全球智库信息集成服务系统

Key Findings:

• Eleven awardees implemented a care coordination innovation component; 10 used care management; nine focused on care transitions innovations; seven implemented patient-centered care innovations; and six used health information technology innovations.
• Adaptability of program components to the local context is critical to overcoming implementation challenges and maximizing implementation effectiveness. Staff and stakeholder engagement were central to the success of the implementation process. Finally, impediments to implementation effectiveness were health IT and challenges serving high-risk patient populations.
• The first round of a clinician survey suggests significant variation in clinician experiences with and attitudes toward the HCIA awards. Despite this variation, a majority of clinicians anticipated the award would have a positive effect on patient care. However, many clinicians experienced the program implementation as burdensome in terms of the amount of time and documentation required.
• Four awardees had impacts that are substantively important and favorable, but only two awardees had statistically significant impacts in at least one outcome domain. For the rest of the awardees, one had substantively important unfavorable impacts in one domain; three had indeterminate effects in all domains analyzed; and for two no conclusions could be drawn.