Critical Success Factors in the Implementation of Electronic Health Records: A Two-Case Comparison (original) (raw)
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An exploratory study of the implementation of electronic health records: a two country comparison
2012
The adoption of electronic health records has been significantly slower in Australia than many European countries. This paper compares the implementation process in Australia with Slovenia, looking at the benefits, drawbacks and success factors of e-health implementation. The authors use case studies collected in each country to discuss issues around e-health implementation. Though Slovenia has progressed much further down the road of e-health the commonality of the experiences between both cases was striking.
The Implementation of Electronic Health Records: A Two Country Comparison
2011
The adoption of electronic health records has been significantly slower in Australia than many European countries. This paper compares the implementation process in Australia with Slovenia, looking at the benefits, drawbacks and success factors of ehealth implementation. The authors use case studies collected in each country to discuss issues around ehealth implementation. Though Slovenia has progressed much further down the road of ehealth the commonality of the experiences between both cases was striking.
2014
The Electronic Health Record is a very important technology to improve the health care delivery, but the implementation has been challenging. However despite of all the benefits, physicians are not showing interest in adopting the technology and to compete well in today's market all health institutions must explore the opportunities of the new technology. The aim of this paper is to critically analyze the factors which influence the successful implementation of the EHR system.To achieve the successful implementation of EHR there is need for involvement and participation of all the relevant stakeholder groups in the health sector. Involvement and the dedicated attitude of users is very important to achieve implementation success. A good leadership skill and change management strategy is also very important to manage people. The end users should be communicated too as early as possible to involve them in implementation. Assessing the workflow and ensuring a continuous workflow in the organization is very important. Interoperability is one of the major barriers that must be addressed in implementing an EHR. Staff training on their new job role will facilitate implementation and improve work efficiency and this will help to minimize time spent. Finally, evaluating the organizational needs is also very important in implementation.
Strategies for Improving the Implementation of Electronic Health Records- a Single Case Study
International journal of health services research and policy, 2023
Electronic health records are a healthcare quality improvement strategy. Healthcare organizations in middle-income countries face significant challenges in adopting and implementing electronic health records. In Jordan, implementation challenges delayed achieving the objective of a national initiative titled Hakeem. The initiative’s objective was to implement the Hakeem electronic health record system in all healthcare sectors by 2020. Lack of clear implementation guidelines may have hindered some healthcare organizations’ efforts to adopt and use the system in Jordan. A successful pioneering implementer of the Hakeem system in Jordan is the King Hussein Cancer Center, which fully used it in all departments. This study used a single case study design to explore and codify the center’s strategies for system implementation. Data sources included a review of organizational documents related to the Hakeem system implementation at the center and individual interviews with six healthcare leaders involved in the implementation process. Thematic data analysis included manual analysis and verification using NVivo 12, QRS International software. The emerging themes included (1) phased approach and continuous planning, (2) stakeholders’ active involvement, (3) collaboration with the vendor, (4) training and continuous support, (5) managing resistance, and (6) recommendations for other organizations. The findings of this study may lay the foundation to lead healthcare organizations into successful implementation and effective use of electronic health records.
BMC health services …, 2012
Background: A commitment to Electronic Health Record (EHR) systems now constitutes a core part of many governments' healthcare reform strategies. The resulting politically-initiated large-scale or national EHR endeavors are challenging because of their ambitious agendas of change, the scale of resources needed to make them work, the (relatively) short timescales set, and the large number of stakeholders involved, all of whom pursue somewhat different interests. These initiatives need to be evaluated to establish if they improve care and represent value for money. Methods: Critical reflections on these complexities in the light of experience of undertaking the first national, longitudinal, and sociotechnical evaluation of the implementation and adoption of England's National Health Service's Care Records Service (NHS CRS).
A process model leading to successful implementation of electronic health record systems
International Journal of Electronic Healthcare, 2015
The implementation of electronic health record (EHR) systems presents a number of difficult challenges for practitioners. Until now, no study in the Information Systems discipline has rigorously examined these challenges. This paper proposes a process model of the factors leading to successful implementation of EHR systems. The process is composed of three stages: pre-implementation, implementation, and post-implementation. Each stage involves specific factors which are based on the system development life cycle theory, the general systems theory, and the contingency model. These theories are also used to validate the model. A quantitative tool based on the maximised expected payoffs is used to assess the model and demonstrate its usefulness for best practices. The implications for both researchers and practitioners are discussed.
