scholarly journals An Information Systems Model of the Determinants of Electronic Health Record Use

2013 ◽  
Vol 04 (02) ◽  
pp. 185-200 ◽  
Author(s):  
S. Khan ◽  
M. Millery ◽  
A. Campbell ◽  
J. Merrill ◽  
S. Shih ◽  
...  
Keyword(s):  
Information Systems ◽  
Electronic Health Record ◽  
User Satisfaction ◽  
Ease Of Use ◽  
Health Record ◽  
System Quality ◽  
Care Providers ◽  
Systems Model ◽  
It Support ◽  
Electronic Health

SummaryObjectives: The prominence given to universal implementation of electronic health record (EHR) systems in U.S. health care reform, underscores the importance of devising reliable measures of factors that predict medical care providers’ use of EHRs. This paper presents an easily administered provider survey instrument that includes measures corresponding to core dimensions of DeLone and McClean’s (D & M) model of information system success.Methods: Study data came from self-administered surveys completed by 460 primary care providers, who had recently begun using an EHR.Results: Based upon assessment of psychometric properties of survey items, a revised D&M causal model was formulated that included four measures of the determinants of EHR use (system quality, IT support, ease of use, user satisfaction) and five indicators of provider beliefs about the impact on an individual’s clinical practice. A structural equation model was estimated that demonstrated a high level of inter-correlation between the four scales measuring determinants of EHR use. All four variables had positive association with each of the five individual impact measures. Consistent with our revised D&M model, the association of system quality and IT support with the individual impact measures was entirely mediated by ease of use and user satisfaction.Conclusions: Survey research provides important insights into provider experiences with EHR. Additional studies are in progress to investigate how the variables constructed for this study are related to direct measures of EHR use.Citation: Messeri P, Khan S, Millery M, Campbell A, Merrill J, Shih S, Kukafka R. An information systems model of the determinants of electronic health record use. Appl Clin Inf 2013; 4: 185–200http://dx.doi.org/10.4338/ACI-2013-01-RA-0005

scholarly journals Association of Medical Directors of Information Systems Consensus on Inpatient Electronic Health Record Documentation

2013 ◽  
Vol 04 (02) ◽  
pp. 293-303 ◽  
Author(s):  
L. Ozeran ◽  
C. Hamann ◽  
W. Bria ◽  
J. Shoolin
Keyword(s):  
Information Systems ◽  
Electronic Health Record ◽  
Clinical Care ◽  
Ease Of Use ◽  
Health Record ◽  
Electronic Documentation ◽  
Medical Directors ◽  
Electronic Health ◽  
Copy And Paste ◽  
The Right

SummaryIn 2013, electronic documentation of clinical care stands at a crossroads. The benefits of creating digital notes are at risk of being overwhelmed by the inclusion of easily importable detail. Providers are the primary authors of encounters with patients. We must document clearly our understanding of patients and our communication with them and our colleagues. We want to document efficiently to meet without exceeding documentation guidelines. We copy and paste documentation, because it not only simplifies the documentation process generally, but also supports meeting coding and regulatory requirements specifically. Since the primary goal of our profession is to spend as much time as possible listening to, understanding and helping patients, clinicians need information technology to make electronic documentation easier, not harder. At the same time, there should be reasonable restrictions on the use of copy and paste to limit the growing challenge of ‘note bloat’. We must find the right balance between ease of use and thoughtless documentation. The guiding principles in this document may be used to launch an interdisciplinary dialogue that promotes useful and necessary documentation that best facilitates efficient information capture and effective display. Citation: Shoolin J, Ozeran L, Hamann C, Bria W. II. Association of Medical Directors of Information Systems Consensus on Inpatient Electronic Health Record Documentation. Appl Clin Inf 2013; 4: 293–303http://dx.doi.org/10.4338/ACI-2013-02-R-0012

scholarly journals Measuring prevailing practices of healthcare professional on electronic health record through the lens of Iraq

2021 ◽  
Vol 10 (2) ◽  
pp. 970-977
Author(s):  
Murtaja Ali Saare ◽  
Alia Ahmed Mahdi ◽  
Saima Anwar Lashari ◽  
Sari Ali Sari ◽  
Norhamreeza Abdul Hamid
Keyword(s):  
Electronic Health Record ◽  
Technology Acceptance ◽  
Health Care Providers ◽  
Professional Staff ◽  
Ease Of Use ◽  
Equation Modeling ◽  
Health Record ◽  
Care Providers ◽  
Main Hospital ◽  
Electronic Health

Paper based approach to clinical documentation such as handwritten notes among health care providers are cause of errors in medical field. Therefore, health record system needs to be replaced with electronic health record (EHR). Many health professionals in developing countries specifically in Iraq refuse to use the systems implemented for their benefits due to many reasons. Thus, the use of electronic services is important for successful electronic health implementations. Therefore, this study is intended to identify the main factors affecting the intention of use of the electronic health record in Iraq. Health professional staff who work in the main hospital in Dhi-Qar is chosen because this province is the first local province that implemented many electronic projects. The present study examined use of user acceptance of technology, based on the technology acceptance model (TAM). Moreover, the quantitative method approach for data collection using survey from staff who work in the main hospital in Dhi-Qar. Data was analyzed using Structural Equation Modeling using AMOS. The results indicated significant relationship between Ease of Use, Usefulness, Usefulness, Attitude, and Intention of use of EHR. These finding have implementation for decision makers in Iraq government to improve future implementation of e-health services.

