Article Figures & Data
Additional Files
The Article in Brief
Background: Although electronic medical records (EMRs) are thought to have many advantages over paper medical records, they are not widely used in primary care practices. This study examined how a primary care doctors� office implemented an EMR.
What This Study Found: Members of the practice had different views about the value of the EMR and how it should be used. The practice had a �top down� decision-making style, so decisions about the EMR were made by one practice leader. Because other staff weren�t involved in planning for the EMR, there were disruptions in practice functions, such as scheduling patients. In addition, reminder systems that were used in the paper medical records were not transferred to the EMRs.
Implications:
� Successfully implementing an EMR requires planning and communication.
� Practice members are likely to have different points of view about large-scale organizational changes, such as implementing EMRs. Primary care practices that recognize and work with different viewpoints are best able to make changes.
� Each primary care practice has unique issues that must be taken into account before, during, and after the implementation of an EMR. During the implementation process, conflicts should be allowed to arise safely and communication should be encouraged.Supplemental Appendix
Supplemental Appendix. Data Coding Scheme.
Files in this Data Supplement:
- Supplemental data: Appendix - PDF file, 1 page, 57 KB
Jump to section
Related Articles
Cited By...
- The 3 Cs of Content, Context, and Concepts: A Practical Approach to Recording Unstructured Field Observations
- From embracing to managing risks
- What to expect from electronic patient record system implementation: lessons learned from published evidence
- New conceptual model of EMR implementation in interprofessional academic family medicine clinics
- Physician user satisfaction with an electronic medical records system in primary healthcare centres in Al Ain: a qualitative study
- Early Adopters of Electronic Prescribing Struggle to Make Meaningful Use of Formulary Checks and Medication History Documentation
- Implementation and adoption of nationwide electronic health records in secondary care in England: final qualitative results from prospective national evaluation in "early adopter" hospitals
- Impact of Electronic Health Record Clinical Decision Support on Diabetes Care: A Randomized Trial
- Using Electronic Health Records to Improve Outpatient Diabetes Care: Preface
- Gradual Electronic Health Record Implementation: New Insights on Physician and Patient Adaptation
- Outpatient EHR-Based Diabetes Clinical Decision Support That Works: Lessons Learned From Implementing Diabetes Wizard
- Principles of the Patient-Centered Medical Home and Preventive Services Delivery
- Initial Lessons From the First National Demonstration Project on Practice Transformation to a Patient-Centered Medical Home
- The Medical Home: Growing Evidence to Support a New Approach to Primary Care
- Testing process errors and their harms and consequences reported from family medicine practices: a study of the American Academy of Family Physicians National Research Network
- Electronic Medical Records and Diabetes Quality of Care: Results From a Sample of Family Medicine Practices
- Models for Delivering Survivorship Care
- It Ain't Necessarily So: The Electronic Health Record And The Unlikely Prospect Of Reducing Health Care Costs.
- Physicians, Patients, and the Electronic Health Record: An Ethnographic Analysis
- Health information technology and quality improvement for community health centers.
- Strength from Vulnerability
- In This Issue: Patient Outcomes, the Process of Care, and the Capacity for Innovation