Approaches and Challenges to Optimizing the Use of the Electronic Health Record in Primary Care
PROCEEDINGS
Wan-Lin Yang, Nancy Pandhi, Zaher Karp, Alexander Young, John Beasley, Sally Kraft, Pascale Carayon, University of Wisconsin-Madison, United States
E-Learn: World Conference on E-Learning in Corporate, Government, Healthcare, and Higher Education, in Montréal, Quebec, Canada ISBN 978-1-880094-98-3 Publisher: Association for the Advancement of Computing in Education (AACE), San Diego, CA
Abstract
This qualitative study investigates the approaches to electronic health record (EHR) quality improvement that optimization analysts took and the challenges that they perceived in their work in a large Midwestern academic healthcare system. Findings suggest that approaches to EHR optimization varied at the levels of the organization, primary care teams, and team members. A major challenge was the tension between standardization required by the organization and the customization desired by the empowered primary care teams. Other challenges identified at the team level included a reluctance to change existing habits, a lack of dedicated time for optimization, and a lack of technological knowledge. The implications of this study highlight the need to involve different stakeholders’ opinions in the process of EHR optimization planning. An in-depth understanding of the workflow, the cognitive and interactional activities in primary care is necessary for successful EHR optimization.
Citation
Yang, W.L., Pandhi, N., Karp, Z., Young, A., Beasley, J., Kraft, S. & Carayon, P. (2012). Approaches and Challenges to Optimizing the Use of the Electronic Health Record in Primary Care. In T. Bastiaens & G. Marks (Eds.), Proceedings of E-Learn 2012--World Conference on E-Learning in Corporate, Government, Healthcare, and Higher Education 1 (pp. 852-858). Montréal, Quebec, Canada: Association for the Advancement of Computing in Education (AACE). Retrieved February 23, 2020 from https://www.learntechlib.org/primary/p/41700/.
© 2012 Association for the Advancement of Computing in Education (AACE)
References
View References & Citations Map- Cresswell, K., Sheikh, A (2009). The NHS Care Record Service (NHS CRS): recommendations from the literature on successful implementation and adoption. Informatics in Primary Care, 17 (3), 153-160.
- Guida, K., LaVenture, M (2011). EHR adoption and use: results from the 2010 Minnesota ambulatory clinic survey. Minnesota Medicine. 94 (4), 33-36.
- Harrison, J., Palacio, C (2006). The Role of Clinical Information Systems in HealthCare Quality Improvement. The HealthCare Manager. 25 (3), 206-212.
- Menachemi, N (2006). Barriers to ambulatory EHR: who are 'imminent adopters' and how do they differ from other physicians? Informatics in Primary Care. 14 (2), 101-108.
- Silow-Carroll, S., Edwards, J.N., Rodin, D (2012). Using electronic health record to improve quality and efficiency: the experiences of leading hospitals. The Commonwealth Fund. 17, 1-40.
- Stream, G.R (2009). Trends in adoption of electronic health records by family physicians in Washington State. Informatics in Primary Care. 17 (3), 145-152.
These references have been extracted automatically and may have some errors. Signed in users can suggest corrections to these mistakes.
Suggest Corrections to References