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Has direct to consumer advertising improved patient care?

Has direct to consumer advertising improved patient care? | healthcare technology | Scoop.it
Without a doctor’s recommendation, how could people know if the medication was appropriate or safe?

 

Can anyone remember life before Direct-to-Consumer (DTC) advertising with its notorious “Ask Your Doctor” ads? The only thing laypeople knew about prescription drugs came from the ads they peeked at in the Journal of the American Medical Association (JAMA) in the doctor’s waiting room.

 

The ads were full of vaguely ominous terms—nulligravida? hemodialysis?—as well as side effects and overdose treatments that no one understood or wanted to understand. But one night in 1997, as Americans watched an episode of Touched by an Angel on television, they were touched by something else unexpected: an ad for a prescription allergy pill called Claritin®, promoted directly to the consumer!

Prescription drugs had never been sold directly to the public before, because, without a doctor’s recommendation, how could people know if the medication was appropriate or safe?

 

Soon after Claritin, ads for Xenical®, Meridia®, Propecia®, Paxil®, Prozac®, Vioxx®, Viagra®, Singulair®, Nasonex®, Allegra®, Flonase®, Pravachol®, Zyrtec®, Zocor®, Flovent®, and Lipitor® appeared. And, thanks to the World Wide Web, which appeared at the same time as DTC advertising, the world of diseases and prescription drugs was soon open to anyone who could operate a mouse.

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EMRs: Worth the Pain?

EMRs: Worth the Pain? | healthcare technology | Scoop.it

Maryland providers are faced with the difficult task of selecting and implementing electronic medical records (EMRs) to improve and engage patients in their overall care. A large percentage of providers continue to operate with paper charts, which are neither efficient nor safe.

 

With the various government incentives available to encourage adoption of electronic records, medical professionals understand the advantages and care improvements that EMRs supply, although most are unequipped to adjust to the inevitable hurdle of a significant practice workflow transformation. Implementation of an EMR can be a challenge at first; however it is well worth the investment in the end.

 

A practice’s return on investment (ROI) depends upon choosing a solution that is a fit for the practice. To ease the difficult selection process, Maryland’s Health Information Exchange (HIE) provides support and recommendations for a select number of EMR vendors.

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Telemedicine and malpractice, what you need to know

Recently, an Atlanta attorney began advertising his services as plaintiffs’ counsel in claims arising from telemedicine services.

 

At his website, he pointed to the dramatic growth in the number of telemedicine sessions in Georgia. He claimed that some patients might be “victim[s] of … telemedicine mistake[s],” and that such patients should “understand [their] rights.”

 

The author suggested that “patients may be less secure in their diagnoses or follow-up treatment. They may be concerned that a doctor will make a mistake that could have been avoided if the doctor and patient had met in person.”

 

The author even offers a free book entitled “Why Did This Critical Medical Error Happen to Me?” The site makes no effort to demonstrate that any practitioner offering services at a distance actually breached the standard of care, or even made a “telemedicine mistake,” that any patient failed to “understand his rights,” or came to harm as a result, that any such harm “could have been avoided if the doctor and patient had met in person” or that any court has actually entered judgment against a telemedicine clinician.

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Should Every Health IT System Support Interoperability?

Hospital EMR and EHR, Should Every Health IT System Support Interoperability?

 

It’s unfortunate in today’s environment that we still have a “versus” in the equation. There are some systems that fall under “best of breed” and/or “integrated” and do a pretty good job at supporting interoperability. But, there remains some that rely on proprietary data models and archaic interfaces as part of their revenue stream. Hopefully as more and more emphasis is associated with clinic value derived from data exchange/sharing the “dinosaurs” will be eventually phased out

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Using Social Media to Market and Brand Your Medical Practice

Using Social Media to Market and Brand Your Medical Practice | healthcare technology | Scoop.it

As the Internet has become the medium of choice for researching health information, social media has become an important part of how your medical practice gets found online. In today’s social media-connected, content marketing rich environment, doctors who are not using social media as part of their marketing strategy are missing out. This article will give you an overview of why and how you should brand and market your practice online, along with examples of those physicians who are leading the way with social media marketing.

