What is a FHIR accelerator and what factors influence its’ implementation? - A qualitative exploration using the CFIR-ERIC approach (Preprint)
Опубликована: Сен. 12, 2024
BACKGROUND
The
Fast
Healthcare
Interoperability
Resources
(FHIR)
standard
has
emerged
as
the
global
interoperability
for
health
information
exchange.
However,
uptake
and
implementation
of
FHIR
standards
requires
work.
To
speed
up
process
adoption,
various
accelerator
groups
have
been
formed.
accelerators
like
Sparked
program
in
Australia
enable
communities
collaborative
to
develop
high-quality
healthcare
limited
research
exists
on
development,
delivery,
programs.
OBJECTIVE
This
study
sought
uses
qualitative
methods
identify
key
components
accelerator,
what
factors
influence
implementation,
which
strategies
may
help
enhance
its
delivery.
METHODS
Semi-structured
interviews
were
conducted
with
stakeholders
early
stage
program.
intervention
described
using
a
standardized
reporting
checklist
(TIDieR).
Consolidated
Framework
Implementation
Research
(CFIR
2.0)
was
used
analyze
influencing
(enablers
barriers).
Based
cumulative
majority
analysis,
top-most
mentioned
identified.
These
then
mapped
Expert
Recommendations
Implementing
Change
(ERIC)
tool
enhancing
RESULTS
A
total
17
participants
interviewed,
including
leads,
co-chairs,
representatives
software
industry
implementers,
clinicians,
consumers.
Eight
CFIR
identified:
engaging,
innovation
design,
assessing
needs,
local
conditions,
access
knowledge
&
information,
partnerships
connections,
capability,
work
infrastructure.
After
mapping
top
ERIC
tool,
six
strategy
clusters
adapt
tailor
context,
stakeholder
interrelations,
support
participants,
train
educate
stakeholders,
use
evaluative
iterative
strategies.
CONCLUSIONS
enabled
us
define
core
understand
strongest
implementation.
Using
CFIR-ERIC
approach
allowed
generate
expert-informed
recommendations
improving
Sparked.
Our
offers
systematic
evaluating
provides
valuable
insights
decision-makers
implementers.
CLINICALTRIAL
N/A
Язык: Английский
Identifying and optimizing factors influencing the implementation of a FHIR accelerator: a qualitative exploration using the CFIR-ERIC approach (Preprint)
JMIR Medical Informatics,
Год журнала:
2024,
Номер
unknown
Опубликована: Сен. 12, 2024
Язык: Английский