Unadjusted hazard ratios of the organizational characteristics revealed no associations with time to implementation of automated eGFR reporting.
We did not expect to find that none of the facility level characteristics from the CPOS-COS survey were associated with time to implementation of automated eGFR reporting.
As those involved in the SRIP were already contributing a considerable amount of time to implementation activities, which in turn were taking longer than predicted, the timescale for these planned improvements had to move from pre-implementation to post-implementation.
To test for association with time to implementation, survival analysis was performed using proportional hazards models.
To relate timing of implementation to organizational characteristics, facilities were categorized into stages of implementation, early, mid, or late stage with median time to implementation of 0.6, 1.8, and 3.2 years, respectively.
Integrating information technology into geriatric services (gero-informatics) might allow reduction of the time to implementation of geriatric recommendations and prevent the initiation of potentially harmful medications and procedures during the critical first 48 hours of hospitalization.
In a multivariable model for time to implementation, "presence of teamwork for implementation" was retained in a model with three other variables (presence of dialysis unit, presence of nephrologist, and affiliation with academic medical center), although this organizational characteristic was not statistically significant in the full model.
(A new public health system with IIS functionality is being developed in Canada, and while it is anticipated that this system - Panorama - will meet some of the immunization surveillance criteria that are presented here, few details regarding time to implementation are publicly available at the time of this paper's drafting).
At the same time, many challenges to implementation in BC were identified by those on the ground responsible for implementing core programs.
By the time it came to implementation, enough exceptions and loopholes could also have been introduced to reduce the measure's real bite.