 

But first, what exactly does “branding” mean?

 

Branding aims to establish a significant and differentiated presence in the market that attracts and retains loyal customers. (Business Dictionary.com)

 

There are many elements which make your brand more readily identifiable, ranging from tangibles like your logo, tagline and promotional materials to the more intangible - how telephone calls are answered in your practice and how you are perceived by your patients. Doctors position themselves in the healthcare market by speciality, but also by the quality of their work, their reputation, and as an acknowledged expert on specific medical conditions.

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Advocates Criticize AHA's Stance on Patient Access to Health Data

Advocates Criticize AHA's Stance on Patient Access to Health Data | healthcare technology | Scoop.it
Patient advocates have criticized the American Hospital Association for recommending that CMS loosen its proposed patient access requirements for Stage 2 of the meaningful use program, Health Data Management reports (Goedert, Health Data Management, 5/2).


Under the 2009 federal economic stimulus package, health care providers who demonstrate meaningful use of certified electronic health record systems can qualify for Medicaid and Medicare incentive payments.

 

 

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5 tips for running a successful social media plan on a non-profit budget

5 tips for running a successful social media plan on a non-profit budget | healthcare technology | Scoop.it

Learn how to create a plan and build upon connections in your social media efforts.

 

1. Go in with a plan: One of the biggest mistakes non-profits make with social media is assuming that it's free, so they should just jump right in. Conducting some online listening in your space can help you identify influencers online, where they are located and what they are saying to allow for better connections.

 

2. Work with what you've got: Is your communications team already managing some online assets? Can you direct traffic to them if you start up new social media channels? What are you doing on the traditional side that could be used online? Remember that social media is about starting a dialogue and you have been talking with your constituents for years already, so use that to your advantage.

 

3. Make a schedule: One of the worst things you can do is overload your social media outreach the first month you are engaged only to do nothing the next two months. It is important to engage with your base on an ongoing basis, rather than push out a large amount of content periodically. Making sure you have a planned engagement calendar mapped out for a year can save you heartache and money down the line.

 

4. Forge connections: You are not out there alone. There is likely a world of people who are already engaged with the cause and share your concerns. Connect with them and leverage the assets they have to help promote it.

 

5. Track your progress: Oftentimes, social media programs are deemed a waste of money and dropped because of the failure to track assets, share of voice, engagement, registration numbers and other data before a campaign versus after a campaign. Forgetting to keep a record of this data can make even the greatest social media program look lackluster. Evaluating your program is, of course, part of Public Relations 101, and social media is no different.

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6 must-haves for effective customer support in health IT

There's no denying that customer service is a key driver of success in any business. And when it comes to health IT, strong customer support is that much more important to successfully implement tools aimed at improving patient care and reducing costs.

 

Sonal Patel, vice president of client services at Corepoint Health and Cathy Wickern, system analyst at Washington-based Highline Medical Center, outline six must-haves for effective customer support in health IT.

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Establish Your Social Media Risk Quotient

Establish Your Social Media Risk Quotient | healthcare technology | Scoop.it
There is an odd balancing act when it comes to risk tolerance at pharmaceutical companies. On the one hand, the industry is incredibly risk averse. Whether it’s because of the heavy regulations, steep consequences or the overall culture, most pharma companies avoid and mitigate risk at all costs. On the other hand, the pharmaceutical industry is based on a series of large bets in the clinical research pipeline. These are bets that would make any poker shark fold without hesitation.

 

It is this balancing act that contributes to some of the difficulties in getting pharmaceutical social media programs off the ground. Many companies lack a solid grasp of exactly what their risk quotient is when it comes to social media. And to complicate matters, a successful social media strategy needs to incorporate stakeholders from several functional areas including: legal, regulatory, safety, IT, marketing and PR. It’s likely that your legal team is going to have a different tolerance for risk than your marketing team.
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Physicians Leveraging Social Media to Educate Patients

Social media sites are not just a healthcare marketing or recruitment tool.

