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Related Experiment Video

Updated: Jul 6, 2026

Workflow and Framework for Collecting and Implementing Point-of-Care Ultrasound Data in the Management of Heart Failure Patients

Workflow and Framework for Collecting and Implementing Point-of-Care Ultrasound Data in the Management of Heart Failure Patients

Published on: July 12, 2024

Challenges to EHR implementation in electronic- versus paper-based office practices.

Stephanie O Zandieh¹, Kahyun Yoon-Flannery, Gilad J Kuperman

¹Department of Pediatrics, Weill Cornell Medical College, New York, NY 10065, USA. stz2001@med.cornell.edu

Journal of General Internal Medicine

|March 29, 2008

Summary

This summary is machine-generated.

Leaders at paper-based practices prioritize IT champions and workflow education for new electronic health record (EHR) implementation. Those with legacy EHR systems focus on training and privacy for smoother transitions.

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Last Updated: Jul 6, 2026

Workflow and Framework for Collecting and Implementing Point-of-Care Ultrasound Data in the Management of Heart Failure Patients

Workflow and Framework for Collecting and Implementing Point-of-Care Ultrasound Data in the Management of Heart Failure Patients

Published on: July 12, 2024

Area of Science:

Health Informatics
Healthcare Management
Information Systems in Medicine

Background:

Implementing electronic health records (EHRs) presents known challenges.
Less is understood about the transition process from legacy EHR systems to newer ones.

Purpose of the Study:

To compare how leaders in ambulatory practices approach EHR implementation differently based on whether their practice is paper-based or uses a legacy EHR system.

Main Methods:

A qualitative study was conducted with practice managers and medical directors from an academic ambulatory care network.
Content analysis using grounded theory compared perceptions of benefits and challenges between paper-based and EHR-based practices.

Main Results:

Paper-based leaders prioritized IT champions, workflow education, and existing IT comfort.
EHR-based leaders focused on technical training, privacy, and acknowledging physician resistance.
EHR-based leaders underestimated challenges with IT comfort and workflow adjustments compared to paper-based leaders.

Conclusions:

Leadership priorities differ significantly between paper-based and legacy EHR-based ambulatory practices during new EHR implementation.
Practices upgrading from a legacy EHR face distinct challenges requiring tailored strategies.