3:00pm ET.
July 16, 2020 3:00-4:00pm ET.
August 4, 2020 3:00-4:00pm ET.
August 10-11, 2020.
September 9, 2020 9:30am-2:30pm ET.
To prepare rural hospital for the questions they will face when applying for a loan, this webinar explains the evaluation process commercial banks use to make a decision on a loan.
On-demand webinar aims to help health information professionals learn strategies for success in improving documentation during COVID-19.
The COVID-19 ECHO will meet via Zoom videoconferencing every Monday from noon to 1 p.m. COVID-19 ECHO will provide up-to-date information and support for health care stakeholders across Missouri.
Archived webinar from October 2016 provides a panel discussion on the future of telehealth, challenges, and the potential impact of accreditation.
Webinar from March 2020 with ONC’s Elisabeth Myers, Deputy Director of Policy, which explores the intricacies of the proposed ONC information blocking rule. Gain a better understanding of how the new rule will impact HIM operations.
This podcast looks at the rollout and implementation of the Health Information Technology for Economic and Clinical Health (HITECH) Act
This is a one-hour, one demand webinar. Registration is required to attend.
July 13-14, 2020.
July 24, 2020; Albuquerque, NM.
November 4-6, 2020; LaGrange, GA.
November 4-6, 2020; LaGrange, GA. (Global Partnership For Telehealth)
November 12-13, 2020; Sacramento, CA.
Tool provides a state-by-state listing of federally funded technical assistance to support clinicians in various health information technology transformation activities.
AHRQ initiative containing information on programs that promote the use of health information technology. Central repository for research findings from projects developing, testing, and using health IT applications.
DASH is a national initiative to support multi-sector collaborations sharing data and information to improve the health of their communities.
From the Office of the National Coordinator for Health Information Technology (ONC), this blog was created to answer questions about the nation's transition to electronic health records and to create a conversation about the challenges and successes health care providers, physicians, practices, and organizations are experiencing as they transition from paper to electronic health records.
Included here are the Federal Health IT Strategic Plan 2015-2020, Patient Safety Action and Surveillance Plan, and the Report to Congress on Health IT Adoption and Exchange
HRSA works to improve and extend life for people living with HIV/AIDS, provide primary health care to medically underserved people, serve women and children through state programs, and train a health workforce that is both diverse and motivated to work in underserved communities.
Resource to support the adoption of health information technology and the promotion of nationwide health information exchange to improve health care.
The healthcare industry's membership organization exclusively focused on providing leadership for the optimal use of healthcare information technology (IT) and management systems for the betterment of healthcare.
IHE USA is a part of the international group, and focuses on fostering consistent information standards.
A public/private/community partnership with the purpose of supporting the full engagement of health information technology in underserved populations, with an emphasis on communities of color.
NIST is the U.S. physical science laboratory, and, one of their primary concerns is information technology.
Information is provided on the ONC's Regional Extension Centers, which serve as a support and resource centers to assist providers in EHR implementation and HealthIT needs