 

Many physicians are still hesitant about using social media in their professional lives. Concerns range from time commitment, liability, patient privacy, and unfamiliarity with the technology, to the appropriateness of social media interactions in a professional setting.

 

According to a study by QuantiaMD, 87% of physicians use at least one social media site for personal use, but only 67% use at least one social ­media site professionally. Of those physicians who use social media professionally, the plurality (28%) are participating in physician communities.

 

When it comes to sites that ­encourage patient-physician interaction, the percentage of physicians on those sites drops significantly. For example, only 15% of physicians are on Facebook professionally, 8% use YouTube, 8% read blogs, 3% use Twitter, and 3% are involved in patient communities.

 

But physicians should know that social media sites are not just a healthcare marketing or recruitment tool. They can also help educate and engage patients—and physicians play a vital role in those conversations.

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Healthcare Social Media Study Shows Enormous Opportunity for Companies

Social media is drastically changing the way people operate in the healthcare space.

 

Here’s what’s really alarming: There is a huge discrepancy between the amount of time that consumers and health seekers are spending online compared to the miniscule amount of social media activity coming from hospitals, health insurers and pharmaceutical companies.

 

According to a 2011 study by the nonprofit research firm Pew Internet & American Life Project, the third biggest use for the Internet — just behind a general search and checking your email — is searching for online health information.

 

Now, a new report by the Health Research Institute (HRI) at PwC US called Social media likes healthcare: From marketing to social business says that healthcare companies are launching social media sites (eight in 10 healthcare corporations have at least one social entity), but that community sites have a whopping 24 times more social media activity than corporate sites.

 

This gap represents a huge opportunity. For over four years, Spiral16 has been helping healthcare brands, facilities, and health providers understand where and how to implement their social media strategies. Before you can direct your efforts, you must listen and gather online research that will inform your strategy and help you efficiently communicate with health seekers. Here’s a slidedeck about Social Media Listening and Strategy for Healthcare:

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8 Social Media Tips for Physicians

Develop a social media policy. This is true for all institutions no matter their size—even a small mom-and-pop clinical ­practice with one provider needs to have a social media policy. Remember, your employees will be on social media, and unless you have policy for behavior, you can't define how they are going to engage

 

Be clear that the thoughts and views expressed are yours and not the hospital's or group practice's.

 

Stay professional. A good rule to follow is that the same conversations you can have in a public elevator or Starbucks, you can have online.

 

Something that you would not do in ­public—such as using unflattering language or discussing personal patient information—shouldn't be done online either.

 

Determine what level of personal information you want to share. Dana Lewis's advice for doctors is if they state on their physician profile that they enjoy skiing and ­hiking with their family, it is fine to post a picture of them ­hiking or talking about that. That type of information can make ­doctors more approachable, says Lewis, interactive ­marketing specialist for Swedish Medical Center. But it's up to ­physicians to figure out what they are ­comfortable with.

 

Start small. Physicians who are interested in social media should start with Twitter, suggests Timimi. "There is utility in claiming your Twitter username—names are not recycled—and it should be suitable across multiple platforms, so I'd use the same name across LinkedIn and Facebook, and then decide whom you want to engage with and engage."

 

All content doesn't have to be created and posted on the same day. A lot of content is still relevant months later, so bring it back up, says Lewis. "If you do anything like live stream videos, definitely package your efforts and show them off because they are still great resources after they happen."

 

Be cautious of how you use Facebook. "A practice or department can have a Facebook page, but if a physician has one, they should be cautious about friending patients," says Timimi, explaining that there are always tags that occur that extend beyond the physicians themselves.

 

Putting a "like me on Facebook" or "follow me on Twitter" icon on a Web page is not social media, Timimi says. "If your goal is truly engaging consumers to improve healthcare and achieve brand recognition for your institution, there has to be more conversation than that."

