E-consult implementation: lessons learned using consolidated framework for implementation research.

ABSTRACT:

Objectives

In 2011, the Veterans Health Administration (VHA) implemented electronic consults (e-consults) as an alternative to in-person specialty visits to improve access and reduce travel for veterans. We conducted an evaluation to understand variation in the use of the new e-consult mechanism and the causes of variable implementation, guided by the Consolidated Framework for Implementation Research (CFIR).

Study design

Qualitative case studies of 3 high- and 5 low-implementation e-consult pilot sites. Participants included e-consult site leaders, primary care providers, specialists, and support staff identified using a modified snowball sample.

Methods

We used a 3-step approach, with a structured survey of e-consult site leaders to identify key constructs, based on

SUBMITTER: Haverhals LM 

PROVIDER: S-EPMC4717483 | biostudies-literature | 2015 Dec

REPOSITORIES: biostudies-literature