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Negotiating time scripts during implementation of an electronic medical record.
Shirly Bar-Lev1, Michael I Harrison
1Department of Sociology and Anthropology, Bar-Ilan University, Ramat Gan, Israel. shirley.barley@gmail.com
Health Care Management Review
|February 24, 2006
Summary
Practitioners improved electronic medical record (EMR) use by renegotiating time requirements, enhancing the fit between health information technology (HIT) and clinical workflows. This study offers key insights for successful HIT implementation management.
Area of Science:
- Health Informatics
- Clinical Practice Management
- Human-Computer Interaction
Background:
- Electronic Medical Records (EMR) are crucial for modern healthcare.
- Optimizing the integration of Health Information Technology (HIT) with clinical practice is essential for efficiency.
- Previous implementations often faced challenges due to poor fit with existing workflows.
Purpose of the Study:
- To investigate how practitioners adapted time use requirements within an EMR system.
- To determine the impact of these adaptations on the alignment between HIT and clinical practices.
- To derive implications for managing HIT implementation.
Main Methods:
- Qualitative analysis of practitioner-led renegotiations of time use within an EMR system.
- Observational and interview-based approaches to understand workflow adjustments.
- Case study methodology focusing on specific clinical settings.
Main Results:
- Practitioners successfully renegotiated EMR time use requirements.
- Improved alignment between HIT functionalities and actual clinical demands was achieved.
- The adaptive process enhanced the usability and efficiency of the EMR system.
Conclusions:
- Renegotiating time use is a viable strategy for improving HIT-clinical practice fit.
- Flexible HIT implementation, allowing for practice-led adaptations, is critical for success.
- Findings provide a framework for managing future HIT implementations effectively.