scholarly journals Facilitating Ambulatory Electronic Health Record System Implementation: Evidence from a Qualitative Study

2013 ◽  
Vol 2013 ◽  
pp. 1-9 ◽  
Author(s):  
Ann Scheck McAlearney ◽  
Cynthia Sieck ◽  
Jennifer Hefner ◽  
Julie Robbins ◽  
Timothy R. Huerta
Keyword(s):  
Electronic Health Record ◽  
Resistance To Change ◽  
Implementation Process ◽  
Unintended Consequences ◽  
Successful Implementation ◽  
Health Record ◽  
System Implementation ◽  
Healthcare Organizations ◽  
Record System ◽  
Electronic Health

Background. Ambulatory care practices have increasing interest in leveraging the capabilities of electronic health record (EHR) systems, but little information is available documenting how organizations have successfully implemented these systems.Objective. To characterize elements of successful electronic health record (EHR) system implementation and to synthesize the key informants' perspectives about successful implementation practices.Methods. Key informant interviews and focus groups were conducted with a purposive sample of individuals from US healthcare organizations identified for their success with ambulatory EHR implementation. Rigorous qualitative data analyses used both deductive and inductive methods.Results. Participants identified personal and system-related barriers, at both the individual and organization levels, including poor computer skills, productivity losses, resistance to change, and EHR system failure. Implementation success was reportedly facilitated by careful planning and consistent communication throughout distinct stages of the implementation process. A significant element of successful implementation was an emphasis on optimization, both during “go-live” and, subsequently, when users had more experience with the system.Conclusion. Successful EHR implementation requires both detailed planning and clear mechanisms to deal with unforeseen or unintended consequences. Focusing on user buy-in early and including plans for optimization can facilitate greater success.

scholarly journals Electronic Health Record Adoption – Maybe It’s not about the Money

2011 ◽  
Vol 02 (04) ◽  
pp. 460-471 ◽  
Author(s):  
A. Skinner ◽  
J. Windle ◽  
L. Grabenbauer
Keyword(s):  
Electronic Health Record ◽  
Patient Care ◽  
Resistance To Change ◽  
Medical Center ◽  
Academic Medical Center ◽  
Care Physician ◽  
Health Record ◽  
Record System ◽  
Intuitive Interfaces ◽  
Electronic Health

SummaryObjective: The slow adoption of electronic health record (EHR) systems has been linked to physician resistance to change and the expense of EHR adoption. This qualitative study was conducted to evaluate benefits, and clarify limitations of two mature, robust, comprehensive EHR Systems by tech-savvy physicians where resistance and expense are not at issue.Methods: Two EHR systems were examined – the paperless VistA / Computerized Patient Record System used at the Veterans‘ Administration, and the General Electric Centricity Enterprise system used at an academic medical center. A series of interviews was conducted with 20 EHR-savvy multi-institutional internal medicine (IM) faculty and house staff. Grounded theory was used to analyze the transcribed data and build themes. The relevance and importance of themes were constructed by examining their frequency, convergence, and intensity.Results: Despite eliminating resistance to both adoption and technology as drivers of acceptance, these two robust EHR’s are still viewed as having an adverse impact on two aspects of patient care, physician workflow and team communication. Both EHR’s had perceived strengths but also significant limitations and neither were able to satisfactorily address all of the physicians’ needs.Conclusion: Difficulties related to physician acceptance reflect real concerns about EHR impact on patient care. Physicians are optimistic about the future benefits of EHR systems, but are frustrated with the non-intuitive interfaces and cumbersome data searches of existing EHRs.

Proposing an Intelligent Cloud-Based Electronic Health Record System

2012 ◽  
Vol 8 (3) ◽  
pp. 57-71 ◽  
Author(s):  
Lara Khansa ◽  
Jonathan Forcade ◽  
Girivaraprasad Nambari ◽  
Saravanan Parasuraman ◽  
Patrick Cox
Keyword(s):  
Best Practices ◽  
Electronic Health Record ◽  
Service Level ◽  
Health Record ◽  
Healthcare Organizations ◽  
Privacy And Security ◽  
Private Patient ◽  
Record System ◽  
Electronic Health ◽  
Reducing Costs

With the aging United States population, healthcare costs have considerably increased and are expected to keep rising in the foreseeable future. In this paper, the authors propose an intelligent cloud-based electronic health record (ICEHR) system that has the potential to reduce medical errors and improve patients’ quality of life, in addition to reducing costs and increasing the productivity of healthcare organizations. They developed a set of best practices that encompass end-user policies and regulations, identity and access management, network resilience and service level agreements, advanced computational power, “Big Data” mining abilities, and other operational/managerial controls that are meant to improve the privacy and security of the ICEHR, and make it inherently compliant to healthcare regulations. These best practices serve as a framework that offers a single interconnection agreement between the cloud host and healthcare entities, and streamlines access to private patient information based on a unified set of access principles.

