The National Coordinated Citrien eHealth Program to Scale Up Telemonitoring: Protocol for a Before-and-After Evaluation Study

Harm Gijsbers; Azam Nurmohamed; The Citrien 2 Project Leaders and Steering Group; Tom H. van de Belt; Marlies Schijven; Mireille N. Bekker; Marit A. Buijs; Erik Buskens; Niels H. Chavannes; Debora van Dam; Nicole van Eldik; Jelle M. Goossens; Mark Janssen; Marise J. Kasteleyn; Rudolf B. Kool; Tarik Lachkar; Maarten M.H. Lahr; Herm Martens; Esther I. Metting; Anna V. Silven; Miranda Snoeren; Marije K.J. van der Steen; Irma M. Verdonck; Nynke Venema; María Villalobos-Quesada; Jacob J. Visser; Sofie H. Willems; Valesca van Zwieten

doi:10.2196/45201

The National Coordinated Citrien eHealth Program to Scale Up Telemonitoring: Protocol for a Before-and-After Evaluation Study

Harm Gijsbers, Azam Nurmohamed, The Citrien 2 Project Leaders and Steering Group, Tom H. van de Belt, Marlies Schijven^*, Mireille N. Bekker, Marit A. Buijs, Erik Buskens, Niels H. Chavannes, Debora van Dam, Nicole van Eldik, Jelle M. Goossens, Mark Janssen, Marise J. Kasteleyn, Rudolf B. Kool, Tarik Lachkar, Maarten M.H. Lahr, Herm Martens, Esther I. Metting, Anna V. SilvenMiranda Snoeren, Marije K.J. van der Steen, Irma M. Verdonck, Nynke Venema, María Villalobos-Quesada, Jacob J. Visser, Sofie H. Willems, Valesca van Zwieten

^*Corresponding author for this work

Radiology & Nuclear Medicine

Research output: Contribution to journal › Article › Academic › peer-review

2 Citations (Scopus)

8 Downloads (Pure)

Abstract

Background:

Sustainable implementation of telemonitoring in health care is challenging, especially if one aims to scale up telemonitoring initiatives nationwide. The National collaborative eHealth program in the Netherlands is supporting the nationwide upscaling of telemonitoring in 3 clinical domains by implementing telemonitoring in all Dutch university medical centers (UMCs). The chosen telemonitoring concepts are (1) telemonitoring solutions in the domain of cardiology, (2) telemonitoring solutions providing care from a distance in obstetrics, and (3) telemonitoring solutions monitoring vital functions in hospital wards.

Objective:

The aim of this study is to evaluate the upscaling of telemonitoring in Dutch university hospitals in order to gain a better knowledge of the process, methods, and outcomes of nationwide upscaling strategies. Our hypothesis is that by the completion of the Citrien program’s scale-up, telemonitoring will be operational in all UMCs but not normalized in routine care.

Methods:

A before-and-after study will be conducted to assess upscaling. The theoretical frameworks used are the framework for nonadoption, abandonment, scale-up, spread, and sustainability; the Normalization Process Theory; and a project management tool Project Canvas. The primary outcome of the study is the degree of normalization to which health care providers at UMCs consider telemonitoring a part of their routine practice, measured using the Normalization MeAsurement Development tool (NoMAD). Our secondary outcome is the uptake of telemonitoring at the Dutch UMCs, using management data from UMCs’ business intelligence systems query.

Results:

Data will be collected between May 2020 and December 2022. Results were retrieved in June 2023. UMCs’ business intelligence systems are queried for data for the secondary outcome measures. There is a risk that the UMCs will not be able to provide this management information. The laws and regulations governing telemonitoring in the Netherlands are changing, with the Electronic Data Exchange in Health Care Act (Wet elektronische gegevensuitwisseling in de zorg) and the European Health Data Space Act expected to positively influence implementation and upscaling.

Conclusions:

The Citrien program is a nationally coordinated change management program that is scaling up telemonitoring across contexts and settings. This study will produce original data on the uptake and upscaling of telemonitoring at Dutch UMCs. Future initiatives to implement eHealth in the health care sector may be guided by the wide range of success factors, obstacles, and experiences collected through this program. The network itself may be of great value impacting future acceleration of eHealth initiatives.

