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Understanding, evaluating and enhancing electronic medical record adoption in a primary care settingBowen, Michael 27 March 2013 (has links)
Full service family physicians in British Columbia (BC) are claiming financial incentives in return for providing enhanced care for patients with chronic diseases. These same physicians are also being actively encouraged to adopt electronic medical record systems (EMRs) with an expectation that their adoption will, among other things, aid in improved chronic disease management (CDM). Indeed, both incentives and clinical information systems have been demonstrated in the literature to be crucial components in effective CDM programs. However, within BC little evidence is available that demonstrates whether EMR adoption is in fact associated with improved provision of CDM services. Furthermore, it is not well understood how the CDM incentive program affects a family practice’s adoption of CDM-related EMR functionality. Through a mixed methods study the relationship between EMR adoption and CDM incentives in a small family practice is explored. Additionally, an audit and feedback intervention is used to test the hypothesis that both incentive use and EMR adoption can simultaneously be improved. Results of the study suggest that the presence of an EMR may not guarantee improvements in delivery of incentivized CDM services; that the incentive program has limits in its ability to promote adoption of CDM-related EMR features; and, that a program of audit and feedback may promote improvements in aspects of EMR adoption and incentive utilization. / Graduate / 0723 / 0769
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Successful Strategies for Implementing EMR Systems in HospitalsNicholas, Marcia M 01 January 2018 (has links)
Some hospital leaders are ineffective in implementing the electronic medical record (EMR) systems in the hospitals. The purpose of this multiple case study was to explore strategies hospital leaders use to successfully implement EMR systems. The target population consisted of hospital leaders and healthcare professionals from two hospitals who have successfully implemented EMR systems. The conceptual framework of this research study was Kotter's 8-stage process for leading change, building on the model of an effective change management method. Data were collected from 5 interviewed participants and company documents related to strategies regarding the EMR system implementation. The results of reviewing open-ended interview questions and archived documents were analyzed using codes and themes to facilitate triangulation. Three primary themes were developed from the coded data: (a) strategies hospital leaders use to implement the EMR system, (b) strategies hospital leaders use to achieve quality and best practice, and (c) strategies hospital leaders use to manage change and resistance to change. Results revealed 4 steps for successful implementation: (1) creating a vision, (2) communicating the vision, (3) establishing strong leadership, and (4) consolidating gains. Utilizing the successful strategies hospital leaders use to implement the EMR systems could produce quality patient care, efficiencies in hospital operations, and reduced organizational operation cost. The findings could effect positive social change through delivery of quality health and patient care that results in community cost benefits and healthier patient lifestyles.
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Organizational Complexity and Hospitals' Adoption of Electronic Medical Records for Closed-loop Medication Therapy ManagementAdu, Ebenezer Siaw 01 January 2017 (has links)
Over 700,000 adverse drug events (ADEs) result in emergency hospital visits annually, and many of these ADEs are preventable through the use of health information technology in hospitals. However, only 12.6% of U.S. hospitals have developed the capacity to adopt closed-loop electronic medical records (EMR). Organizational complexity may be a major factor influencing hospitals' adoption of closed-loop EMR. This quantitative study explored how organizational complexity influenced hospitals' adoption of closed-loop EMR. Diffusion of innovation theory was the foundation for this study. Logistic regression was used to establish possible relationships between organizational complexity and hospitals' adoption of EMR for closed-loop medication therapy management. Secondary data from Health Information and Management Systems Society were examined to explore the relationship between organization complexity and hospitals' adoption of EMR for closed-loop medication therapy. The research questions explored whether vendor selection strategy, structural complexity, and management structure influence hospitals' adoption of EMR for closed-loop medication therapy management. The results indicated that all three variables, vendor selection strategy, structural complexity, and management structure, are statistically significant predictors of hospitals' adoption of EMR for closed-loop medication therapy management. Results from this study may promote positive social change by enhancing hospitals' adoption of EMR for closed-loop medication therapy management, which may therefore help improve the quality, efficiency, and safety of health care delivery in U.S. hospitals.
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The Management and Sustainability of Organizational Change in Primary Care Adoption of Electronic Medical Record SystemsKerollos, Joseph 04 1900 (has links)
<p>Information technology (IT) has been applied in every aspect in common everyday experience. Most industries have changed from paper based to digitally supported processes. The implementation of IT has resulted in lower costs, faster operations, and faster response to consumer demands, thus achieving economies of scale and major advancements in the quality of products introduced to the consumer.</p> <p>In healthcare, IT has led to extensive advances in many different aspects of medicine. IT has enhanced diagnostic equipment, laboratory result accuracy, research methodologies and analysis advancements, and has resulted in more effective prescription of medications. These advances have increased the overall quality of life for patients.</p> <p>Despite the fact that the adoption rate of Electronic Medical Record systems (EMRs) in European countries has reached more than 90%, the adoption of EMRs by primary care physicians in Canada lags far behind at a rate closer to 30%. Much of this low adoption rate can be attributed to barriers due to resistance to change. Many adoption projects in IT fail, even after change has occurred. These failures have occurred in many different industries, including healthcare. EMR adoption in primary care requires a focus on change management and sustainability for primary care physicians, the target audience of change.</p> <p>This thesis research investigates the reasons for the low rate of adoption of EMRs in the primary care environment in Canada. A change management model dedicated to the Canadian primary healthcare environment for the management and sustainability of change is created and discussed in detail. This study is based on a thorough literature review of change management models; a qualitative analysis of interviews with industry leaders from different backgrounds such as consultancy, government, and vendors; and a quantitative analysis of data through an online primary care physician questionnaire.</p> / Master of Science (MSc)
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