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E-Patient Counseling Trial (E-PACO): Computer Based Education versus Nurse Counseling for Patients to Prepare for Colonoscopy

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Factors associated with difficult electronic health record implementation in office practice.

Marshall Fleurant¹, Rachel Kell, Chelsea Jenter

¹Boston Medical Center, Boston University School of Medicine, Section of General Internal Medicine, 801 Massachusetts Avenue, 2nd Floor, Boston, MA 02118, USA. marshall.fleurant@bmc.org

Journal of the American Medical Informatics Association : JAMIA

|January 18, 2012

Summary

Physician employees found electronic health record (EHR) implementation less difficult than practice owners. Innovative staff support significantly eased the EHR adoption process for physicians.

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Area of Science:

Health Informatics
Medical Practice Management
Physician Workflow Analysis

Background:

Electronic Health Records (EHR) adoption is crucial for modern healthcare, yet physician perceptions of implementation difficulty remain understudied.
Understanding factors influencing physician-perceived difficulty is essential for successful EHR rollout and optimizing clinical workflows.

Purpose of the Study:

To identify baseline factors associated with the perceived difficulty of implementing electronic health records (EHR) among physicians.
To inform strategies for improving EHR implementation success by understanding physician perspectives.

Main Methods:

A pre- and post-implementation survey was administered to 163 physicians participating in an EHR pilot program.
Ordinal hierarchical logistic regression analysis was used to identify significant predictors of perceived EHR implementation difficulty.

Main Results:

Physician employees reported less difficulty implementing EHR compared to practice owners (adjusted OR 0.5).
Physicians perceiving their clinical staff as innovative were less likely to report EHR implementation difficulty (adjusted OR 0.4).

Conclusions:

Practice ownership status and staff innovation are key factors influencing physician perceptions of EHR implementation difficulty.
Targeted support for practice owners and leveraging innovative staff may enhance EHR adoption and success.