Critical Issues in EHR Implementation: Provider and Vendor Perspectives

@article{Palvia2015CriticalII,
  title={Critical Issues in EHR Implementation: Provider and Vendor Perspectives},
  author={Prashant C. Palvia and Tim Jacks and Wiley S. Brown},
  journal={Commun. Assoc. Inf. Syst.},
  year={2015},
  volume={36},
  pages={36}
}
Stakeholders, both internal and external, can have differing and sometimes conflicting perspectives and priorities even though each has a vested interest in organizational success. Using the lens of stakeholder theory, we examine the differing views of stakeholders (namely, medical providers and vendors) in the implementation of electronic health record (EHR) systems. The implementation process itself can be broken down into three phases: pre-implementation, during implementation, and post… 

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References

SHOWING 1-10 OF 109 REFERENCES
Comparison of user groups' perspectives of barriers and facilitators to implementing electronic health records: a systematic review
TLDR
This systematic literature review was aimed to synthesize current knowledge of the barriers and facilitators influencing shared EHR implementation among its various users to demonstrate that each user group has a unique perspective of the implementation process that should be taken into account.
Health Information System Implementation: A Qualitative Meta-analysis
TLDR
It is found that merely implementing an HIS will not automatically increase organizational efficiency and strategic, tactical, and operational actions have to be taken into consideration, including management involvement, integration in healthcare workflow, establishing compatibility between software and hardware and, most importantly, user involvement, education and training.
Understanding ERP System Implementation in a Hospital by Analysing Stakeholders
TLDR
A theoretically based model is developed to analyse how stakeholder attitudes and behaviours in a hospital setting affect the outcome of ERP implementation, which is applied in an empirical study of a project to introduce an ERP system in medium-sized hospital in The Netherlands.
The IT productivity paradox in health: A stakeholder's perspective
How to successfully navigate your EHR implementation.
  • K. Adler
  • Medicine
    Family practice management
  • 2007
Some electronic health record (EHR) implementations proceed on schedule with full involvement of their participants and achieve their goals. Others flounder, stall or struggle, experiencing only
Research Paper: VA QUERI Informatics Paper Information Technology for Clinical Guideline Implementation: Perceptions of Multidisciplinary Stakeholders
TLDR
Stakeholders share many concerns regarding the relationships between information technologies and clinical guideline use, however, administrators, physicians, and nurses hold different opinions about specific facilitators and barriers.
Integrated Electronic Medical Record Systems: Critical Success Factors for Implementation
TLDR
This paper treats EMR systems as a type of enterprise resource planning (ERP) system and addresses EMR implementation issues by drawing on theory and empirical research from both the healthcare information systems and ERP literatures.
How to successfully select and implement electronic health records (EHR) in small ambulatory practice settings
TLDR
The authors detail the process of implementing EHRs through several stages: decision, selection, pre-im implementation, implementation, and post-implementation, and stress the importance of identifying a champion to serve as an advocate of the value of Ehrs and provide direction and encouragement for the project.
Research Paper: Resistance Is Futile: But It Is Slowing the Pace of EHR Adoption Nonetheless
TLDR
The external forces driving EHR diffusion have grown in importance since 2004 relative to physicians' internal motivation to adopt such systems, and the physicians' resistance to adoption has increased during the second period.
Stakeholder approach for evaluating organizational change projects.
TLDR
The proposed model can be used to prioritize change projects, manage stakeholder resistance and establish a better organizational and professional competence for managing healthcare organization change projects.
...
...