Informatics implementation in the Veterans Health Administration (VHA) healthcare system to improve quality of care.

Bradley Doebbeling, Thomas E. Vaughn, Kimberly D. McCoy, Peter Glassman

Research output: Contribution to journalArticle

10 Citations (Scopus)

Abstract

We describe VHA's information technology (IT) implementation from the providers' perspective, and identify factors influencing its effective implementation to improve care. We surveyed a stratified random national sample of 4227 clinicians from three VHA primary care provider groups: 1) physicians; 2) nurse practitioners, physician assistants; and 3) nurses. Facility-level IT support availability was rated across six dimensions: 1) access to literature/evidence, 2) computerized decision support, 3) computerized clinical data, 4) error reduction, 5) provider communication, and 6) patient communication. Factor analysis identified a 5-item scale (IT clinical support, á = 0.76). Generalized estimating equation models identified factors influencing IT clinical support. Complete data from 123 hospitals (1777 providers) were included. IT clinical support was higher in urban hospitals (p

Original languageEnglish (US)
Pages (from-to)204-208
Number of pages5
JournalAMIA ... Annual Symposium proceedings / AMIA Symposium. AMIA Symposium
StatePublished - 2006
Externally publishedYes

Fingerprint

Veterans Health
United States Department of Veterans Affairs
Informatics
Quality of Health Care
Technology
Delivery of Health Care
Communication
Physician Assistants
Nurse Practitioners
Urban Hospitals
Statistical Factor Analysis
Primary Health Care
Nurses
Physicians

ASJC Scopus subject areas

  • Medicine(all)

Cite this

@article{c3c43f31fc434797b8a1fd07ca19585c,
title = "Informatics implementation in the Veterans Health Administration (VHA) healthcare system to improve quality of care.",
abstract = "We describe VHA's information technology (IT) implementation from the providers' perspective, and identify factors influencing its effective implementation to improve care. We surveyed a stratified random national sample of 4227 clinicians from three VHA primary care provider groups: 1) physicians; 2) nurse practitioners, physician assistants; and 3) nurses. Facility-level IT support availability was rated across six dimensions: 1) access to literature/evidence, 2) computerized decision support, 3) computerized clinical data, 4) error reduction, 5) provider communication, and 6) patient communication. Factor analysis identified a 5-item scale (IT clinical support, {\'a} = 0.76). Generalized estimating equation models identified factors influencing IT clinical support. Complete data from 123 hospitals (1777 providers) were included. IT clinical support was higher in urban hospitals (p",
author = "Bradley Doebbeling and Vaughn, {Thomas E.} and McCoy, {Kimberly D.} and Peter Glassman",
year = "2006",
language = "English (US)",
pages = "204--208",
journal = "AMIA ... Annual Symposium proceedings / AMIA Symposium. AMIA Symposium",
issn = "1559-4076",
publisher = "American Medical Informatics Association",

}

TY - JOUR

T1 - Informatics implementation in the Veterans Health Administration (VHA) healthcare system to improve quality of care.

AU - Doebbeling, Bradley

AU - Vaughn, Thomas E.

AU - McCoy, Kimberly D.

AU - Glassman, Peter

PY - 2006

Y1 - 2006

N2 - We describe VHA's information technology (IT) implementation from the providers' perspective, and identify factors influencing its effective implementation to improve care. We surveyed a stratified random national sample of 4227 clinicians from three VHA primary care provider groups: 1) physicians; 2) nurse practitioners, physician assistants; and 3) nurses. Facility-level IT support availability was rated across six dimensions: 1) access to literature/evidence, 2) computerized decision support, 3) computerized clinical data, 4) error reduction, 5) provider communication, and 6) patient communication. Factor analysis identified a 5-item scale (IT clinical support, á = 0.76). Generalized estimating equation models identified factors influencing IT clinical support. Complete data from 123 hospitals (1777 providers) were included. IT clinical support was higher in urban hospitals (p

AB - We describe VHA's information technology (IT) implementation from the providers' perspective, and identify factors influencing its effective implementation to improve care. We surveyed a stratified random national sample of 4227 clinicians from three VHA primary care provider groups: 1) physicians; 2) nurse practitioners, physician assistants; and 3) nurses. Facility-level IT support availability was rated across six dimensions: 1) access to literature/evidence, 2) computerized decision support, 3) computerized clinical data, 4) error reduction, 5) provider communication, and 6) patient communication. Factor analysis identified a 5-item scale (IT clinical support, á = 0.76). Generalized estimating equation models identified factors influencing IT clinical support. Complete data from 123 hospitals (1777 providers) were included. IT clinical support was higher in urban hospitals (p

UR - http://www.scopus.com/inward/record.url?scp=34748866556&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=34748866556&partnerID=8YFLogxK

M3 - Article

C2 - 17238332

AN - SCOPUS:34748866556

SP - 204

EP - 208

JO - AMIA ... Annual Symposium proceedings / AMIA Symposium. AMIA Symposium

JF - AMIA ... Annual Symposium proceedings / AMIA Symposium. AMIA Symposium

SN - 1559-4076

ER -