Why implementing EPR's does not bring about organizational changes--a qualitative approach

Area of Science:

• Health Informatics
• Health Services Management
• Information Systems in Healthcare

Background:

• Healthcare systems in Sweden and Denmark are prioritizing Information Technology (IT), particularly Electronic Patient Records (EPR).
• The strategic implementation of EPR is aimed at enhancing economic performance, improving patient care quality, and optimizing service delivery.
• Anticipated benefits are expected to arise indirectly from the technological capabilities of EPR systems.

Purpose of the Study:

• To investigate how clinicians and hospital management interpret and utilize Electronic Patient Records (EPR).
• To identify the factors contributing to the success or failure of EPR implementation in achieving stated objectives.

Main Methods:

• Qualitative analysis of interviews with clinicians and management at two hospitals.
• Examination of the conceptualization and practical application of EPR systems within the hospital settings.

Main Results:

• The study found that the intended changes and objectives for EPR implementation were not realized.
• A significant disconnect was observed between the conception and use of EPR.
• A key reason identified for the lack of success is the divergence in organizational vision between hospital management and clinical staff regarding the future state with EPR.

Conclusions:

• The successful integration of EPR requires a shared vision and mental model between management and clinicians.
• Mismatched perceptions of EPR's role and potential can impede the achievement of desired organizational and clinical outcomes.
• Future EPR implementations should prioritize aligning stakeholder perspectives to ensure objectives are met.