The clinical adoption meta-model: a temporal meta-model describing the clinical adoption of health information systems

Price, Morgan; Lau, Francis

doi:10.1186/1472-6947-14-43

Cited by 45 publications

(37 citation statements)

References 36 publications

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“…The last of the four best papers from Meeks and colleagues [14] analyzed EHR-related patient safety concerns and reminds us on this old truth. Although not able to solve this problem, one candidate paper by Price and Lau proposes a very interesting meta-model to at least help describing processes and possible challenges in clinical adoption of health information systems over time [15]. Also not a solution for the problem, but a very interesting compilation of systematically collected barriers and critical success factors for CIS in integrated care settings is presented in the this year's CIS survey by Hoerbst and Schweitzer [16].…”

Section: Findings and Trends: Clinical Information Systems 2014mentioning

confidence: 99%

Findings from the Clinical Information Systems Perspective

Ganslandt

Hackl

2015

Yearb Med Inform

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Objective: To summarize recent research and to propose a selection of best papers published in 2014 in the field of Clinical Information Systems (CIS). Method: A query with search terms from the Medical Subject Headings (MeSH) catalog as well as additional free text search terms was designed to identify relevant publications in the field of clinical information systems from PubMed and Web of Science®. The retrieved articles were then categorized in a multi-pass review carried out separately by the section editors. The final selection of 15 candidate papers was then peerreviewed by Yearbook editors and external reviewers. Based on the review results the four best papers were then selected at the best papers selection meeting with the IMIA Yearbook editorial board. Results: The query was carried out in mid-January 2015, yielding a combined result set of 1525 articles which were published in 722 different journals. Among these articles two main thematic sections were identified: i) Interoperability from a syntactical and semantic point of view as well as from a longterm preservation and organizational/legal point of view and ii) secondary use of existing health data in all its shades. Here, patient safety was a major scope of application. Conclusions: CIS have become mature over the last years. The focus has now moved beyond data acquisition for just supporting the local care workflows. Actual research efforts in the CIS domain comprise the breakdown of information silos, the reduction of barriers between different systems of different care providers and secondary use of accumulated health data for multiple purposes.

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Section: Findings and Trends: Clinical Information Systems 2014mentioning

confidence: 99%

Findings from the Clinical Information Systems Perspective

Ganslandt

Hackl

2015

Yearb Med Inform

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“…We will use the clinical adoption meta-model (CAMM)54 as a framework to organise and make sense of the umbrella review findings. The CAMM is a maturity model used to understand, describe and explain the introduction, use and effects of eHealth systems over time.…”

Section: Review Methodologymentioning

confidence: 99%

“…Fourth, we will apply the CERQual criteria to determine the confidence in the evidence synthesised from aggregative reviews that include qualitative primary studies. Fifth, we will apply the CAMM54 to organise and make sense of the umbrella review findings.…”

Section: Review Methodologymentioning

confidence: 99%

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Synthesising evidence on patient portals: a protocol for an umbrella review

2019

Self Cite

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IntroductionOver the last two decades, patient portals have emerged as a noticeable eHealth strategy. To date, research on patient portals has been rapidly increasing. Our umbrella review aims to provide a meta-level synthesis to make sense of the evidence on patient portals from published systematic reviews (SRs).MethodsWe will employ a modified version of the Joanna Briggs Institute umbrella review method. The search strategy encompasses multiple databases. The inclusion criterion is specific to SRs focused on patient portal. Patients or public were not involved in this work.AnalysisTwo researchers will independently screen titles/abstracts and then full-text articles against the inclusion/exclusion criteria. Methodological quality of included reviews will be assessed and data will be extracted from the final selection of reviews. These reviews will be categorised into quantitative, qualitative and/or mixed-synthesis groups based on information about the design of primary studies provided in the reviews. Correspondingly, we will create quantitative, qualitative and/or mixed-synthesis Excel data-extraction tables. Within each table, data will be extracted with the reference to primary studies as reported in the reviews, and will be synthesised into themes and then a smaller number of findings/outcomes. Modified Grading of Recommendations Assessment, Development and Evaluation (GRADE) and Confidence in the Evidence from Reviews of Qualitative research (CERQual) tools will be applied to assess the strength of evidence at the level of each finding/outcome. The output of our umbrella review will consist of summary of findings tables and evidence profile tables. A narrative meta-level synthesis will be provided. We will use the clinical adoption meta-model as an organising framework.Ethics and disseminationAs an outcome of this review, we will create a guidance and roadmap to be used in a future Delphi study to gather feedback from Canadian eHealth stakeholders. We will also present at conferences and publish the final report. The umbrella review does not require ethical approval.PROSPERO registration numberCRD42018096657.

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“…To complement the dimensions, the TBPCC framework includes an adoption model ( Fig. 2), adapted from the Clinical Adoption Meta Model (27). This encourages thinking on the evolution of indicators over time from measuring baseline and early intention to change through to observable behaviour changes to longterm outcomes.…”

Section: The Tbpcc Evaluation Frameworkmentioning

confidence: 99%

A Review and Synthesis of TBPCC Evaluation in Canada: Looking Beyond the Quadruple Aim

Fletcher

Bellwood

Hill

et al. 2020

Preprint

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Background The objectives of this article are: 1. To synthesize peer-reviewed evidence on the outcomes of team-based primary and community care (TBPCC) in Canada on Patient and Provider Experience, Population Health, and Health Care Costs (Quadruple Aim); 2. To introduce the TBPCC Evaluation Framework; and 3. To extend the critical interpretive synthesis to include the additional four domains from the TBPCC Evaluation Framework (i.e., Relationship Centred Care, Care Process and Quality, Team Function and TBC Foundations). Methods We conducted a review of the following databases: Medline (OVID and PubMed), CINAHL, Embase, SportDiscus, and PsycINFO as well as an advanced search with Google Scholar (Title only) with the words “Canada AND primary AND team”. Review concepts included: population (patients), intervention (team-based primary health care), comparator (usual care, single practitioner delivery mode), outcome (patient and provider experience, population health, and health care costs), time (2000-present), and type (randomized controlled trials, controlled trials, quasi-experimental designs, and implementation studies/evaluations). We excluded reviews, opinion papers, laboratory-based studies, and studies based outside of Canada. Results Forty-five publications met our inclusion criteria with the majority of these (34) from Central Canada. Results were initially mapped to the domains of the Quadruple Aim, with 51% (23/45) aligning. The additional domains from the TBPCC Evaluation Framework (Team Function, Relationship Centred Care, Care Process and Quality and Team-Based Care Foundations) and the Team-Based Care (TBC) Adoption Model were integrated into the synthesis. 100% of the included articles reported outcomes that aligned with the TBPCC Evaluation Framework. Conclusion Across Canada, the value of relationships, shared understanding, communication, and coordination across teams are highlighted as is the potential of TBC to result in improvements in patient and provider experience, team function, and the quality of care. By encouraging a focus on formative as well as summative evaluation, the TBPCC Evaluation Framework provides a comprehensive approach to assessing the evidence needed to support actionable improvements for TBPCC in Canada. Trial Registration To identify peer-reviewed literature, we followed standard review methodology and reporting guidelines as established by PRISMA. We registered our review on PROSPERO (2018 CRD42018091086).

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The clinical adoption meta-model: a temporal meta-model describing the clinical adoption of health information systems

Cited by 45 publications

References 36 publications

Findings from the Clinical Information Systems Perspective

Findings from the Clinical Information Systems Perspective

Synthesising evidence on patient portals: a protocol for an umbrella review

A Review and Synthesis of TBPCC Evaluation in Canada: Looking Beyond the Quadruple Aim

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