scholarly journals Evaluasi Kepuasan Pengguna Electronic Health Record (EHR) Menggunakan Metode EUCS (End User Computing Satisfaction) di Unit Rekam Medis Pusat RSUPN Dr. Cipto Mangunkusumo

2020 ◽  
Vol 11 (3) ◽  
pp. 258
Author(s):  
Gamasiano Alfiansyah ◽  
Andar Sifa’il Fajeri ◽  
Maya Weka Santi ◽  
Selvia Juwita Swari
Keyword(s):  
Electronic Health Record ◽  
User Satisfaction ◽  
Random Sampling ◽  
Sampling Technique ◽  
Ease Of Use ◽  
Health Record ◽  
End User ◽  
Electronic Health ◽  
Quantitative Descriptive ◽  
End User Computing

RSUPN Dr. Cipto Mangunkusumo is one of the hospitals whose services have used Electronic Health Record (EHR). The implementation of EHR is frequent loading and errors during service and lacking for several menus. The research purpose was to evaluate user satisfaction related to reporting on the Electronic Health Record (EHR) in the central medical records unit Dr. RSUPN. Cipto Mangunkusumo. This research was quantitative descriptive with population of all Electronic Health Record users in the central medical record unit, with 50 sample of respondents. The sampling technique was conducted by sistematic random sampling. Data was analyzed through scoring and presented in table form. The results showed that the dimension of accuracy was 73.28%, format was 71.6%, ease of use was 69.2%, content was 69.2 %, and timelines was 65.66%. These dimension scores indicated good criteria or the user was satisfied with the current Electronic Health Record (EHR) condition, but it requires the development of information systems by adding and adjusting modules contained in the EHR so that user satisfaction continues to increase. Keywords: evaluation; electronic health record (HER); end user computing satisfaction (EUCS) ABSTRAK Rumah Sakit Umum Pusat Nasional (RSUPN) Dr. Cipto Mangunkusumo merupakan salah satu rumah sakit yang pelayanannya sudah menggunakan SIMRS yang disebut Electronic Health Record (EHR). Penggunaan EHR sering loading dan error pada saat pelayanan dan ada beberapa menu yang masih kurang. Tujuan penelitian ini adalah untuk mengevaluasi kepuasan pengguna terkait pelaporan pada Electronic Health Record (EHR) di unit rekam medis pusat RSUPN Dr. Cipto Mangunkusumo. Penelitian ini adalah kuantitatif deskriptif dengan populasi seluruh pengguna Electronic Health Record di unit rekam medis pusat, dan sampel berjumlah 50 responden. Teknik pengambilan sampel dilakukan dengan sistematic random sampling. Analisa data dilakukan melalui skoring dan disajika ndalam bentuk tabel. Hasil penelitian menunjukkan bahwa dimensi keakuratan memiliki nilai tertinggi, yaitu 73,28%, tampilan 71,6%, kemudahan pengguna 69,2%, isi 69,2%, dan waktu 65,66%. Skor dalam dimensi tersebut termasuk dalam kriteria baik atau pengguna puas terhadap konsisi Electronic Health Record (EHR) saat ini, namun masih diperlukan pengembangan sistem informasi serta menambahkan dan menyesuaikan modul yang ada di dalam EHR sehingga kepuasan pengguna terus meningkat. Kata kunci: evaluasi; electronic health record (HER); end user computing satisfaction (EUCS)

scholarly journals Electronic Health Record Acceptance by Physicians: A Single Hospital Experience in Daily Practice

2021 ◽  
Vol 1 (1) ◽  
pp. 6-17
Author(s):  
Andrija Pavlovic ◽  
Nina Rajovic ◽  
Jasmina Pavlovic Stojanovic ◽  
Debora Akinyombo ◽  
Milica Ugljesic ◽  
...  
Keyword(s):  
Health Care ◽  
Logistic Regression ◽  
Electronic Health Record ◽  
Technology Acceptance ◽  
Daily Practice ◽  
Ease Of Use ◽  
Future Research ◽  
Health Record ◽  
Cross Sectional ◽  
Electronic Health

