IDEAS home Printed from https://ideas.repec.org/a/taf/thssxx/v3y2014i3p214-234.html
   My bibliography  Save this article

Organizational factors affecting implementation of the ATHENA-Hypertension clinical decision support system during the VA’s nation-wide information technology restructuring: a case study

Author

Listed:
  • Lauren M Aquino Shluzas
  • Ruth C Cronkite
  • Dallas Chambers
  • Brian B Hoffman
  • James Breeling
  • Mark A Musen
  • Douglas K Owens
  • Mary K Goldstein

Abstract

This case study documents organizational factors that affected implementation of the ATHENA-Hypertension (ATHENA-HTN) clinical decision support system (CDSS) at five medical centers within the U.S. Department of Veterans Affairs (VA). The ATHENA-HTN implementation occurred during a system-wide reorganization of the VA’s Office of Information & Technology (OI&T) to a centralized information technology (IT) system with heightened security. Guided by a logic-model framework, we used template analysis and grounded methods to identify barriers and enablers to the ATHENA-HTN implementation process. Implementation barriers included limited autonomy within a centralized reporting structure, permissions issues for remote computer access, and uncertainty regarding standardized procedures. Strategies to overcome these barriers included garnering support from clinical and IT leadership, validating data with physicians at local medical centers, and establishing IT communication channels. The findings from this study provide insights for the implementation of CDSS within integrated healthcare networks, particularly during periods of IT restructuring and organizational change.

Suggested Citation

  • Lauren M Aquino Shluzas & Ruth C Cronkite & Dallas Chambers & Brian B Hoffman & James Breeling & Mark A Musen & Douglas K Owens & Mary K Goldstein, 2014. "Organizational factors affecting implementation of the ATHENA-Hypertension clinical decision support system during the VA’s nation-wide information technology restructuring: a case study," Health Systems, Taylor & Francis Journals, vol. 3(3), pages 214-234, November.
    • Handle: RePEc:taf:thssxx:v:3:y:2014:i:3:p:214-234
    DOI: 10.1057/hs.2014.5
    as

    Download full text from publisher

    File URL: http://hdl.handle.net/10.1057/hs.2014.5
    Download Restriction: Access to full text is restricted to subscribers.
    File URL: https://libkey.io/10.1057/hs.2014.5?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    As the access to this document is restricted, you may want to search for a different version of it.

    More about this item

    Statistics

    Access and download statistics

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:taf:thssxx:v:3:y:2014:i:3:p:214-234. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    We have no bibliographic references for this item. You can help adding them by using this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: Chris Longhurst (email available below). General contact details of provider: http://www.tandfonline.com/thss .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.