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Acquisition and Semi-Automated Analysis of Respiratory Muscle Surface Electromyography

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Physician buy-in for EMRs.

Lori Yackanicz¹, Richard Kerr, Donald Levick

¹Clinical Applications, Information Services.

Journal of Healthcare Information Management : JHIM

|April 20, 2010

Summary

Implementing an ambulatory electronic medical record (EMR) requires physician champions. Different leader types offer unique insights, crucial for successful EMR adoption and managing cultural shifts in healthcare.

Area of Science:

Health Informatics
Organizational Change Management
Medical Practice Management

Background:

Implementing electronic medical records (EMR) in ambulatory settings necessitates workflow analysis, new technology integration, and significant cultural adaptation for physicians.
Physician champions are vital for driving technology adoption and managing the associated changes within healthcare organizations.

Purpose of the Study:

To detail the experience of Lehigh Valley Health Network (LVHN) in implementing an ambulatory EMR system.
To analyze the role and impact of selected physician champions during the EMR implementation process.

Main Methods:

Qualitative analysis of physician champion experiences during ambulatory EMR implementation at a tertiary academic community medical center.
Categorization of physician champions based on leadership and personality styles (e.g., reluctant, techie, whiny, mature).

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Main Results:

The selection of physician champions involves complex political, leadership, and personality considerations.
Effective physician champions are critical for articulating a vision, gaining support, driving process changes, and managing cultural shifts.
Diverse champion types yield valuable 'lessons learned' for future implementations.

Conclusions:

Physician leadership is a critical success factor in technology implementations, including ambulatory EMRs.
Understanding the varied styles and challenges of physician champions is essential for successful EMR adoption and practice transformation.
LVHN's experience highlights the importance of strategic physician engagement in navigating EMR implementation.