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FDA Looking Into Use of Technology Tools To Help People Self-Diagnose, Obtain Medications

FDA is considering whether consumers should be able to use online questionnaires, patient kiosks or other technologies to conduct self-screenings and obtain certain medications that currently require prescriptions


Experts say such technology could allow FDA to make certain drugs used to treat conditions such as high blood pressure, high cholesterol, asthma and migraines available over-the-counter

 

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Can Digital Health Technologies Improve Health Literacy?

Can Digital Health Technologies Improve Health Literacy? | healthcare technology | Scoop.it

A recent article in the AMA News cites a 2003 health literacy study by the US Department of Education which surveyed more than 19,000 Americans. It found that over one-third had trouble reading and understanding basic medical information.

 

Not surprisingly, people with low health literacy have worse medical outcomes, make more medication errors, have lower adherence to regimens, and are 50% more likely to be hospitalized (National Patient Safety Council).

 

The worst part is that 75% of health illiterate patients will not tell their physicians about it. The biggest issues I see with health literacy are that patients are intimidated to discuss their low health literacy with the provider and to challenge care recommendations (which is not usually in a shared decision context), physicians do not speak in lay terms, and do not have enough time for ample, free-flowing discussions.

 

In addition, low health literacy is not appreciated by providers and therefore the problem is a self-fulfilling one.

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Inspire to Engage: Innovative Ideas for Global Patient Recruitment

Inspire to Engage: Innovative Ideas for Global Patient Recruitment | healthcare technology | Scoop.it
If you live in a world where clinical research and marketing communications collide, you hear the word “engagement” thrown around a lot. Often followed by a grimace (especially when it comes to social media). As an industry, we need to move beyond the notion that engaging with patients is just trouble waiting to happen. Start to think of engagement in its purest form: the art of capturing and occupying someone’s attention.

 

Check out some “inspiration” sites that keep me engaged for hours. Look beyond just the content (which hopefully you’ll find interesting) and begin to ask yourself “Why do these sites work?” Sometimes, simpler is better!

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The Problem With Social Media and Healthcare Marketing

Yes, you can market, communicate, and build community with patients and their loved ones using social media.

 

The problem, however, is that the center and circumference of online media are predicated on peer-to-peer connectivity.

 

If Healthcare marketers and communicators break that geometry then brands tarnish, returns vanish, and frustration levels creep.

 

I”ve talked with all sorts of organizations – I’ve even been asked to interview for Healthcare digital media positions in last couple of years (companies are starting to create these sorts of positions).

 

These are good organizations with smart and kind people running them.

 

A common temptation I sense in many of Healthcare organizations, however, is to go the “safe” route – the well-known, tried-and-true practices of 20th Century Marketing.

 

But playing “safe” that way is actually playing with fire.

 

The concentric and overlapping circles of peer-to-peer connectivity are like rings of fire.

 

If you want to “play it safe” in Healthcare marketing, public relations, and general communications, you will eventually get burned when you jump into to the rings of fire without fully mastering – and realizing – the prowess of the supple musculature and passion demanded of 21st Century pressures.

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Six Steps to Boost Productivity by 30 Percent at Your Medical Practice

What if your current staff could actually get all of their work done, you could see 30 percent more patients, or you could get home in time for dinner? How happy would patients be if wait time decreased?

 

The rule of thumb is that 30 percent of the activity in any type of office is wasted. My experience is that the percentage is even higher in a medical office. The more useless labor you can eliminate, the bigger the increase in productivity and the fewer mistakes. A careful review of some or all of the processes in a medical office can generally be expected to yield productivity gains of at least 30 percent in the areas addressed.

 

All work, productive and non-productive, is part of a process. Identifying and eliminating the wasted work in a particular process is a project with specific steps. Staff, even those not directly involved in the process, must be included in the project. Their knowledge of what is really happening is invaluable, and their buy-in promotes sustained change.

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E-Prescriptions Reduce Errors, but Their Adoption Is Slow

E-Prescriptions Reduce Errors, but Their Adoption Is Slow | healthcare technology | Scoop.it

Studies show that errors are much less likely when doctors send prescriptions to the pharmacy via computer. But the move to such e-prescriptions has been relatively slow.

