What Makes for Successful Registry Implementation: A Qualitative Comparative Analysis

Holtrop, Jodi Summers; Hall, Tristen; Rubinson, Claude; Dickinson, L. Miriam; Glasgow, Russell E.

doi:10.3122/jabfm.2017.05.170096

Cited by 12 publications

(15 citation statements)

References 16 publications

(22 reference statements)

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“…Two particular considerations related to this were the extent to which service user or patient-centered quality monitoring outcomes were used (e.g., satisfaction with integrated care implementation) and the role of patient registries or electronic health records to facilitate integrated care implementation or sustainment. A recent qualitative study has highlighted the requisite conditions of successful implementation of patient registries [60]. These conditions include an emphasis/interest in continuous quality improvement (QI mindset), sufficient resources to develop/maintain the registry, leadership support and key personnel who directly facilitated registry implementation, and whether a practice was part of a large health system.…”

Section: Discussionmentioning

confidence: 99%

Comparative case studies in integrated care implementation from across the globe: a quest for action

Stadnick

Sadler

Sandall

et al. 2019

BMC Health Serv Res

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BackgroundIntegrated care is the coordination of general and behavioral health and is a highly promising and practical approach to improving healthcare delivery and patient outcomes. While there is growing interest and investment in integrated care implementation internationally, there are no formal guidelines for integrated care implementation applicable to diverse healthcare systems. Furthermore, there is a complex interplay of factors at multiple levels of influence that are necessary for successful implementation of integrated care in health systems.MethodsGuided by the Exploration, Preparation, Implementation, Sustainment (EPIS) framework (Aarons et al., 2011), a multiple case study design was used to address two research objectives: 1) To highlight current integrated care implementation efforts through seven international case studies that target a range of healthcare systems, patient populations and implementation strategies and outcomes, and 2) To synthesize the shared and unique challenges and successes across studies using the EPIS framework.ResultsThe seven reported case studies represent integrated care implementation efforts from five countries and continents (United States, United Kingdom, Vietnam, Israel, and Nigeria), target a range of clinical populations and care settings, and span all phases of the EPIS framework. Qualitative synthesis of these case studies illuminated common outer context, inner context, bridging and innovation factors that were key drivers of implementation.ConclusionsWe propose an agenda that outlines priority goals and related strategies to advance integrated care implementation research. These goals relate to: 1) the role of funding at multiple levels of implementation, 2) meaningful collaboration with stakeholders across phases of implementation and 3) clear communication to stakeholders about integrated care implementation.Trial registrationNot applicable.

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Section: Discussionmentioning

confidence: 99%

Comparative case studies in integrated care implementation from across the globe: a quest for action

Stadnick

Sadler

Sandall

et al. 2019

BMC Health Serv Res

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“…The research team determined that incorporating elements of thematic analysis, discourse analysis and qualitative comparison analysis would yield rich data insights (Greenhalgh and Swinglehurst, 2011), while demonstrating perceptions of data and HIT system use in normal primary care practice (Shaw and Bailey, 2009) in a cross-case context (Khan and VanWynsberghe, 2008; Holtrop et al , 2017). Hence, the coded interview data from the seven open codes were first analyzed thematically (identification of key themes) to examine how respondents spoke about data use and their HIT system.…”

Section: Methodsmentioning

confidence: 99%

Data and HIT systems in primary care settings: an analysis of perceptions and use

Arabadjis

Sullivan

2020

JHOM

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PurposeElectronic Health Records (EHRs) and other Health Information Technologies (HITs) pose significant challenges for clinicians, administrators and managers in the field of primary care. While there is an abundance of literature on the challenges of HIT systems in primary care, there are also practices where HITs are well-integrated and useful for care delivery. This study aims to (1) understand how exemplary primary care practices conceptualized data and HIT system use in their care delivery and (2) describe components that support and promote data and HIT system use in care delivery.Design/methodology/approachThis paper is a sub-analysis of a larger qualitative data set on exemplary primary care in which data was collected using in-depth interviews, observations, field notes and primary source documents from week-long site visits at each organization. Using a combination of qualitative analysis methods including elements of thematic analysis, discourse analysis, and qualitative comparison analysis, we examined HIT-related data across six exemplary primary care organizations.FindingsThree key components were identified that underlie engagement with data and HIT systems: data audience identification, defined data purpose and structures for participation in both data design and maintenance.Originality/valueWithin the context of primary care, these findings have implications for effective integration of HIT systems into primary care delivery.

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“…19 The method has been applied to many contexts, including evaluating program effectiveness 20 and identifying key conditions for successful implementation in health settings. 21…”

Section: Methodsmentioning

confidence: 99%

Prioritizing Equity: Exploring Conditions Impacting Community Coalition Efforts

Domlyn

Coleman

2019

Health Equity

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Purpose: There is a critical push toward addressing equity in health care. Community coalitions are uniquely situated to heed this call by tackling issues of equity and well-being that are the most relevant for their local context. This article analyzes internal and external contextual factors that may affect coalitions' prioritization of equity. Methods: Data were collected from 18 coalitions participating in a national, U.S.-based initiative aimed at strengthening community coalition work through the principles of equity and inclusion. A hybrid qualitative–quantitative method (qualitative comparative analysis [QCA]) was conducted using the direct method of calibration and fuzzy set QCA and to obtain casual sufficiency results. Results: Coalitions located in states that did not expand Medicaid after the Affordable Care Act were most likely to prioritize equity, as were coalitions who were both working with marginalized populations and had low organizational readiness for the initiative. However, only one case demonstrated the latter causal solution; the former accounts for greater coverage of the outcome. Conclusion: This study illustrates the use of QCA for evaluation and underscores the critical role of contextual factors for affecting meaningful community-level change. Coalitions are willing and able to prioritize tackling health inequities across settings, but those in settings with low state-level support may be more likely to emphasize inequities in their work.

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What Makes for Successful Registry Implementation: A Qualitative Comparative Analysis

Cited by 12 publications

References 16 publications

Comparative case studies in integrated care implementation from across the globe: a quest for action

Comparative case studies in integrated care implementation from across the globe: a quest for action

Data and HIT systems in primary care settings: an analysis of perceptions and use

Prioritizing Equity: Exploring Conditions Impacting Community Coalition Efforts

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