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.