 

AS e-mail and texting have become our favored means of written communication, handwriting has almost disappeared. Penmanship is becoming a modern form of hieroglyphics, intelligible only to literary scholars.

 

But one place where handwriting persists is on medical prescriptions, and that’s unfortunate. Sloppy writing or inappropriate directions can lead to what doctors delicately refer to as preventable A.D.E.’s, or adverse drug events. These can encompass minor but still avoidable problems, like rashes or diarrhea, and much more serious events like, well, death.

 

Studies show that errors are much less likely if a doctor clicks to select medications from an onscreen list and sends the prescription data via computer to the pharmacy. Rainu Kaushal, a professor of medical informatics at Weill Cornell Medical College, led a study published in 2010 in which she and four colleagues followed prescriptions issued by a sample of providers in outpatient settings in New York. (Providers included physicians, physician assistants and nurse practitioners.) Some were prescribing electronically for the first time, and some continued to use paper.

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Continuity of Information: Will EMRs Remedy Discontinuity of Care?

Continuity of Information: Will EMRs Remedy Discontinuity of Care? | healthcare technology | Scoop.it

Back when health information technology amounted to a clipboard, paper and a pen, “continuity of care” was one of the bedrock principles of medicine. It meant that whenever possible, primary-care physicians should oversee their patients’ care, serving as healers and advisors through every phase of the medical experience.

 

Those days are all but gone, replaced by 15-minute office visits and episodic medical encounters, as patient migrate from one doctor to the next, depending on who’s covered in their insurance plan.

 

One proposed remedy for such a deeply fragmented health system is a national system of electronic medical records. The Obama administration is pushing the new technology by providing up to $27 billion in incentives over 10 years to doctors and hospitals that adopt it. Michael Painter of the Robert Wood Johnson Foundation, a major public health philanthropy that is backing the initiative, says electronic medical records are designed to improve the quality and efficiency of medical care by “attach[ing] information to you that follows you wherever you go.”

 

What isn’t clear is whether “continuity of information” will make up for the loss of “continuity of care.” Or whether it will live up to its billing, assuring that no matter what doctor you see--or which hospital you land in--you’ll get quality treatment tailored to meet your needs.

 

Anthony DeMaria, professor of medicine at the University of California, San Diego, says electronic medical records can help assure quality and safety in many important ways, from providing limitless data for medical research to connecting the dots in perplexing patient encounters. “I’ve struggled at times when I’ve had to see a patient admitted to the hospital or clinic and have no medical record—I can’t tell what’s going on,” DeMaria says.” The electronic records are also invaluable, he says, for providing critical reminders about drugs or procedures that might be overlooked.

 

The technology can empower patients, too, by giving them access to their own health histories--information patients are eager to have. The Department of Veterans Affairs, an early adopter of electronic medical records, installed a portal on its website called the Blue Button, where veterans can retrieve their medical records. Since the Blue Button was established two years ago, as many as half a million veterans have used it to download their VA clinical records and claims information.

 

But transitioning from paper to the computer is costly and logistically challenging. Many of the systems now in place may digitize medical records but they don’t provide information to patients or link up with other data networks.

 

A Robert Wood Johnson Foundation analysis released last week found that 18 percent of hospitals reported meeting the minimal federal standard for electronic health records last year, up from 4.4 percent in 2010. Only 10 percent of doctors have adopted electronic health records systems that meet the minimum standards defined by the government.

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Social media “likes” healthcare: From marketing to social business

Social media “likes” healthcare: From marketing to social business | healthcare technology | Scoop.it
With one half of health industry executives saying they are concerned about how to integrate social media data into their business strategy there is a recognition social media presents a significant industry challenge.

 

Social media is changing the nature and speed of health care interaction between consumers and health organizations. This in-depth HRI report dives into what some of the largest health care companies are doing in and with social media. The report's findings are based on a survey of more than 1,000 consumers and 124 health care executives. Click below to see a snapshot of social media activity on community sites and health company sites.