Electronic Health Records: Critical Success Factors in Implementation
Introduction: EHR implementation results in the improved quality of care, customer-orientation and timely access to complete information. Despite the potential benefits of EHR, its implementation is a difficult and complex task whose success depends on many factors. The purpose of this research is indeed to identify the key success factors of EHR. Method and materials: This is a cross-sectional survey conducted with participation of 340 work forces from different types of job from Hospitals of TUMS in 2014. Data were collected using a self-structured questionnaire which was estimated as both reliable and valid. The data were analyzed by SPSS software descriptive statistics and analytical statistics. Results: 58.2% of respondents were female and their mean age and work experience were 37.7 and 11.2 years, respectively and most respondents (52.5%) was bachelor. In terms of job, the maximum rate was related to nursing (33 %) and physician (21 %). the main category of critical success factors in Implementation EHRs, the highest rate related to Project Management (4.62) and lowest related to Organizational factors (3.98). Conclusion: success in implementation EHRs requirement more centralization to project management and human factors. Therefore must be Creating to EHR roadmap implementation, establishment teamwork to participation of end-users and select prepare leadership, users obtains sufficient training to use of system and also prepare support from maintain and promotion system.
Critical Success Factors in Electronic Health Records (EHR) Implementation
International Journal of Healthcare Information Systems and Informatics, 2017
Electronic Health Records (EHR) has been the subject of much academic discussion in recent times. The impact that a successful implementation of EHR can have on a hospital cannot be overstated. Factors which are crucial to successful implementation of an EHR system are commonly known as Critical Success Factors (hereinafter referred to as CSFs). Purpose: The present study investigates the role of CSFs in implementation process of EHR systems in north Indian multispecialty hospitals. Design: The questionnaire has been distributed to 12 hospitals which have been using EHR technology. Findings: It has been concluded that three out of the five CSFs included in the study, play a more important role than the other two factors. Research limitations: The factors have not been considered separately based upon pre-implementation scenario and post-implementation phase. Originality: The study attempts to outline the impact of EHR systems on successful operational performance of hospitals.
BMC Health Services Research, 2012
Background: A commitment to Electronic Health Record (EHR) systems now constitutes a core part of many governments' healthcare reform strategies. The resulting politically-initiated large-scale or national EHR endeavors are challenging because of their ambitious agendas of change, the scale of resources needed to make them work, the (relatively) short timescales set, and the large number of stakeholders involved, all of whom pursue somewhat different interests. These initiatives need to be evaluated to establish if they improve care and represent value for money. Methods: Critical reflections on these complexities in the light of experience of undertaking the first national, longitudinal, and sociotechnical evaluation of the implementation and adoption of England's National Health Service's Care Records Service (NHS CRS). Results/discussion: We advance two key arguments. First, national programs for EHR implementations are likely to take place in the shifting sands of evolving sociopolitical and sociotechnical and contexts, which are likely to shape them in significant ways. This poses challenges to conventional evaluation approaches which draw on a model of baseline operations ! intervention ! changed operations (outcome). Second, evaluation of such programs must account for this changing context by adapting to it. This requires careful and creative choice of ontological, epistemological and methodological assumptions. Summary: New and significant challenges are faced in evaluating national EHR implementation endeavors. Based on experiences from this national evaluation of the implementation and adoption of the NHS CRS in England, we argue for an approach to these evaluations which moves away from seeing EHR systems as Information and Communication Technologies (ICT) projects requiring an essentially outcome-centred assessment towards a more interpretive approach that reflects the situated and evolving nature of EHR seen within multiple specific settings and reflecting a constantly changing milieu of policies, strategies and software, with constant interactions across such boundaries.
Factors related to the adoption of electronic health records
2017
Background The adoption and use of Electronic Health Records (EHR) is understated, despite the known benefits of Electronic Health Records (EHR) and the availability of health information systems technology to bridge the healthcare supply-demand gap. Objective This study seeks to explore and elucidate the complex interaction of factors inherent in the adoption and use of EHR from the perspective of strategic, operational and frontline staff in the private urban hospital setting. Methodology This study employed a phenomenological qualitative design to gain a deeper understanding of factors at intrinsic to the adoption of health information technology systems in urban hospitals. The study conducted 21 interviews in two private hospitals with decision makers and computerized information system end-users. The cohort was segmented into three organizational tiers constituted with frontline, operational and strategic staff. Results Participants agreed that EHR have relative advantage over paper in the form of operational efficiencies and delivery of care improvements. They did acknowledge existing challenges of using electronic information systems including prohibitive financial requirements, IT & computer literacy, system usability and functionality challenges, miscommunication, organizational processes and culture and increased workload. Conclusion EHR hold immense potential for transforming the delivery of care in hospitals. Decision makers need to leverage the organisational human resource potential in their quest to realize EHR value for all stakeholders. However EHR cannot be viewed as the only solution to improving healthcare.