Did you know this about eHealth implementation?
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The document summarizes challenges and strategies related to implementing eHealth innovations beyond pilot programs. It discusses four common roadblocks: 1) socio-cultural factors like resistance to change, 2) difficulties engaging networks of stakeholders, 3) lack of appropriate evidence, and 4) inadequate policies and funding. For each challenge, it provides lessons learned on overcoming barriers through strategies like co-designing with end users, building community buy-in, simplifying evidence, and aligning innovations with local strategies. It concludes that while successful spread requires planning, real-world implementation often differs and there is no single formula for scaling innovations.
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Did you know this about eHealth implementation?
- 1. Jordi Piera Badalona Serveis Assistencials Did you know this about eHealth implementation? Taking innovations beyond pilots ImpleMentAll Midterm Workshop 10th October 2018
- 2. What’s the problem? Innovations ranging from care pathways, checklists, to telemedicine and telehealth solutions and patient self-management programmes are shaping the way we understand healthcare. Yet little is known about how and why some of those succeed and others do not. ImpleMentAll – G.A. 733025 Midterm Workshop Odense, 10 October 2018
- 3. What are the roadblocks on the way? ImpleMentAll – G.A. 733025 Midterm Workshop Odense, 10 October 2018
- 4. What we did to overcome them? ImpleMentAll – G.A. 733025 Midterm Workshop Odense, 10 October 2018
- 5. Common problems we found in our way 1. Socio-cultural 2. The network 3. Evidence-base 4. Policy and funding ImpleMentAll – G.A. 733025 Midterm Workshop Odense, 10 October 2018
- 6. Socio-cultural factor (1) ImpleMentAll – G.A. 733025 Midterm Workshop Odense, 10 October 2018 Most of the people don’t like change
- 7. Socio-cultural factor (2) ImpleMentAll – G.A. 733025 Midterm Workshop Odense, 10 October 2018
- 8. 1. Socio-cultural factors – take aways Medicine Faculties need to change the way they teach Nurses are more dynamic to embrace change Acceptability is enhanced when innovations are co-designed Influence and advocacy vs position and authority Expert support, space and time must be provided to adopt and adapt the innovations to scale them up Innovation rewards vs adoption recognition ImpleMentAll – G.A. 733025 Midterm Workshop Odense, 10 October 2018
- 9. 2. The network ImpleMentAll – G.A. 733025 Midterm Workshop Odense, 10 October 2018
- 10. 2. The network (2) ImpleMentAll – G.A. 733025 Midterm Workshop Odense, 10 October 2018
- 11. 2. The network (3) ImpleMentAll – G.A. 733025 Midterm Workshop Odense, 10 October 2018
- 12. 2. The network (4) ImpleMentAll – G.A. 733025 Midterm Workshop Odense, 10 October 2018
- 13. 2. The network – take aways • Engaging committed individuals it’s not sufficient • Community building • Agreement between stakeholders on intentions and goals is key • Plays a pivotal role in spreading innovations by increasing buy-in and sharing of resources, knowledge & experience • When all the stakeholders are represented and involved since the very beginning innovations tend to scale easier ImpleMentAll – G.A. 733025 Midterm Workshop Odense, 10 October 2018
- 14. 3. Evidence-base ImpleMentAll – G.A. 733025 Midterm Workshop Odense, 10 October 2018
- 15. 3. Evidence-base – take aways • Producing evidence is not a scaling strategy but can help • Must take into account all the perspectives from all the different stakeholders • Must be both quantitative and qualitative • Not everyone is ready to understand research so consider simplifying ImpleMentAll – G.A. 733025 Midterm Workshop Odense, 10 October 2018
- 16. 4. Policy and funding ImpleMentAll – G.A. 733025 Midterm Workshop Odense, 10 October 2018
- 17. 4. Policy and funding – take aways • Leadership is a key factor • Alignment with local and national strategies helps spread • Financial incentives may encourage adoption but have a limited scope • Activity-based vs outcome-based financial schemes • Promote spin-offs vs public system • When policy making think about spread of innovation ImpleMentAll – G.A. 733025 Midterm Workshop Odense, 10 October 2018
- 18. Final thoughts • There is evidence here and there of successful spread… BUT no single formula for successful spread • You think you will be able to manage the timings… BUT they are organic and always slower than you wish • Money can help sometimes… BUT most of the times can not • Evidence may help... BUT less than you think it should • You must plan for successful scaling-up… BUT they won’t fit reality ImpleMentAll – G.A. 733025 Midterm Workshop Odense, 10 October 2018
- 19. Thanks a lot! Jordi Piera Jiménez Chief Information and R&D Officer Badalona Serveis Assistencials jpiera@bsa.cat @jpieraj