Understanding context is key | |
Clarify exactly how DHI fits into the broader clinical service including care pathways and auditing targets | |
Understand, acknowledge, and where possible address important wider contextual barriers to uptake and use of DHI | |
Clarify the organisational structure and identify relevant decision-makers across different levels of the organisation, and understand how decision making around adoption of new practices happens within each organisation | |
Consider which elements of DHI require local adaptation (e.g. resource directories of other available services), and which require national integration (e.g. online forums) | |
Design DHI to be compatible with the range of hardware and software currently used across the healthcare teams | |
Identify other organisational changes that are occurring simultaneously and consider how these may affect implementation of DHI. Simultaneous implementation of other DHIs may be particularly challenging for staff | |
Maximise initial buy-in and continued use | |
Clearly identify originators/developers of DHI, and seek endorsement from credible parent organisations, and end users | |
Ensure DHI is clearly identified as a clinical initiative and not identified as primarily research | |
Explicitly identify and label DHI with the key value(s) for each stakeholder group in the organisation | |
All relevant user groups (including staff) should have full access to the DHI, pilot the DHI, consider the pros and cons, and be part of the service decision to adopt | |
All staff fears and concerns about DHI should be identified and addressed in organisational written policy and staff training prior to adoption | |
Promote DHI as part of a multichannel service to avoid “out of sight out of mind” | |
Ensure ongoing training and support for all staff | |
Consider appointing one or more champions to coordinate organisational activity and be a point of contact for DHI providers | |
Train staff in all relevant skills including generic IT skills, using multi-channel, flexible training that can accommodate constant turnover of staff. | |
Provide relevant feedback and manage expectations | |
Audit reports around DHI use need to be easily available to stakeholders in user friendly form, with clear mechanism established for addressing feedback involving DHI providers | |
Specific short and long term targets should be set regarding uptake and use of DHI to manage staff expectations and evaluate progress |