Paul R DeMuro1, Joan Ash2, Blackford Middleton3, Justin Fletcher4, Cecelia J Madison5. 1. Broad and Cassel LLP. 2. Oregon Health & Science University, School of Medicine, Department of Medical Informatics & Clinical Epidemiology. 3. Apervita, Inc. 4. Harvard T.H. Chan School of Public Health, Health Policy and Management. 5. School of Nursing, California State University, Chico, CA.
Abstract
BACKGROUND: Little research has been conducted about the quality, benefits, costs, and financial considerations associated with health information technology (HIT), particularly informatics technologies, such as e-prescribing, from the perspective of all its stakeholders. OBJECTIVES: This research effort sought to identify the stakeholders involved in e-prescribing and to identify and rank-order the positives and the negatives from the perspective of the stakeholders to create a framework to assist in the development of incentives and payment mechanisms which result in better managed care. METHODS: The Delphi method was employed by enlisting a panel of experts. They were presented with the results of initial research in an online survey of questions which sought to prioritize the quality, benefit, cost, and financial effects of e-prescribing from the perspective of each stakeholder. From the results of this study, a framework was presented to framework experts. RESULTS: The experts added stakeholders and positives and negatives to the initial lists and rank-ordered the positives and negatives of e-prescribing from the perspective of each stakeholder. The aggregate results were summarized by category of stakeholder. The framework experts evaluated the framework. CONCLUSIONS: Positives and negatives can be rank-ordered from the perspective of each stakeholder. A useful framework was created.
BACKGROUND: Little research has been conducted about the quality, benefits, costs, and financial considerations associated with health information technology (HIT), particularly informatics technologies, such as e-prescribing, from the perspective of all its stakeholders. OBJECTIVES: This research effort sought to identify the stakeholders involved in e-prescribing and to identify and rank-order the positives and the negatives from the perspective of the stakeholders to create a framework to assist in the development of incentives and payment mechanisms which result in better managed care. METHODS: The Delphi method was employed by enlisting a panel of experts. They were presented with the results of initial research in an online survey of questions which sought to prioritize the quality, benefit, cost, and financial effects of e-prescribing from the perspective of each stakeholder. From the results of this study, a framework was presented to framework experts. RESULTS: The experts added stakeholders and positives and negatives to the initial lists and rank-ordered the positives and negatives of e-prescribing from the perspective of each stakeholder. The aggregate results were summarized by category of stakeholder. The framework experts evaluated the framework. CONCLUSIONS: Positives and negatives can be rank-ordered from the perspective of each stakeholder. A useful framework was created.
Entities:
Keywords:
Delphi method; Health information technology; care teams; e-prescribing; frameworks; informatics; managed care; quality; stakeholders
Authors: Brian C Callaghan; Evan Reynolds; Mousumi Banerjee; Kevin A Kerber; Lesli E Skolarus; Brandon Magliocco; Gregory J Esper; James F Burke Journal: Neurology Date: 2019-05-01 Impact factor: 11.800