Original language	English
Article number	e4520
Journal	JMIR Research Protocols
Volume	12
DOIs	https://doi.org/10.2196/45201
Publication status	Published - 2023

Bibliographical note

Publisher Copyright:
©Harm Gijsbers, Azam Nurmohamed, Tom H van de Belt, Marlies Schijven, The Citrien 2 Project Leaders and Steering Group.

Access to Document

10.2196/45201Licence: CC BY

The National Coordinated Citrien eHealth Program to Scale Up TelemonitoringFinal published version, 727 KBLicence: CC BY

Cite this

Gijsbers, H., Nurmohamed, A., The Citrien 2 Project Leaders and Steering Group, van de Belt, T. H., Schijven, M., Bekker, M. N., Buijs, M. A., Buskens, E., Chavannes, N. H., van Dam, D., van Eldik, N., Goossens, J. M., Janssen, M., Kasteleyn, M. J., Kool, R. B., Lachkar, T., Lahr, M. M. H., Martens, H., Metting, E. I., ... van Zwieten, V. (2023). The National Coordinated Citrien eHealth Program to Scale Up Telemonitoring: Protocol for a Before-and-After Evaluation Study. JMIR Research Protocols, 12, Article e4520. https://doi.org/10.2196/45201

@article{1228dc1699fb42188540b134ca873b34,

title = "The National Coordinated Citrien eHealth Program to Scale Up Telemonitoring: Protocol for a Before-and-After Evaluation Study",

abstract = "Background: Sustainable implementation of telemonitoring in health care is challenging, especially if one aims to scale up telemonitoring initiatives nationwide. The National collaborative eHealth program in the Netherlands is supporting the nationwide upscaling of telemonitoring in 3 clinical domains by implementing telemonitoring in all Dutch university medical centers (UMCs). The chosen telemonitoring concepts are (1) telemonitoring solutions in the domain of cardiology, (2) telemonitoring solutions providing care from a distance in obstetrics, and (3) telemonitoring solutions monitoring vital functions in hospital wards. Objective: The aim of this study is to evaluate the upscaling of telemonitoring in Dutch university hospitals in order to gain a better knowledge of the process, methods, and outcomes of nationwide upscaling strategies. Our hypothesis is that by the completion of the Citrien program{\textquoteright}s scale-up, telemonitoring will be operational in all UMCs but not normalized in routine care. Methods: A before-and-after study will be conducted to assess upscaling. The theoretical frameworks used are the framework for nonadoption, abandonment, scale-up, spread, and sustainability; the Normalization Process Theory; and a project management tool Project Canvas. The primary outcome of the study is the degree of normalization to which health care providers at UMCs consider telemonitoring a part of their routine practice, measured using the Normalization MeAsurement Development tool (NoMAD). Our secondary outcome is the uptake of telemonitoring at the Dutch UMCs, using management data from UMCs{\textquoteright} business intelligence systems query. Results: Data will be collected between May 2020 and December 2022. Results were retrieved in June 2023. UMCs{\textquoteright} business intelligence systems are queried for data for the secondary outcome measures. There is a risk that the UMCs will not be able to provide this management information. The laws and regulations governing telemonitoring in the Netherlands are changing, with the Electronic Data Exchange in Health Care Act (Wet elektronische gegevensuitwisseling in de zorg) and the European Health Data Space Act expected to positively influence implementation and upscaling. Conclusions: The Citrien program is a nationally coordinated change management program that is scaling up telemonitoring across contexts and settings. This study will produce original data on the uptake and upscaling of telemonitoring at Dutch UMCs. Future initiatives to implement eHealth in the health care sector may be guided by the wide range of success factors, obstacles, and experiences collected through this program. The network itself may be of great value impacting future acceleration of eHealth initiatives.",

