![]() To generate a list of potential pilot practices, the academic group reviewed sites in the North Carolina Network Consortium (NCNC), a statewide primary care research network ( Sloane 2006), while the industry group reviewed a list of North Carolina practices that currently used their software products. Being able to develop and then test the GEM in sequentially in three primary care settings led to the most practical lesson learned: the discovery of an unanticipated method for delivering the GEM questions within diverse electronic health record systems. ![]() The purpose of this report is to describe our expectations for the collaboration, the impact the collaboration had on the development process, and lessons learned for future collaborative EHR module development. ![]() ![]() The GEM was developed by a team of university-based health services researchers in conjunction with a private software vendor. In this report we share our experience of developing and delivering the Geriatric Enhancement Module (GEM), a software application comprised of a 7-item questionnaire designed to generate discussions among staff, providers and patients regarding quality of life issues (see figure 1). Understanding this collaboration is particularly important due to the different perspectives and priorities of academic and commercial stakeholders. Although this shared stakeholders approach appears effective and synergistic, there has been minimal prior work that describes such collaborations. By forging partnerships among academia, industry and other stakeholders in health care IT, it is hoped that more user-friendly and efficient HIT solutions will become available soon. There have been calls to bring industry leaders, skilled methodologists and systems experts together to develop solutions and strategies that can narrow the gap between clinical research and quality improvement enterprises ( Dougherty 2008). To keep up with these evolving data requirements, providers need to have HIT solutions that are accessible, cost efficient, and functional and that can be implemented feasibly within clinical practice settings. such initiatives include Medicare and Medicaid’s “meaningful use” of electronic health records, Patient Centered Medical Home (PCMH) programs supported by the National Committee of Quality Assurance (NCQA), and medical specialty boards’ certification processes. This is a concern because providers have immediate needs for participating in quality improvement (QI) or other practice transformation initiatives. Additionally, when health IT is implemented in smaller care settings, its usefulness may be limited due to narrow functionality, inadequate training of users, excessive interference with office workflow, and variable uptake among individual practices and physicians ( Jha 2006, Simon 2007, Carayon 2010). In small health care organizations, such as office-based practices, health information technology has been variably adopted (Jha 2009, Bates 2005). ![]()
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