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Stage Your eHealth Implementation: Strategies for Success

Discover systematic approaches to ensure lasting impact of eHealth interventions. Learn key practices and challenges in eHealth implementation. Gain insights from experts at the ImpleMentAll Midterm Workshop. Develop practical solutions to make your eHealth project stick in real-world settings.

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Stage Your eHealth Implementation: Strategies for Success

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  1. The Science and Practice of Implementation – Pathways to make your eHealth intervention stick Bianca Albers European Implementation Collaborative Centre for Evidence and Implementation ImpleMentAll Midterm Workshop 10th October 2018

  2. Practice Implementation = Systematic and active efforts to enhance and improve the integration of evidence in practice or policy Intermediary Policy Science Positive Outcome Effective Interventions Effective Implementation Enabling Contexts = ✖️ ✖️ ImpleMentAll – G.A. 733025 Midterm Workshop Odense, 10 October 2018

  3. Key Messages ImpleMentAll – G.A. 733025 Midterm Workshop Odense, 10 October 2018

  4. Stage your eHealth implementation Albers et al., 2017 ImpleMentAll – G.A. 733025 Midterm Workshop Odense, 10 October 2018

  5. The eHealthreality ImpleMentAll – G.A. 733025 Midterm Workshop Odense, 10 October 2018

  6. Check first: Are you really ready? R=MC2 Scaccia et al., 2016

  7. The eHealth situation • Core readiness: Ability to identify needs / gaps and solutions • Engagement / buy-in readiness: Ability to engage all relevant stakeholders • Technological readiness: an organisation’s ability to meet technological requirements • IT skills readiness: Ability to train and learn • 63 papers included • “… a myriad of constructs/readiness assessment factors …“ • „… lack of reliable measuring tools for even the most commonly used constructs …“

  8. Lead your eHealth implementation • Proactive • Develop plan, remove obstacles, establish standards • Knowledgeable • Knowing the intervention = ability to represent, present, discuss it • Supportive • Recognising / appreciating / supporting efforts to learn and do • Perseverant • Carry on, continue, address problems, remove barriers Aarons et al., 2016; Ehrhart et al., 2018 ImpleMentAll – G.A. 733025 Midterm Workshop Odense, 10 October 2018

  9. The eHealth situation • Communicate clear vision / goals • Provide leadership support • Establish a governance structure • Establish training • Identify and appoint champions • Address work process change • Continuously follow up ImpleMentAll – G.A. 733025 Midterm Workshop Odense, 10 October 2018

  10. Measure, monitor, assess …. Feedback cycle based governance P-D-S-A ImpleMentAll – G.A. 733025 Midterm Workshop Odense, 10 October 2018

  11. The eHealth situation • „ ... eHealth interventions appear and change so quickly that they challenge the way we conduct research. By the time a randomized trial of a new intervention is published, technological improvements and clinical discoveries may make the intervention dated and unappealing. …” • „ ... Perhaps eHealth researchers need to think more like engineers, who tend to use the continuous improvement principle whereby every product is in a sense a beta version, that is, always the target of improvement and refinement...“ Baker et al., 2014 ImpleMentAll – G.A. 733025 Midterm Workshop Odense, 10 October 2018

  12. You’re in it for the long haul! ImpleMentAll – G.A. 733025 Midterm Workshop Odense, 10 October 2018

  13. eHealth – a „new era“? • Granja et al. (2018) • Most mentioned success factor = Quality of healthcare (N=55) • Most mentioned failure factor = Costs (N=42) • Key requirement = work flow. Barriers: • Work load • Role definition • Undermining face-to-face communication • Workflow disruption • Alignment w/ clinical processes • Staff turnover ImpleMentAll – G.A. 733025 Midterm Workshop Odense, 10 October 2018

  14. EHealth Implementation Challenges • How do map and understand the specific contextual factors characterising eHealth (e.g. self-management) • How to enable rapid learning - before new technologies are obsolete? • How to establish a culture of strong user and patient involvement? • How to practically / pragmatically measure the use of eHealth interventions in real world services? • How to build our knowledge about some of the so far ‘neglected’ implementation outcomes (e.g. costs, sustainability) ImpleMentAll – G.A. 733025 Midterm Workshop Odense, 10 October 2018

  15. So ….. ImpleMentAll – G.A. 733025 Midterm Workshop Odense, 10 October 2018

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