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Challenges of Implementing an Electronic Document Management System in a Large Health Care Facility in Southern California

The implementation of Electronic Document Management Systems (EDMSs) is a complex process. Scripps Health started a project to implement the web based McKesson Horizon Patient Folder (HPF) software system in early 2011 in order to digitally capture all the information in patient charts. This research used semi-structured interviews to assess the perceived benefits of using an EDMS and its effect on work-flow from the perspective of physicians and health information management (HIM) staff at two hospitals in San Diego, California. The study was designed to assess the new work-flow processes, work-flow challenges associated with EDMS implementation, and other key factors associated with successful implementation of such systems. The research found the opinion of physicians and HIM staff about the effect of an EDMS on their work-flow to be mostly positive. The data analysis further showed that perceived benefits of an EDMS included improved patient care quality and patient care efficiency due to capabilities such as immediate access to patient information by multiple users, reduced patient data error and improved communication between HIM staff and physicians. The analysis of study data also highlighted some shortcomings of EDMSs; these included the system not being user friendly, not having full EMR capabilities and benefits and the inability of EDMSs to interface with other existing systems. The study proposes that despite some challenges post implementation, overall, an EDMS is favoured over paper based chart system. / Graduate / 0566 / 0769 / maryam.katani@gmail.com

Identiferoai:union.ndltd.org:uvic.ca/oai:dspace.library.uvic.ca:1828/5482
Date24 July 2014
CreatorsKatani, Maryam
ContributorsKushniruk, Andre W.
Source SetsUniversity of Victoria
LanguageEnglish, English
Detected LanguageEnglish
TypeThesis
RightsAvailable to the World Wide Web, http://creativecommons.org/publicdomain/zero/1.0/

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