Why do we need ImpleMentAll?
Tue. 20. Mar 2018 10:58
No matter where you look in the world, the experience with eHealth implementation is that it is a time-demanding and difficult process that often fails. eHealth solutions, no matter how brilliant, simply don’t make it into routine care before they become obsolete. This applies to large roll-out projects such as implementation of national infrastructures or EMRs as well as smaller, more specialised initiatives, e.g. implementing apps or video conference for specific purposes. For example, a great number of EU-funded projects have tried to implement eHealth solutions into routine care, with varying degrees of success, and IMA builds on good and bad experiences from these. One of the project’s main tasks is to translate the experiences into a scientific and structured way to manage implementation.
This is a general problem, which is why we address it with a broad focus on eHealth in any shape or form. Still, our research aims demand comparability and therefore we have chosen one intervention for the study: internet-based Cognitive Behavioural Therapy (iCBT). This particular intervention was deemed the most suitable because of its comprehensive evidence base, the general need for it in many parts of the world, and the widespread experience with implementation of this type of intervention.
The average time from when evidence has been established for a given new treatment method till it is considered generally implemented and normalised is 18 years. In RSD, we have been developing, testing, and implementing eHealth solutions – learning the hard way that it takes 8-9 years for a technically ready solution to reach normalisation in a hospital, region, or municipality. In the light of the general technological development, which is characterised by a much greater speed, there is a major discrepancy between the time for normalisation and the technological development, which means that we end up implementing obsolete solutions. Therefore, we need tools for implementing in a knowledge-based way, fast, and right. The purpose of IMA is to develop and validate these tools and we have high hopes for their effect.
Claus Duedal Pedersen, Project Coordinator: “IMA transforms past European experience on eHealth implementation into practical tools, which can make a real difference for efficient implementation processes.”
Do you have any concrete experiences with eHealth or eMental health implementation, that you think we should know about?