Skip to main content

Applying an Implementation Science Approach to Genomic Medicine Workshop Summary (2016) / Chapter Skim
Currently Skimming:

Appendix E: Implementation Science: A Background
Pages 99-106

The Chapter Skim interface presents what we've algorithmically identified as the most significant single chunk of text within every page in the chapter.
Select key terms on the right to highlight them within pages of the chapter.


From page 99...
... and mobile health applications have enormous potential to improve health outcomes and reduce cost if implemented successfully in the clinic, but they also have their own challenges and implications. For instance, certain tools that have been implemented, such as advanced imaging, have proven to be successful, but they are also raising questions regarding their effectiveness and economic value (IOM, 2010)
Read the entire page →
From page 100...
... , which arguably makes identifying methods and research strategies difficult. Some of the most common terms used in implementation science are adaptation/reinvention, or how an intervention changes during adoption; feasibility, the probability of an intervention succeeding; and sustainability, or how well implementation is maintained over time (Proctor et al., 2011; Rabin et al., 2008; University of Colorado, 2015)
Read the entire page →
From page 101...
... The National Institutes of Health (NIH) spends roughly $30 billion on basic research and discovery per year; by comparison, the Agency for Healthcare Research and Quality spent $270 million on research related to dissemination and implementation in 2010, or 0.9 percent of the total amount spent on discovery (Glasgow et al., 2012)
Read the entire page →
From page 102...
... Health system leadership plays a significant role in the success of EBP adoption. While implementing more efficient methods and technologies has great potential for reducing costs and increasing value to the overall health care system, individual systems can face more constraints, particularly financial ones.
Read the entire page →
From page 103...
... (2013) found that private insurance was a positive factor for use of the laparoscopic procedure, while factors such as being a minority and having a low economic status were negative factors in adoption, raising important questions about the potential for new and beneficial technology to create health disparities.
Read the entire page →
From page 104...
... Quality improvement for patients also means looking at the possibility that these new technologies might exacerbate health care disparities, which will require learning how to mitigate them. From the gaps explored in implementation science, it seems that a multi-stakeholder approach may provide a unique opportunity to bring about improved health and lasting change for the health care system.
Read the entire page →
From page 105...
... 2015. Genomics-enabled learning health care systems: Gathering and using genomic information to improve patient care and research: Workshop summary.
Read the entire page →
From page 106...
... 2005. Health information technology: Can HIT lower costs and improve quality?
Read the entire page →

Key Terms

  • accessed june
  • health information
  • implementation methods
  • learning health
  • lower costs

  • routine care
  • ehr adoption
  • implementation research
  • fostering implementation
  • overall health

  • improve health
  • implementation outcomes
  • centralized health
  • effective implementation
  • improved health

  • ehr implementation
  • constructed implementation
  • impact implementation
  • implementation occurred
  • electronic health

  • create health
  • mobile health
  • exacerbate health
  • clinical health
  • advancing implementation

  • health disparities
  • comparative effectiveness
  • particularly financial
  • reduce cost
  • raising questions


    • This material may be derived from roughly machine-read images, and so is provided only to facilitate research.
    More information on Chapter Skim is available.