Implementation of a nationwide electronic health record (EHR)

2018 ◽  
Vol 31 (2) ◽  
pp. 116-130 ◽  
Author(s):  
Leonidas L. Fragidis ◽  
Prodromos D. Chatzoglou
Keyword(s):  
Best Practices ◽  
Electronic Health Record ◽  
Success Factors ◽  
Implementation Process ◽  
Success Factor ◽  
Health Record ◽  
System Implementation ◽  
Content Type ◽  
Electronic Health ◽  
Specific Implementation

Purpose The purpose of this paper is to identify the best practices applied during the implementation process of a national electronic health record (EHR) system. Furthermore, the main goal is to explore the knowledge gained by experts from leading countries in the field of nationwide EHR system implementation, focusing on some of the main success factors and difficulties, or failures, of the various implementation approaches. Design/methodology/approach To gather the necessary information, an international survey has been conducted with expert participants from 13 countries (Denmark, Austria, Sweden, Norway, the UK, Germany, the Netherlands, Switzerland, Canada, the USA, Israel, New Zealand and South Korea), who had been playing varying key roles during the implementation process. Taking into consideration that each system is unique, with each own (different) characteristics and many stakeholders, the methodological approach followed was not oriented to offer the basis for comparing the implementation process, but rather, to allow us better understand some of the pros and cons of each option. Findings Taking into account the heterogeneity of each country’s financing mechanism and health system, the predominant EHR system implementation option is the middle-out approach. The main reasons which are responsible for adopting a specific implementation approach are usually political. Furthermore, it is revealed that the most significant success factor of a nationwide EHR system implementation process is the commitment and involvement of all stakeholders. On the other hand, the lack of support and the negative reaction to any change from the medical, nursing and administrative community is considered as the most critical failure factor. Originality/value A strong point of the current research is the inclusion of experts from several countries (13) spanning in four continents, identifying some common barriers, success factors and best practices stemming from the experience obtained from these countries, with a sense of unification. An issue that should never be overlooked or underestimated is the alignment between the functionality of the new EHR system and users’ requirements.

scholarly journals Electronic Health Record System Implementation in a Health Informatics Program: A Case Study

2017 ◽  
Vol 2017 (2) ◽  
pp. 121-137
Author(s):  
Kalyani Ankem ◽  
◽  
Vishal Uppala ◽  
Alka Dhawan ◽  
◽  
...  
Keyword(s):  
Electronic Health Record ◽  
Health Informatics ◽  
Electronic Health Record System ◽  
Health Record ◽  
System Implementation ◽  
Record System ◽  
Electronic Health

Electronic Health Records

2011 ◽  
pp. 1-8 ◽  
Author(s):  
Olga Galani ◽  
Ageliki Nikiforou
Keyword(s):  
Information Technology ◽  
Electronic Health Records ◽  
Electronic Health Record ◽  
Healthcare Providers ◽  
Successful Implementation ◽  
Health Record ◽  
Healthcare Organizations ◽  
Potential Benefits ◽  
Electronic Health ◽  
Implementation Of Ehr

The electronic health record is a means of organizing patient data making profound use of the advances in the field of information technology. Its purpose is to fulfill the various needs for information not only of patients and healthcare providers but also of other beneficiaries. The implementation of EHR systems in healthcare organizations is very complex and involves many parameters. This article is about the challenges faced by those undertaking such a task and about the potential benefits from a successful implementation.

scholarly journals The Practice Impact of Electronic Health Record System Implementation Within a Large Multispecialty Ophthalmic Practice

2015 ◽  
Vol 133 (6) ◽  
pp. 668 ◽  
Author(s):  
Rishi P. Singh ◽  
Rumneek Bedi ◽  
Ang Li ◽  
Sharmila Kulkarni ◽  
Tiffany Rodstrom ◽  
...  
Keyword(s):  
Electronic Health Record ◽  
Electronic Health Record System ◽  
Health Record ◽  
System Implementation ◽  
Record System ◽  
Electronic Health
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