Presentation
Implementation as System Journey: Bridging Implementation Science and Human Factors
DescriptionSuccessfully implementing solutions to healthcare problems improves healthcare processes and outcomes but faces challenges and delays in practice. Both the fields of Human Factors/Ergonomics (HF/E) and Implementation Science (IS) separately address the challenges of implementing interventions (e.g. technologies, processes, programs) in healthcare. The importance of both fields to improving healthcare has become well-established, with endorsements from national and international agencies in expert workshops, publications, and funding opportunities (e.g. NASEM, AHRQ, WHO). However, despite opportunities to build on each other’s advances, the two fields have remained largely separate.
The purpose of this panel is to reflect on the promises and challenges of implementing solutions to healthcare problems, from the different yet complementary perspectives of the fields of HF/E and IS. From an IS perspective, implementation focuses on the processes, context, and outcomes of putting existing evidence-based interventions into practice, to achieve the impact of effective solutions to known problems and reduce the 17 year delay from research to practice. The intervention-focused view of implementation science can drive action and impact. It may also benefit from a broader systems approach offered by HF/E.
Building on HF/E theories of work systems and conceptualizations like journey mapping that have been applied to the patient journey, implementation can be framed as a system journey. From a HF/E perspective, implementation can be treated as a journey of transformation in a work system to integrate human-centered solutions for human-centered problems. Rather than a view where an intervention is added, inserted, or substituted into a static context, a system journey view recognizes the dynamic, adaptable, and complex nature of changes that take place in a system during an implementation effort, reframing implementation as a transformation process rather than a set of discrete events. Healthcare work systems undergo planned and unplanned change over time, impacting outcomes for patients, populations, health care professionals, and organizations. These ongoing processes of adaptation, redesign, and transformation constitute a system journey that HF/E and IS practitioners and researchers may strive to understand and steer towards better outcomes and capacities for continuous improvement.
Bringing together panelists with expertise/experience in both the HF/E and IS fields, we will discuss the problem of closing the gap from what works in principle to what works in practice. Panelists will discuss the creation and application innovative approaches to understand and steer implementation processes in health care work systems, in service of better processes and outcomes.
This panel will include:
1. Presentations and discussion of implementation as system journey with case examples and tools for practice.
2. Innovative tools and processes for healthcare work systems change building on multidisciplinary collaborations and lessons from practice.
3. Practical guidance for planning and executing successful, sustainable implementations in complex healthcare work systems.
The panel will be moderated by Edmond Ramly, PhD (Associate Professor and Program Director for Design and Implementation Sciences, Department of Health & Wellness Design, Indiana University School of Public Health Bloomington) who will also join as a panelist offering a multidisciplinary perspective bridging Implementation Science and Human Factors in healthcare.
Rich Holden, PhD (Chair, Dept. of Health and Wellness Design, Indiana University School of Public Health Bloomington; Co-Director, Center for Health by Design) will share a practical and effective process for practical implementation science, Agile Implementation, that combines human factors engineering with insights from behavioral economics, complex adaptive systems, and network science.
Doug Wiegmann, PhD (Professor, Dept. of Industrial and Systems Engineering, UW-Madison) will offer human factors engineering insights on implementation from the aviation and healthcare domains.
Élise Arsenault Knudsen, PhD, RN, ACNS-BC (Assistant Professor, School of Nursing, UW-Madison) is an experienced nurse and scientist; she will share her perspectives and research on the complex and dynamic nature of clinical work systems and how they intersect with change.
Reid Parks, PhD (Program Manager, Design and Implementation Sciences, Department of Health & Wellness Design, Indiana University School of Public Health Bloomington) a health systems engineering expert applying human factors engineering within implementation science projects to generate pragmatic tools for practice, will share case studies from a large implementation trial in 30+ Wisconsin primary care clinics, funded by the AHRQ EvidenceNOW program.
The purpose of this panel is to reflect on the promises and challenges of implementing solutions to healthcare problems, from the different yet complementary perspectives of the fields of HF/E and IS. From an IS perspective, implementation focuses on the processes, context, and outcomes of putting existing evidence-based interventions into practice, to achieve the impact of effective solutions to known problems and reduce the 17 year delay from research to practice. The intervention-focused view of implementation science can drive action and impact. It may also benefit from a broader systems approach offered by HF/E.
Building on HF/E theories of work systems and conceptualizations like journey mapping that have been applied to the patient journey, implementation can be framed as a system journey. From a HF/E perspective, implementation can be treated as a journey of transformation in a work system to integrate human-centered solutions for human-centered problems. Rather than a view where an intervention is added, inserted, or substituted into a static context, a system journey view recognizes the dynamic, adaptable, and complex nature of changes that take place in a system during an implementation effort, reframing implementation as a transformation process rather than a set of discrete events. Healthcare work systems undergo planned and unplanned change over time, impacting outcomes for patients, populations, health care professionals, and organizations. These ongoing processes of adaptation, redesign, and transformation constitute a system journey that HF/E and IS practitioners and researchers may strive to understand and steer towards better outcomes and capacities for continuous improvement.
Bringing together panelists with expertise/experience in both the HF/E and IS fields, we will discuss the problem of closing the gap from what works in principle to what works in practice. Panelists will discuss the creation and application innovative approaches to understand and steer implementation processes in health care work systems, in service of better processes and outcomes.
This panel will include:
1. Presentations and discussion of implementation as system journey with case examples and tools for practice.
2. Innovative tools and processes for healthcare work systems change building on multidisciplinary collaborations and lessons from practice.
3. Practical guidance for planning and executing successful, sustainable implementations in complex healthcare work systems.
The panel will be moderated by Edmond Ramly, PhD (Associate Professor and Program Director for Design and Implementation Sciences, Department of Health & Wellness Design, Indiana University School of Public Health Bloomington) who will also join as a panelist offering a multidisciplinary perspective bridging Implementation Science and Human Factors in healthcare.
Rich Holden, PhD (Chair, Dept. of Health and Wellness Design, Indiana University School of Public Health Bloomington; Co-Director, Center for Health by Design) will share a practical and effective process for practical implementation science, Agile Implementation, that combines human factors engineering with insights from behavioral economics, complex adaptive systems, and network science.
Doug Wiegmann, PhD (Professor, Dept. of Industrial and Systems Engineering, UW-Madison) will offer human factors engineering insights on implementation from the aviation and healthcare domains.
Élise Arsenault Knudsen, PhD, RN, ACNS-BC (Assistant Professor, School of Nursing, UW-Madison) is an experienced nurse and scientist; she will share her perspectives and research on the complex and dynamic nature of clinical work systems and how they intersect with change.
Reid Parks, PhD (Program Manager, Design and Implementation Sciences, Department of Health & Wellness Design, Indiana University School of Public Health Bloomington) a health systems engineering expert applying human factors engineering within implementation science projects to generate pragmatic tools for practice, will share case studies from a large implementation trial in 30+ Wisconsin primary care clinics, funded by the AHRQ EvidenceNOW program.
Event Type
Discussion Panel
TimeTuesday, April 13:30pm - 4:30pm EDT
LocationQueens Quay
Patient Safety and Research Initiatives (PS)