Strategies from a nationwide health information technology implementation: the VA CART story
- PMID: 20077156
- PMCID: PMC2806964
- DOI: 10.1007/s11606-009-1130-6
Strategies from a nationwide health information technology implementation: the VA CART story
Abstract
The VA Cardiovascular Assessment, Reporting, and Tracking (CART) system is a customized electronic medical record system which provides standardized report generation for cardiac catheterization procedures, serves as a national data repository, and is the centerpiece of a national quality improvement program. Like many health information technology projects, CART implementation did not proceed without some barriers and resistance. We describe the nationwide implementation of CART at the 77 VA hospitals which perform cardiac catheterizations in three phases: (1) strategic collaborations; (2) installation; and (3) adoption. Throughout implementation, success required a careful balance of technical, clinical, and organizational factors. We offer strategies developed through CART implementation which are broadly applicable to technology projects aimed at improving the quality, reliability, and efficiency of health care.
Figures



References
-
- Obama, Barack. Remarks of President Barack Obama: Address to Joint Session of Congress. Available at: http://www.whitehouse.gov/the_press_office/Remarks-of-President-Barack-O.... Accessed September 8, 2009.
-
- Massaro T. Introducing physician order entry at a major academic medical center I: impact on organizational culture and behavior. Acad Med. 1993;68:20–25. - PubMed
Publication types
MeSH terms
LinkOut - more resources
Full Text Sources