author = "Harm Gijsbers and Azam Nurmohamed and {The Citrien 2 Project Leaders and Steering Group} and {van de Belt}, {Tom H.} and Marlies Schijven and Bekker, {Mireille N.} and Buijs, {Marit A.} and Erik Buskens and Chavannes, {Niels H.} and {van Dam}, Debora and {van Eldik}, Nicole and Goossens, {Jelle M.} and Mark Janssen and Kasteleyn, {Marise J.} and Kool, {Rudolf B.} and Tarik Lachkar and Lahr, {Maarten M.H.} and Herm Martens and Metting, {Esther I.} and Silven, {Anna V.} and Miranda Snoeren and {van der Steen}, {Marije K.J.} and Verdonck, {Irma M.} and Nynke Venema and Mar{\'i}a Villalobos-Quesada and Visser, {Jacob J.} and Willems, {Sofie H.} and {van Zwieten}, Valesca",

note = "Publisher Copyright: {\textcopyright}Harm Gijsbers, Azam Nurmohamed, Tom H van de Belt, Marlies Schijven, The Citrien 2 Project Leaders and Steering Group.",

year = "2023",

doi = "10.2196/45201",

language = "English",

volume = "12",

journal = "JMIR Research Protocols",

issn = "1929-0748",

publisher = "JMIR Publications Inc.",

}

Gijsbers, H, Nurmohamed, A, The Citrien 2 Project Leaders and Steering Group, van de Belt, TH, Schijven, M, Bekker, MN, Buijs, MA, Buskens, E, Chavannes, NH, van Dam, D, van Eldik, N, Goossens, JM, Janssen, M, Kasteleyn, MJ, Kool, RB, Lachkar, T, Lahr, MMH, Martens, H, Metting, EI, Silven, AV, Snoeren, M, van der Steen, MKJ, Verdonck, IM, Venema, N, Villalobos-Quesada, M, Visser, JJ, Willems, SH & van Zwieten, V 2023, 'The National Coordinated Citrien eHealth Program to Scale Up Telemonitoring: Protocol for a Before-and-After Evaluation Study', JMIR Research Protocols, vol. 12, e4520. https://doi.org/10.2196/45201

TY - JOUR

T1 - The National Coordinated Citrien eHealth Program to Scale Up Telemonitoring

T2 - Protocol for a Before-and-After Evaluation Study

AU - Gijsbers, Harm

AU - Nurmohamed, Azam

AU - The Citrien 2 Project Leaders and Steering Group

AU - van de Belt, Tom H.

AU - Schijven, Marlies

AU - Bekker, Mireille N.

AU - Buijs, Marit A.

AU - Buskens, Erik

AU - Chavannes, Niels H.

AU - van Dam, Debora

AU - van Eldik, Nicole

AU - Goossens, Jelle M.

AU - Janssen, Mark

AU - Kasteleyn, Marise J.

AU - Kool, Rudolf B.

AU - Lachkar, Tarik

AU - Lahr, Maarten M.H.

AU - Martens, Herm

AU - Metting, Esther I.

AU - Silven, Anna V.

AU - Snoeren, Miranda

AU - van der Steen, Marije K.J.

AU - Verdonck, Irma M.

AU - Venema, Nynke

AU - Villalobos-Quesada, María

AU - Visser, Jacob J.

AU - Willems, Sofie H.

AU - van Zwieten, Valesca

N1 - Publisher Copyright: ©Harm Gijsbers, Azam Nurmohamed, Tom H van de Belt, Marlies Schijven, The Citrien 2 Project Leaders and Steering Group.

