Facilitating ambulatory electronic health record system implementation: evidence from a qualitative study

Area of Science:

• Health Informatics
• Healthcare Management
• Information Systems

Background:

• Ambulatory care settings show growing interest in electronic health record (EHR) systems.
• Limited documentation exists on successful EHR implementation strategies in these practices.

Purpose of the Study:

• To identify key elements contributing to successful EHR system implementation.
• To gather perspectives from key informants on effective implementation practices.

Main Methods:

• Qualitative study utilizing key informant interviews and focus groups.
• Purposive sampling of US healthcare organizations with successful ambulatory EHR implementation.
• Rigorous data analysis using both deductive and inductive approaches.

Main Results:

• Identified barriers include individual/organizational issues like poor computer skills, productivity loss, and resistance to change.
• Success factors involve meticulous planning, continuous communication, and optimization during and after go-live.
• Emphasis on system optimization post-implementation is critical for sustained success.

Conclusions:

• Successful EHR implementation necessitates comprehensive planning and proactive management of unintended consequences.
• Prioritizing early user engagement and incorporating optimization plans are vital for maximizing EHR success.