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5 ways to avoid harming patients with health IT

5 ways to avoid harming patients with health IT | healthcare technology | Scoop.it

Healthcare IT is a critical component of improving what ails today’s American healthcare system – but it isn’t an instant cure. “We can’t assume IT will fix a bad clinical workflow or process,” Whittington says. “Unless you fix that first, you won’t win.”

 

A classic example is when doctors order tests for patients in a hospital, Whittington explains. Often, the test results don’t come back until the patient has already gone home. In the paper world, it was often cumbersome to get these results to the physician. “When hospitals say that putting in a new health IT system will fix that, that can be really dangerous. If the test result just goes onto a list in somebody’s email inbox, then the process is still broken.”

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9 Health IT Tools Patients Should Understand

9 Health IT Tools Patients Should Understand | healthcare technology | Scoop.it

To be actively involved in your own medical care, you need to understand the basics about electronic medical records, health information exchanges, and more.

 

How Health IT's Favored Tools Change Your Healthcare


If you're a patient in search of the best medical care possible, it makes sense to understand some of the electronic tools doctors now use to manage your care. The fact is, health IT changes how physicians and other healthcare providers document and view healthcare information and exchange data with each other.

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Research shows high IT use among Top 100 Hospitals

Research shows high IT use among Top 100 Hospitals | healthcare technology | Scoop.it

Hospitals identified as Top 100 Hospitals by Thomson Reuters were found to use more advanced levels of IT-enabled processes when compared to the overall U.S. hospital population, according to HIMSS Analytics.

 

Research looking at the possible relationship between the 100 Top Hospital winners and the HIMSS Analytics Electronic Medical Records Adoption Model (EMRAM) scores was conducted in November 2011. Hospitals included in the sample received the 100 Top Hospital award in either 2009 or 2010.

 

The research found statistically significant relationships between the 100 Top Hospitals of 2009 and 2010 and the advanced stages of the EMRAM model during the same time period.

 

For example:

In 2009, 14 percent of 100 Top Hospitals were in Stages 5 to 7, compared with six percent of all U.S. hospitals.


In 2010, only 1 percent of the 100 Top Hospitals were at Stage 0 or Stage 1, compared to 17 percent of all U.S. hospitals. Additionally, 21 percent of 100 Top Hospitals were at Stage 5 or higher, compared to nearly nine percent of all U.S. hospitals.

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7 keys to getting healthcare execs on board with social media

As social media continues to be employed as part of a healthcare organization's business strategy, there are bound to be some who are leery of its benefits. But according to a recent whitepaper by the Healthcare Association of New York State (HANYS), refusing to recognize social media as a valuable source of communication is quickly becoming a major "don't."

 

"Failure to clearly articulate a case for a robust social media program, whether in financial or other beneficial terms, could result in fewer resources, poor market position, and potentially missing opportunities to provide timely care to those who need it," wrote the whitepaper's author.

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Methodological considerations when evaluating the implementation and adoption of national electronic health record systems

A commitment to Electronic Health Record (EHR) systems now constitutes a core part of many governments' healthcare reform strategies. The resulting politically-initiated largescale or national EHR endeavors are challenging because of their ambitious agendas of change, the scale of resources needed to make them work, the (relatively) short timescales set, and the large number of stakeholders involved, all of whom pursue somewhat different interests. These initiatives need to be evaluated to establish if they improve care and represent value for money.

 

Critical reflections on these complexities in the light of experience of undertaking the first national, longitudinal, and sociotechnical evaluation of the implementation and adoption of England's National Health Service's Care Records Service (NHS CRS). Results/discussion We advance two key arguments. First, national programs for EHR implementations are likely to take place in the shifting sands of evolving sociopolitical and sociotechnical and contexts, which are likely to shape them in significant ways. This poses challenges to conventional evaluation approaches which draw on a model of baseline operations intervention changed operations (outcome). Second, evaluation of such programs must account for this changing context by adapting to it. This requires careful and creative choice of ontological, epistemological and methodological assumptions.

 

 

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