Assessing Organizational Readiness and Capacity for Developing an Integrated Child Health Information System

Wild, Ellen L.; Fehrenbach, S. Nicole

doi:10.1097/00124784-200411001-00007

Cited by 7 publications

(24 citation statements)

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“…36 Seven readiness assessment models included items or scales that assess the extent of community or organizational efforts toward prevention or knowledge of those efforts. 14,17,29,32,36,40,41 These models assessed a wide range of efforts, from specific neighborhood, community, and school-based efforts, to organizational policy, planning, evaluation, and management efforts, to policy and laws in place directed at the specific prevention effort.…”

Section: Resultsmentioning

confidence: 99%

“…Five assessments included relational characteristics, such as: community attachment or social ties, 23,24 stakeholder involvement, 40 and collaboration or teamwork. 32,41 …”

Section: Resultsmentioning

confidence: 99%

“…Six readiness assessments included questions either about leadership support for prevention efforts, 32,36,40,41 or leadership ability and effectiveness. 23,24,40,41 Leadership support for prevention includes making the health issue a priority, protecting funds related to the program, developing policies that support the change effort, or supporting employee growth and accountability. Leader abilities crucial for adopting change include consensus building, managing intergroup conflict, flexibility, ability to communicate vision, and encouragement.…”

Section: Resultsmentioning

confidence: 99%

“…36 Five readiness models included assessments of resources as a critical readiness element. Assessments of resources focused on general resources (e.g., time, money, and space), 36 organizational resources (e.g., office, staffing, training, equipment, or internet), 43 organizational technological resources, 40 financial resources, 32,40 and information and data resources. 41 …”

Section: Resultsmentioning

confidence: 99%

“…A total of 13 articles met all inclusion criteria, resulting in the following assessment models, of which 6 focused on community readiness and 7 focused on organizational readiness: The Community Readiness Model, 16 Self-Organizational Community Readiness Model, 24 Community Readiness for Change, 23 Minnesota Community Readiness Survey, 14 Readiness for Community Change, 29 Asian Pacific Partners for Empowerment and Leadership Community Stages of Readiness Model, 32 Getting To Outcomes, 38,39 Stages of Coalition Readiness, 17 the Integration of Newborn Screening and Genetic Services Systems with Other Maternal & Child Health Systems: A Tool for Assessment and Planning, 40 Proactive Organizational Change: Assessing Critical Success Factors, 41 Perceptions of Organizational Readiness for Change, 42 The Texas Christian University Organizational Readiness for Change Assessment, 43 and Organizational Readiness for Change. 28 …”

Section: Methodsmentioning

confidence: 99%

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Dimensions of Community and Organizational Readiness for Change

Castañeda

Holscher

Mumman

et al. 2012

cpr

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Background Readiness can influence whether health interventions are implemented in, and ultimately integrated into, communities. Although there is significant research interest in readiness and capacity for change, the measurement of these constructs is still in its infancy. Objective The purpose of this review was to integrate existing assessment models of community and organizational readiness. Data Sources The database PubMed was searched for articles; articles, book chapters, and practitioner guides identified as references cited in the list of core articles. Review Methods Studies were included if they met the following criteria: (1) Empirical research, (2) identified community or organizational readiness for innovative health programming in the study’s title, purpose, research questions, or hypotheses, and (3) identified methods to measure these constructs. Duplicate articles were deleted and measures published before 1995 were excluded. The search yielded 150 studies; 13 met all criteria. Results This article presents the results of a critical review of 13 community and organizational readiness assessment models, stemming from articles, chapters, and practitioner’s guides focusing on assessing, developing, and sustaining community and organizational readiness for innovative public health programs. Conclusions Readiness is multidimensional and different models place emphasis on different components of readiness, such as (1) community and organizational climate that facilitates change, (2) attitudes and current efforts toward prevention, (3) commitment to change, and (4) capacity to implement change. When initiating the program planning process, it is essential to assess these four domains of readiness to determine how they apply to the nuances across different communities. Thus, community-based participatory research (CBPR) partnerships, in efforts to focus on public health problems, may consider using readiness assessments as a tool for tailoring intervention efforts to the needs of the community.

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Section: Resultsmentioning

confidence: 99%

“…Five assessments included relational characteristics, such as: community attachment or social ties, 23,24 stakeholder involvement, 40 and collaboration or teamwork. 32,41 …”

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

See 3 more Smart Citations

Dimensions of Community and Organizational Readiness for Change

Castañeda

Holscher

Mumman

et al. 2012

cpr

View full text Add to dashboard Cite

show abstract

Integration in primary community care networks (PCCNs): examination of governance, clinical, marketing, financial, and information infrastructures in a national demonstration project in Taiwan

Lin

2007

BMC Health Serv Res

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Progress along developmental tracks for electronic health records implementation in the United States

Hollar

2009

Health Res Policy Sys

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The development and implementation of electronic health records (EHR) have occurred slowly in the United States. To date, these approaches have, for the most part, followed four developmental tracks: (a) Enhancement of immunization registries and linkage with other health records to produce Child Health Profiles (CHP), (b) Regional Health Information Organization (RHIO) demonstration projects to link together patient medical records, (c) Insurance company projects linked to ICD-9 codes and patient records for cost-benefit assessments, and (d) Consortia of EHR developers collaborating to model systems requirements and standards for data linkage. Until recently, these separate efforts have been conducted in the very silos that they had intended to eliminate, and there is still considerable debate concerning health professionals access to as well as commitment to using EHR if these systems are provided. This paper will describe these four developmental tracks, patient rights and the legal environment for EHR, international comparisons, and future projections for EHR expansion across health networks in the United States.

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Assessing Organizational Readiness and Capacity for Developing an Integrated Child Health Information System

Abstract: S. Nicole Fehrenbach r r r r r r r r r r r r r r r r r r r r r r r r r r r r r r r r r r r r r r r r r r r r r r r r r r r r r r r r r r r r r r r r r r r r r r r r r r r r r r r r r r r r r

Cited by 7 publications

References 0 publications

Dimensions of Community and Organizational Readiness for Change

Dimensions of Community and Organizational Readiness for Change

Integration in primary community care networks (PCCNs): examination of governance, clinical, marketing, financial, and information infrastructures in a national demonstration project in Taiwan

Progress along developmental tracks for electronic health records implementation in the United States

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