PY - 2023

Y1 - 2023

N2 - Background: Sustainable implementation of telemonitoring in health care is challenging, especially if one aims to scale up telemonitoring initiatives nationwide. The National collaborative eHealth program in the Netherlands is supporting the nationwide upscaling of telemonitoring in 3 clinical domains by implementing telemonitoring in all Dutch university medical centers (UMCs). The chosen telemonitoring concepts are (1) telemonitoring solutions in the domain of cardiology, (2) telemonitoring solutions providing care from a distance in obstetrics, and (3) telemonitoring solutions monitoring vital functions in hospital wards. Objective: The aim of this study is to evaluate the upscaling of telemonitoring in Dutch university hospitals in order to gain a better knowledge of the process, methods, and outcomes of nationwide upscaling strategies. Our hypothesis is that by the completion of the Citrien program’s scale-up, telemonitoring will be operational in all UMCs but not normalized in routine care. Methods: A before-and-after study will be conducted to assess upscaling. The theoretical frameworks used are the framework for nonadoption, abandonment, scale-up, spread, and sustainability; the Normalization Process Theory; and a project management tool Project Canvas. The primary outcome of the study is the degree of normalization to which health care providers at UMCs consider telemonitoring a part of their routine practice, measured using the Normalization MeAsurement Development tool (NoMAD). Our secondary outcome is the uptake of telemonitoring at the Dutch UMCs, using management data from UMCs’ business intelligence systems query. Results: Data will be collected between May 2020 and December 2022. Results were retrieved in June 2023. UMCs’ business intelligence systems are queried for data for the secondary outcome measures. There is a risk that the UMCs will not be able to provide this management information. The laws and regulations governing telemonitoring in the Netherlands are changing, with the Electronic Data Exchange in Health Care Act (Wet elektronische gegevensuitwisseling in de zorg) and the European Health Data Space Act expected to positively influence implementation and upscaling. Conclusions: The Citrien program is a nationally coordinated change management program that is scaling up telemonitoring across contexts and settings. This study will produce original data on the uptake and upscaling of telemonitoring at Dutch UMCs. Future initiatives to implement eHealth in the health care sector may be guided by the wide range of success factors, obstacles, and experiences collected through this program. The network itself may be of great value impacting future acceleration of eHealth initiatives.

AB - Background: Sustainable implementation of telemonitoring in health care is challenging, especially if one aims to scale up telemonitoring initiatives nationwide. The National collaborative eHealth program in the Netherlands is supporting the nationwide upscaling of telemonitoring in 3 clinical domains by implementing telemonitoring in all Dutch university medical centers (UMCs). The chosen telemonitoring concepts are (1) telemonitoring solutions in the domain of cardiology, (2) telemonitoring solutions providing care from a distance in obstetrics, and (3) telemonitoring solutions monitoring vital functions in hospital wards. Objective: The aim of this study is to evaluate the upscaling of telemonitoring in Dutch university hospitals in order to gain a better knowledge of the process, methods, and outcomes of nationwide upscaling strategies. Our hypothesis is that by the completion of the Citrien program’s scale-up, telemonitoring will be operational in all UMCs but not normalized in routine care. Methods: A before-and-after study will be conducted to assess upscaling. The theoretical frameworks used are the framework for nonadoption, abandonment, scale-up, spread, and sustainability; the Normalization Process Theory; and a project management tool Project Canvas. The primary outcome of the study is the degree of normalization to which health care providers at UMCs consider telemonitoring a part of their routine practice, measured using the Normalization MeAsurement Development tool (NoMAD). Our secondary outcome is the uptake of telemonitoring at the Dutch UMCs, using management data from UMCs’ business intelligence systems query. Results: Data will be collected between May 2020 and December 2022. Results were retrieved in June 2023. UMCs’ business intelligence systems are queried for data for the secondary outcome measures. There is a risk that the UMCs will not be able to provide this management information. The laws and regulations governing telemonitoring in the Netherlands are changing, with the Electronic Data Exchange in Health Care Act (Wet elektronische gegevensuitwisseling in de zorg) and the European Health Data Space Act expected to positively influence implementation and upscaling. Conclusions: The Citrien program is a nationally coordinated change management program that is scaling up telemonitoring across contexts and settings. This study will produce original data on the uptake and upscaling of telemonitoring at Dutch UMCs. Future initiatives to implement eHealth in the health care sector may be guided by the wide range of success factors, obstacles, and experiences collected through this program. The network itself may be of great value impacting future acceleration of eHealth initiatives.

UR - http://www.scopus.com/inward/record.url?scp=85167972605&partnerID=8YFLogxK

U2 - 10.2196/45201

DO - 10.2196/45201

M3 - Article

C2 - 37494085

AN - SCOPUS:85167972605

SN - 1929-0748

VL - 12

JO - JMIR Research Protocols

JF - JMIR Research Protocols

M1 - e4520

ER -

The National Coordinated Citrien eHealth Program to Scale Up Telemonitoring: Protocol for a Before-and-After Evaluation Study

Abstract

Bibliographical note

Access to Document

Other files and links

Fingerprint

Cite this