A maturity grid assessment tool for learning networks.
A maturity grid assessment tool for learning networks.
复制标题
DOI：
10.1002/lrh2.10232
复制
发表时间：
2021-04
影响因子：
3.1
通讯作者：
Margolis PA
中科院分区：
文献类型：
--
作者：
Lannon C;Schuler CL;Seid M;Provost LP;Fuller S;Purcell D;Forrest CB;Margolis PA
学习医疗保健系统（LHS）的愿景是有吸引力的，作为一个更有效的模式，为医疗保健服务，但实现这一愿景是复杂的。有有限的文献描述的过程中需要构建这样的多组分系统或评估发展。我们使用能力成熟度矩阵的概念来描述必要的基础设施和流程的成熟度，以创建学习网络（LN），使用面向参与者的网络组织架构的多站点协作LHS。我们开发了一个网络成熟度网格（NMG）评估工具，结合文献综述，现有网络的内容理论和专家意见，建立域和组件。我们根据网络领导团队的反馈改进了成熟度网格。我们跟踪了九个LN的NMG分数随时间的变化，并绘制了一个参与网络的每个域组件相对于SD的分数。我们寻求主观反馈的经验，应用NMG个人网络。LN领导人评估了NMG对其网络的范围、深度和适用性。网络领导者的定性反馈表明，随着时间的推移，NMG分数的变化与领导者关于特定领域增长的报告一致;分数的变化与网络在各个领域的改进努力一致。随着时间的推移，得分显示每个网络的各个领域的成熟度存在差异。评分模式，SD域组件的分数，表明LN领导人之间的一致性，在一些但不是所有方面的网络成熟度。来自一个参与网络的案例突出了国家管理小组在促进关于网络发展的战略讨论方面的价值，并表明使用该工具的过程本身是有价值的。这里提出的能力成熟度网格提供了一个框架，以帮助那些有兴趣创建学习健康网络计划和开发他们随着时间的推移。
The vision of learning healthcare systems (LHSs) is attractive as a more effective model for health care services, but achieving the vision is complex. There is limited literature describing the processes needed to construct such multicomponent systems or to assess development. We used the concept of a capability maturity matrix to describe the maturation of necessary infrastructure and processes to create learning networks (LNs), multisite collaborative LHSs that use an actor‐oriented network organizational architecture. We developed a network maturity grid (NMG) assessment tool by incorporating information from literature review, content theory from existing networks, and expert opinion to establish domains and components. We refined the maturity grid in response to feedback from network leadership teams. We followed NMG scores over time for nine LNs and plotted scores for each domain component with respect to SD for one participating network. We sought subjective feedback on the experience of applying the NMG to individual networks. LN leaders evaluated the scope, depth, and applicability of the NMG to their networks. Qualitative feedback from network leaders indicated that changes in NMG scores over time aligned with leaders' reports about growth in specific domains; changes in scores were consistent with network efforts to improve in various areas. Scores over time showed differences in maturation in the individual domains of each network. Scoring patterns, and SD for domain component scores, indicated consistency among LN leaders in some but not all aspects of network maturity. A case example from a participating network highlighted the value of the NMG in prompting strategic discussions about network development and demonstrated that the process of using the tool was itself valuable. The capability maturity grid proposed here provides a framework to help those interested in creating Learning Health Networks plan and develop them over time.
登录
查看更多内容
DOI：
10.1377/hlthaff.2014.0053
发表时间：
2014-07
期刊：
Health affairs (Project Hope)
影响因子：
--
作者：
Krumholz HM
通讯作者：
Krumholz HM
影响因子：
9.7
作者：
Forrest, Christopher B.;Margolis, Peter;Colletti, Richard B.
通讯作者：
Colletti, Richard B.
影响因子：
1
作者：
Gaies, Michael;Anderson, Jeffrey;Pearson, Gail
通讯作者：
Pearson, Gail
DOI：
10.1186/s13012-017-0607-7
发表时间：
2017-06-23
期刊：
Implementation science : IS
影响因子：
--
作者：
Lessard L;Michalowski W;Fung-Kee-Fung M;Jones L;Grudniewicz A
通讯作者：
Grudniewicz A
影响因子：
5.4
作者：
Britto, Maria T.;Fuller, Sandra C.;Seid, Michael
通讯作者：
Seid, Michael