Female doctor smiling

Practice Guidelines for Ocular Telehealth-Diabetic Retinopathy, Third Edition

Practice Guidelines for Ocular Telehealth-Diabetic Retinopathy, Third Edition

The third edition of the Practice Guidelines for Ocular Telehealth-Diabetic Retinopathy includes fundamental requirements to be followed when providing medical and other health care services using telecommunication technologies, and any other electronic communications between patients, practitioners, and other health care providers, as well as “best practice” recommendations. These guidelines were co-authored by HIP Investigator, Dr. Yao Liu and aim to assist providers in pursuing a sound course of action in providing safe and effective medical care using telehealth tools based on current scientific knowledge, technological requirements, and patient needs.

Read more

Blood pressure young girl

Health System Research Priorities for Children and Youth With Special Health Care Needs

Health System Research Priorities for Children and Youth With Special Health Care Needs

Children and youth with special health care needs (CYSHCN) have, or are at an increased risk for, chronic physical, developmental, behavioral, or emotional conditions and also require health and related services of a type or amount beyond that required by children generally.

HIP Investigator, Dr. Ryan Coller et al. synthesized the opinions of a national multidisciplinary group of CYSHCN experts, including family caregivers, to prioritize research topics facing CYSHCN. Authors sought to take a foundational step toward developing a national research agenda for CYSHCN systems of care.

Read the article

mother and daughter in consultation with doctor

Earlier Hospital Discharge With Prospectively Designated Discharge Time in the Electronic Health Record

Earlier Hospital Discharge With Prospectively Designated Discharge Time in the Electronic Health Record

Hospital discharge requires multidisciplinary coordination. Insufficient coordination impacts patient flow, resource use, and postdischarge outcomes. A team of authors including HIP Investigator, Dr. Ryan Coller implemented a prospective, multidisciplinary discharge timing designation in the electronic health record (EHR) and evaluated its association with discharge timing.

The group found that the implementation of a prospective, multidisciplinary EHR discharge time designation was associated with more before-noon discharges. Next steps include replicating results in other settings and determining populations that are most responsive to discharge coordination efforts.

Read the article

FCR

System Factors Influencing the Use of a Family-Centered Rounds Checklist

System Factors Influencing the Use of a Family-Centered Rounds Checklist

Checklists are used to operationalize care processes and enhance patient safety; however, checklist implementation is difficult within complex health systems. A family-centered rounds (FCR) checklist increased physician performance of key rounding activities, which were associated with improved parent engagement, safety perceptions, and behaviors. To inform FCR checklist implementation and dissemination, a team of authors including HIP Investigator, Dr. Elizabeth Cox assessed physician compliance with this checklist and factors influencing its use.

Authors found that multiple factors within hospital systems may influence FCR checklist use. Strategies, such as providing rounding schedules and mobile computers, may promote optimal engagement of families during rounds and promote pediatric patient safety.

Read the article

View the toolkit

Doctors in meeting room

Using Stakeholder Values to Promote Implementation of an Evidence-Based Mobile Health Intervention for Addiction Treatment in Primary Care Settings

Using Stakeholder Values to Promote Implementation of an Evidence-Based Mobile Health Intervention for Addiction Treatment in Primary Care Settings

Most evidence-based practices (EBPs) do not find their way into clinical use, including evidence-based mobile health (mHealth) technologies. The literature offers implementers little practical guidance for successfully integrating mHealth into health care systems. HIP Investigator, Dr. Andrew Quanbeck describes a novel decision-framing model that gives implementers a method of eliciting the considerations of different stakeholder groups when they decide whether to implement an EBP.

This paper presents a model implementers may use to elicit stakeholders' considerations when deciding to adopt a new technology, considerations that may then be used to adapt the intervention and tailor implementation, potentially increasing the likelihood of implementation success.

