Development and formative evaluation of the e-Health Implementation Toolkit (e-HIT)
Elizabeth Murray1, Carl May2, Frances Mair3

1 E-Health Unit, Research Department of Primary Care and Population Health, University College London, London, United Kingdom
2 Faculty of Health Sciences, University of Southampton, Southampton, United Kingdom
3 Section of General Practice & Primary Care, Centre for Population and Health Sciences, University of Glasgow, Glasgow, United Kingdom

BMC Medical Informatics and Decision Making 2010, 10:61doi:10.1186/1472-6947-10-61
Published: 18 October 2010
Available online PDF [24p.] at:
“….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.

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

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.

It conference and meeting season and you can find Evelyn and I presenting at various events from South Africa to Nigeria.

OpenMRS Implementor’s 2010 Meeting in Cape Town, SA – Evelyn is in Cape Town learning and sharing the work that we have done on eHealth, using OpenMRS, in Nigeria.  You can follows #omrs2010 on Twitter to keep up with the dicussions.

MedInfo 2010 in Cape Town, SA – Look for Evelyn at MedInfo to see her present our paper:

Experience Implementing OpenMRS to Support Maternal and Reproductive Health in Northern Nigeria.
Date/Time: Monday, 13.Sep.2010 (10:30 – 12:15),
Room: 1.6.3 & 1.6.4
Chairman 1: Reti Shane Chairman 2: n/a.

4th Edition of Nigerian Conference on Telemedicine & eHealth (NICTe) – From September 16th – 17th you should be able to catch both Evelyn and I in Gombe.  I will present about or work on OpenMRS and other upcoming eHealth projects, and lead a hands-on session or two for those wanting a bit more detail on setting up EMRs.

Sociology major Evelyn Castle
Health sciences major Evelyn Castle (’12) on her last day at the health clinic in Kaduna, Nigeria. The clinic’s new records room includes two computers.

Over at eHealth Nigeria there is a new press release by the UC Santa Cruz Public Relations called “Students forging a new frontier in global health”.