Table 2 Summary of PRIUS entries from TeleSleep and Tele-robotics projects by score and major descriptive themes
TeleSleep PRIUS Updates (n = 190) | ||
|---|---|---|
Score | Frequency (%) | Major descriptive themes |
+ 3 | 49 (26) | Positive experiences during general professional development and training events at beginning of TeleSleep project; positive interactions with vendor (ResMED); implementation of new electronic tools (e.g., TeleSleep template and tracking spreadsheet) very helpful |
+ 2 | 28 (15) | Positive interactions between individuals from different clinical areas |
+ 1 | 15 (8) | Small, incremental changes (e.g., enrolling an additional patient) |
0 | 26 (14) | Potential opportunities representing a change from status quo (e.g., Telehealth not reviewing TeleSleep data during Telehealth meetings; possibility for additional funds to become available in future to TeleSleep) |
−1 | 16 (8) | Perceived lack of interest by frontline clinical staff in starting TeleSleep program |
−2 | 33 (17) | Negative interactions between individuals from different clinical areas; slow patient enrollment in TeleSleep between February–April 2016; perceived need for additional training to meet PAP needs of patients |
−3 | 23 (12) | TeleSleep workload heavier than originally anticipated; distrust and hostility among individuals from different clinical areas |
Tele-robotics PRIUS Updates (n = 498) | ||
+ 3 | 46 (9) | Optional activities completed (e.g., creating YouTube videos); face-to-face Tele-robotics kick-off events held at participating facilities; major contracts finally signed; additional full year of program funding officially approved |
+ 2 | 99 (20) | Patient enrollment begins; Tele-robotics implementation products completed (e.g., videos, how-to guides, notes and templates); positive experiences during Tele-robotics professional development and training events |
+ 1 | 161 (32) | Small, incremental changes (e.g., enrolling an additional patient); participation in external conferences and meetings where Tele-robotics program is brought to attention of a larger audience |
0 | 84 (17) | On hold waiting for something to happen, like hearing back from other individuals/services not directly involved in Tele-robotics program or standing by pending completion of implementation activities still in progress |
-1 | 66 (13) | Local staff reporting that general model for Tele-robotics program does not fit local setting and will require some modification; ongoing minor delays in getting needed signatures and approvals; target go-live dates not met |
-2 | 33 (7) | Important clinical staff at local facilities declining to participate in Tele-robotics; negative interactions between individuals from different clinical areas within the same facility; ongoing major delays in getting necessary approvals |
-3 | 9 (2) | External developments beyond team’s control (e.g., Contracting office not signing off on crucial paperwork, placing program in jeopardy; enterprise-wide hiring freeze; key components not included in signed contract with vendor) |