Alana Delaforce RN PhD
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alanadelaforce.bsky.social
Alana Delaforce RN PhD
@alanadelaforce.bsky.social
Leader / Nurse / Implementation Scientist / Mum / Nerd

Working at CSIRO in the Australian E-Health Research Centre to improve the lives and wellbeing of all Australians through the development and implementation of digital health interventions.
Fragmented health information negatively impacts patient care, a challenge addressed by the Sparked FHIR accelerator. This video summarises a study exploring the program's key components & factors influencing implementation.

youtu.be/jQvczpXS10s?...

@jmirpub.bsky.social #MyJMIRResearch
Improving Patient Care: Inside Australia's Sparked FHIR Accelerator Program
YouTube video by JMIR Publications
youtu.be
June 14, 2025 at 12:30 AM
Fast Healthcare Interoperability Resources (FHIR) standards can enhance health data sharing. But how do we embed these? What mechanisms are needed to encourage adoption?

We share the experience of a powerful community of practice with an embedded knowledge management system - Sparked
New JMIR MedInform: Identifying and Optimizing Factors Influencing the Implementation of a Fast #healthcare Interoperability Resources Accelerator: Qualitative Study Using the Consolidated Framework for Implementation #research–Expert Recommendations for Implementing Change Approach
Identifying and Optimizing Factors Influencing the Implementation of a Fast #healthcare Interoperability Resources Accelerator: Qualitative Study Using the Consolidated Framework for Implementation #research–Expert Recommendations for Implementing Change Approach
Background: Fragmented sharing of #health information is known to negatively impact #patient care and outcomes. To support the sharing of #health information between systems, Fast #healthcare Interoperability Resources (FHIR) has emerged as the global interoperability standard for #health information exchange. To speed up the process of adoption, various FHIR accelerator groups have been formed. FHIR accelerators such as the Sparked program in Australia enable communities and collaborative groups to develop high-quality FHIR standards for #health care information exchange and encourage widespread uptake. However, limited #research exists on the development, delivery, and implementation of FHIR accelerator programs. Objective: This study used qualitative methods to identify the key components of the Sparked FHIR accelerator, what factors influence implementation, and which strategies may help enhance its delivery. Methods: Semistructured interviews were conducted with Sparked stakeholders in the early stage of the program. The Sparked FHIR accelerator intervention components were described using a standardized reporting checklist (Template for Intervention Description and Replication). The Consolidated Framework for Implementation #research (CFIR) 2.0 was used to analyze factors influencing implementation. On the basis of a cumulative majority analysis, the most mentioned factors influencing implementation were identified. These factors were then mapped to the Expert Recommendations for Implementing Change (ERIC) tool to identify strategies for enhancing the implementation of the Sparked program. Results: A total of 17 participants were interviewed, including program leads, cochairs, representatives of software industry implementers, clinicians, and consumers. In total, 8 key CFIR influencing factors were identified: engaging, innovation design, assessing needs, local conditions, access to knowledge and information, partnerships and connections, capability, and work infrastructure. After mapping the top CFIR influencing factors to the ERIC tool, 5 strategy clusters were identified: adapt and tailor to context, develop stakeholder interrelations, support participants, train and educate stakeholders, and use evaluative and iterative strategies. Conclusions: This study enabled the core components of the Sparked FHIR accelerator to be defined and identified the factors that have the strongest influence on program implementation. Using the CFIR-ERIC approach facilitated the generation of expert-informed recommendations for improving the implementation of Sparked, but #researcher recommendations were needed to supplement the tool. This #research offers valuable insights for decision makers and implementers.
dlvr.it
May 28, 2025 at 3:57 AM
Are there any clinicians out there with lived experience OR special interest in long COVID and ME/CFS who are keen to be a CI on an MRFF application?
March 13, 2025 at 11:03 PM
Are you living with, caring for, or treating someone with
Long COVID or Myalgic Encephalitis/Chronic Fatigue
Syndrome (ME/CFS)?

We want to hear from you!

Complete a survey at this link.
lnkd.in/gX-qvh4w
February 26, 2025 at 5:09 AM
Really handy tool that I am super keen to use when writing plain language summaries as well as participant information and consent forms.
December 16, 2024 at 5:55 AM
Excited to be attending the Health Services Research Australia and New Zealand conference 2024: in the digital age.

Anyone else I know here?
December 4, 2024 at 3:28 AM
1) I admit I felt a bit defensive when I saw this paper, having done multiple barrier and enabler studies, but glad to see it reinforced the fact that we DO suggest AND test implementation strategies that are recommended, not just say "here are the issues".
Re-upping this excellent article pointing out the many problems with a 'Barriers and Enablers' approach. It's binary, reductionist, atheoretical, doesn't take sufficient account of context, and is ill suited to #complexity. 👎

#AcademicSky #MedSky #MedEd
journals.sagepub.com/doi/full/10....
Sage Journals: Discover world-class research
Subscription and open access journals from Sage, the world's leading independent academic publisher.
journals.sagepub.com
December 2, 2024 at 6:28 AM
Reposted by Alana Delaforce RN PhD
In unexpected breaking news, I’m an elite athlete somehow

#MedSky
November 28, 2024 at 8:31 AM
My ted talk on using hybrid effectiveness implementation study designs:

Three types.
T1 powered for clinical effect. T2 powered for clinical and implementation.
T3 powered for implementation.

If they aren't powered this way, I'd argue they are not hybrid effectiveness studies.
peter griffin from family guy is standing on a stage in front of a large red ted talk sign .
ALT: peter griffin from family guy is standing on a stage in front of a large red ted talk sign .
media.tenor.com
November 24, 2024 at 11:22 AM
Great thread on grant writing tips.
The basic principle is that reviewers are tired, they're rushed, they're reading your and 10 other grants on top of their normal workload.

Anything you can do to make it easy for them will help.

Here's a list of my suggestions.
As a grant reviewer, what do you really wish people would do/not do?

Not big things, like find a significant question/innovative method/be consistent with aims

Little things, like bold each acronym the first time it’s used.

Add your pet peeves ⬇️
#HiddenCurriculum #Research
November 24, 2024 at 11:18 AM
Anyone else stopped to wonder about the validity of predictive algorithms in clinical practice (deterioration risk) which rely on manual vital sign data input, and resp rate, the most sensitive indicator is the most poorly taken?
onlinelibrary.wiley.com/doi/full/10....
How registered nurses are measuring respiratory rates in adult acute care health settings: An integrative review
Aims and objectives This integrative review aimed to draw conclusions from evidence on how registered nurses are measuring respiratory rates for acute care patients. Background Despite the growing...
onlinelibrary.wiley.com
November 22, 2024 at 12:02 AM
New CFIR constructs for virtual care: see our scoping review. Keen to socialise and test more widely

journals.lww.com/ijebh/fullte...
Factors that influence the uptake of virtual care solutions ... : JBI Evidence Implementation
ht patient, in the right clinical context, at the right time. Further, this paper evaluates how the updated Consolidated Framework for Implementation Research (CFIR) can be used to assess these factor...
journals.lww.com
November 13, 2024 at 10:24 AM
I will repost this until the end of time. Everyone needs to know!!
Another #MedSky #Skeetorial

Iron deficiency is relatively frequent and seen by all types of physicians.

For years, iron supplements were given multiple times a day.

Now we know that should never happen.

So why the change?
1/n
November 10, 2024 at 7:26 AM
Posting the great loves of my life as the first to mark the occasion of moving from X
November 10, 2024 at 7:15 AM