Introduction: Potential benefits of implementing an electronic health record (EHR) to increase the efficiency of health services and improve the quality of health care are often obstructed by the unwillingness of the users themselves to accept and use the available systems. Aim: The aim of this study was to identify factors that influence the acceptance of the use of an EHR by physicians in the daily practice of hospital health care. Material and Methods: The cross-sectional study was conducted among physicians in the General Hospital Pancevo, Serbia. An anonymous questionnaire, developed according to the technology acceptance model (TAM), was used for the assessment of EHR acceptance. The response rate was 91%. Internal consistency was assessed by Cronbach’s alpha coefficient. A logistic regression analysis was used to identify the factors influencing the acceptance of the use of EHR. Results: The study population included 156 physicians. The mean age was 46.4 ± 10.4 years, 58.8% participants were female. Half of the respondents (50.1%) supported the use of EHR in comparison to paper patient records. In multivariate logistic regression modeling of social and technical factors, ease of use, usefulness, and attitudes towards use of EHR as determinants of the EHR acceptance, the following predictors were identified: use of a computer outside of the office for reading daily newspapers (p = 0.005), EHR providing a greater amount of valuable information (p = 0.007), improvement in the productivity by EHR use (p < 0.001), and a statement that using EHR is a good idea (p = 0.014). Overall the percentage of correct classifications in the model was 83.9%. Conclusion: In this research, determinants of the EHR acceptance were assessed in accordance with the TAM, providing an overall good model fit. Future research should attempt to add other constructs to the TAM in order to fully identify all determinants of physician acceptance of EHR in the complex environment of different health systems.

scholarly journals Development of a Cancer Care Summary Through the Electronic Health Record

2016 ◽  
Vol 12 (2) ◽  
pp. e231-e240 ◽  
Author(s):  
Laurie L. Carr ◽  
Pearlanne Zelarney ◽  
Sarah Meadows ◽  
Jeffrey A. Kern ◽  
M. Bronwyn Long ◽  
...  
Keyword(s):  
Electronic Health Record ◽  
Cancer Care ◽  
Query Language ◽  
Primary Care Providers ◽  
Urgent Care ◽  
Health Record ◽  
Patient Portal ◽  
Care Providers ◽  
Improvement Project ◽  
Electronic Health

Introduction: Our objective was to improve communication concerning lung cancer patients by developing and distributing a Cancer Care Summary that would provide clinically useful information about the patient’s diagnosis and care to providers in diverse settings. Methods: We designed structured, electronic forms for the electronic health record (EHR), detailing tumor staging, classification, and treatment. To ensure completeness and accuracy of the information, we implemented a data quality cycle, composed of reports that are reviewed by oncology clinicians. The data from the EHR forms are extracted into a structured query language database system on a daily basis, from which the Summaries are derived. We conducted focus groups regarding the utility, format, and content of the Summary. Cancer Care Summaries are automatically generated 4 months after a patient’s date of diagnosis, then every 6 months for those receiving treatment, and on an as-needed basis for urgent care or hospital admission. Results: The product of our improvement project is the Cancer Care Summary. To date, 102 individual patient Summaries have been generated. These documents are automatically entered into the National Jewish Health (NJH) EHR, attached to correspondence to primary care providers, available to patients as electronic documents on the NJH patient portal, and faxed to emergency departments and admitting physicians on patient evaluation. Conclusion: We developed a sustainable tool to improve cancer care communication. The Cancer Care Summary integrates information from the EHR in a timely manner and distributes the information through multiple avenues.

scholarly journals Local Investment in Training Drives Electronic Health Record User Satisfaction

2019 ◽  
Vol 10 (02) ◽  
pp. 331-335 ◽  
Author(s):  
Christopher Longhurst ◽  
Taylor Davis ◽  
Amy Maneker ◽  
H. Eschenroeder ◽  
Rachel Dunscombe ◽  
...  
Keyword(s):  
Electronic Health Record ◽  
User Satisfaction ◽  
Health Record ◽  
Electronic Health

scholarly journals User’s satisfaction with information system quality: An empirical study on the hospital information systems in Ho Chi Minh City, Vietnam

2020 ◽  
Vol 9 (2) ◽  
Author(s):  
Nguyen Tran Thuy Trang ◽  
Nguyen Manh Tuan
Keyword(s):  
Information System ◽  
Information Systems ◽  
User Satisfaction ◽  
Information Quality ◽  
Ease Of Use ◽  
Perceived Usefulness ◽  
Management Support ◽  
System Quality ◽  
Perceived Ease Of Use ◽  
Top Management Support

User satisfaction with information system quality has long been a substantial topic in the literature of information system (IS). Based on the key constructs of IS success model (including system quality and information quality) and technology acceptance model (including perceived ease of use and perceived usefulness), this paper builds and validates a theoretical framework to explain user satisfaction with information system quality. A survey study with AMOS-SEM analysis of 363 users of management information systems in 9 hospitals in HCMC, Vietnam showed that 12 of 14 hypotheses were empirically supported. The findings affirmed the direct influence of system quality, information quality and top management support on perceived ease of use, perceived usefulness and trust, and then on user satisfaction. The results also reinforced the impact of perceived ease of use on perceived usefulness, and the joint influence of perceived usefulness and trust on user satisfaction. The paper is among the first studies, in the healthcare sector, to empirically identify both information system quality and top management support in predicting user acceptance of and satisfaction with information system implementation in organizational settings. The theoretical and managerial implications of the paper were derived.

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