Read the article

View the toolkit

D&I

Building Capacity for Dissemination and Implementation to Maximize Research Impact in a CTSA: The University of Wisconsin Story

Building Capacity for Dissemination and Implementation to Maximize Research Impact in a CTSA: The University of Wisconsin Story

The publication reports results of an 8-year process of stakeholder engagement aimed at buildingcapacity in Dissemination and Implementation (D&I) research at the University of Wisconsin as part of the National Institutes of Health’s Clinical and Translational Science Award (CTSA). HIP Investigators, Dr. Andrew Quanbeck and Dr. Maureen Smith et al. describe how CTSA leaders at UW built a comprehensive system designed to improve the health of the communities statewide by incorporating D&I concepts across the translational research spectrum.

The team also developed a toolkit on HIPxChange that describes resources and activities developed to build D&I capacity at UW’s Institute for Clinical and Translational Research.

Read the article

View the toolkit

MyHEART logo

Rationale and study design of the MyHEART study: A young adult hypertension self-management randomized controlled trial

Rationale and study design of the MyHEART study: A young adult hypertension self-management randomized controlled trial

To address the unmet need in hypertensive care for young adults, we developed MyHEART (My Hypertension Education And Reaching Target), a multi-component, theoretically-based intervention designed to achieve self-management among young adults with uncontrolled hypertension. MyHEART is a patient-centered program, based upon the Self-Determination Theory, that uses evidence-based health behavior approaches to lower blood pressure. Therefore, HIP Investigator, Dr. Heather Johnson and a team of investigators including Dr. Maureen Smith, evaluated MyHEART's impact on changes in systolic and diastolic blood pressure compared to usual care after 6 and 12 months in 310 geographically and racially/ethnically diverse young adults with uncontrolled hypertension.

Read the article

Patient using tablet

Inpatients Sign On: An Opportunity to Engage Hospitalized Patients and Caregivers Using Inpatient Portals

Inpatients Sign On: An Opportunity to Engage Hospitalized Patients and Caregivers Using Inpatient Portals

Inpatient portals are online patient portals linked to electronic health records that provide hospitalized patients and caregivers secure access to real-time clinical information and tools to enhance their communication with providers and hospital experience. HIP Investigator, Dr. Ryan Coller et al. provided a perspective that inpatient portals are innovative tools poised to engage patients and caregivers during hospitalization and, thus, enhance patient-centered care. This article highlights the potential of using inpatient portals to engage hospitalized patients and caregivers and proposes next steps to evaluate this emerging technology.

Read the article

View the Toolkit

Veteran Engagement

Development of a veteran engagement toolkit for researchers.

Development of a veteran engagement toolkit for researchers.

Engaging patients in the planning, implementation and dissemination of research can increase the credibility and relevance of results and lead to higher quality, more patient-centered care. Veterans have unique experiences and healthcare needs, making their input on research related to their care particularly important. However, existing veteran engagement resources primarily focus on veterans who receive care through the Veterans Health Administration (VA). This excludes those veterans - the majority - who do not use the VA for healthcare.

To address the gap Dr. Nasia Safdar, Nicole Brys, and Dr. Jeff Whittle developed a veteran engagement toolkit that was informed by the work of both VA and non-VA researchers across the USA.

Read the article

View the toolkit

Brainstorming with sticky notes

Bridging clinical researcher perceptions and health IT realities: A case study of stakeholder creep

Bridging clinical researcher perceptions and health IT realities: A case study of stakeholder creep

In an article co-authored by Drs. Edmond Ramly and Christie Bartels, the investigators describe "stakeholder creep," which resulted in a 3-month delay in go-live and increased work hours in a health information technology implementation project. The authors define stakeholder creep as not thoroughly identifying which stakeholders need to be involved and why before starting the project, and consequently not understanding the truee effort, skill sets, social capital, and time required to complete the project. In a root cause analysis, the team identified four main misconceptions that contributed to stakeholder creep. They developed a stakeholder planning tool, described in the article, that was perceived to be feasible and helpful in mitigating the effect of stakeholder creep.

Read the article

Pages