Development and formative evaluation of the e-Health Implementation Toolkit (e-HIT)

BMC Med Inform Decis Mak. 2010 Oct 18;10:61. doi: 10.1186/1472-6947-10-61.


Background: The use of Information and Communication Technology (ICT) or e-Health is seen as essential for a modern, cost-effective health service. However, there are well documented problems with implementation of e-Health initiatives, despite the existence of a great deal of research into how best to implement e-Health (an example of the gap between research and practice). This paper reports on the development and formative evaluation of an e-Health Implementation Toolkit (e-HIT) which aims to summarise and synthesise new and existing research on implementation of e-Health initiatives, and present it to senior managers in a user-friendly format.

Results: The content of the e-HIT was derived by combining data from a systematic review of reviews of barriers and facilitators to implementation of e-Health initiatives with qualitative data derived from interviews of "implementers", that is people who had been charged with implementing an e-Health initiative. These data were summarised, synthesised and combined with the constructs from the Normalisation Process Model. The software for the toolkit was developed by a commercial company (RocketScience). Formative evaluation was undertaken by obtaining user feedback. There are three components to the toolkit--a section on background and instructions for use aimed at novice users; the toolkit itself; and the report generated by completing the toolkit. It is available to download from

Conclusions: The e-HIT shows potential as a tool for enhancing future e-Health implementations. Further work is needed to make it fully web-enabled, and to determine its predictive potential for future implementations.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Administrative Personnel / education
  • Guidelines as Topic*
  • Health Plan Implementation / methods*
  • Humans
  • Internet
  • Interviews as Topic
  • Medical Informatics Applications*
  • Private Sector
  • Software
  • Telemedicine*
  • United Kingdom
  • User-Computer Interface