University of Southern California, Department of Obstetrics & Gynecology, Keck School of Medicine, Los Angeles, CA 90033, United States.
Int J Med Inform. 2011 Aug;80(8):e178-88. doi: 10.1016/j.ijmedinf.2011.01.010. Epub 2011 Feb 16.
The development of readiness metrics for organizational participation in health information exchange is critical for monitoring progress toward, and achievement of, successful inter-organizational collaboration. In preparation for the development of a tool to measure readiness for data-sharing, we tested whether organizational capacities known to be related to readiness were associated with successful participation in an American data-sharing collaborative for quality improvement.
Cross-sectional design, using an on-line survey of hospitals in a large, mature data-sharing collaborative organized for benchmarking and improvement in nursing care quality.
Factor analysis was used to identify salient constructs, and identified factors were analyzed with respect to "successful" participation. "Success" was defined as the incorporation of comparative performance data into the hospital dashboard.
The most important factor in predicting success included survey items measuring the strength of organizational leadership in fostering a culture of quality improvement (QI Leadership): (1) presence of a supportive hospital executive; (2) the extent to which a hospital values data; (3) the presence of leaders' vision for how the collaborative advances the hospital's strategic goals; (4) hospital use of the collaborative data to track quality outcomes; and (5) staff recognition of a strong mandate for collaborative participation (α=0.84, correlation with Success 0.68 [P<0.0001]).
The data emphasize the importance of hospital QI Leadership in collaboratives that aim to share data for QI or safety purposes. Such metrics should prove useful in the planning and development of this complex form of inter-organizational collaboration.
制定组织参与健康信息交换的准备度指标对于监测和实现成功的组织间协作至关重要。在开发用于衡量数据共享准备度的工具之前，我们测试了与准备度相关的组织能力是否与成功参与美国数据共享质量改进合作有关。
使用在线调查对一家大型成熟的数据共享合作组织中的医院进行横断面设计，该合作组织旨在进行基准测试和护理质量改进。
使用因子分析来识别显著的结构，并且针对“成功”参与来分析已识别的因素。“成功”被定义为将比较绩效数据纳入医院仪表板。
预测成功的最重要因素包括衡量组织领导力在培养质量改进文化方面的实力的调查项目（QI 领导力）：（1）医院是否有支持性的医院行政人员；（2）医院对数据的重视程度；（3）领导者对合作如何推进医院战略目标的愿景；（4）医院使用合作数据来跟踪质量结果；以及（5）员工对合作的强烈授权的认可（α=0.84，与成功的相关性为 0.68[P<0.0001]）。
数据强调了医院 QI 领导力在旨在共享数据用于质量改进或安全目的的合作中的重要性。这些指标在规划和发展这种复杂形式的组织间合作时将非常有用。
