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Table 1 A protocol for practice-centred evaluation that privileges care

From: Practice-centred evaluation and the privileging of care in health information technology evaluation

Practice-centred Participative
- Organise evaluation around care ‘scenarios’ where EPR related change has (or has not) occurred - Organise evaluation activities around core values and priorities of those participating. In our case: patient wellbeing, learning and care
- Expect opportunistic or emergent change to be generative of significant benefits and problems - Encourage those experiencing or producing health information technology-related changes to participate in designing and where possible carrying out evaluation of those changes
- Work collaboratively in groups including at least one person who is directly involved in the change being evaluated
- Use multiple data sources (e.g. questionnaire data, system usage data, interviews), admit diversity of opinion and resist synthesis or judgement
- Encourage collective reflection on the boundary of involvement in evaluation (i.e. ‘who’ or ‘what’ is included/excluded) and seek ways to counter persistent exclusion
- Develop an evaluation ‘watch list’ of areas of practice where it is anticipated EPR related changes to practice will occur in order to capture if/when those changes occur - Report findings in a way(s) that ‘speaks’ to the community of practice concerned
- Include in this list: change anticipated as part of specific service improvement activities; and/or change relating to EPR functionalities that have been either speculated upon and/or specified in advance; and/or potential negative changes to practice  
- Capture ‘before change’ data relevant to both practice and outcomes, where possible or relevant  
- Wait for change to materialise ‘in practice’ before collecting ‘after change’ data  
- Actively include care scenarios where EPR related changes have: not proved possible; only partially been achieved; required an unanticipated amount of effort; proven exceptionally slow to achieve; or proven unachievable