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Implementing EHR Suites: Lessons from a Norwegian Configuration Process.

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Summary
This summary is machine-generated.

Implementing electronic health record (EHR) systems in Norwegian healthcare faced challenges. User participation input was difficult to manage, and subject-matter experts felt caught in the middle, hindering collaboration.

Keywords:
EHR suiteconfigurationimplementationsubject matter experts

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Area of Science:

  • Health Informatics
  • Information Systems in Healthcare
  • Human-Computer Interaction

Background:

  • Electronic Health Record (EHR) implementation is a complex, multifaceted process.
  • Configuring EHR systems requires careful alignment with local healthcare practices and user needs.
  • Previous research highlights challenges in user involvement and expert roles during EHR deployment.

Purpose of the Study:

  • To investigate the configuration process of Epic's EHR suite in Norwegian healthcare practices.
  • To identify challenges faced by subject-matter experts (SMEs) and super users during EHR implementation.
  • To analyze the impact of user participation and SME roles on the configuration outcome.

Main Methods:

  • Qualitative study involving interviews with subject-matter experts (SMEs) and super users.
  • Focus on the configuration of Epic's EHR system within Norwegian healthcare settings.
  • Analysis of SME experiences and their role in bridging user needs and system development.

Main Results:

  • EHR implementation struggled with managing and processing input from prioritized user participation.
  • Subject-matter experts (SMEs) experienced difficulties in their intermediary role.
  • Key issues included negotiation over collaboration, individual expertise over peer representation, and specialty optimization over teamwork.

Conclusions:

  • The EHR configuration process was hampered by communication and collaboration issues between SMEs and developers.
  • SMEs' tendency to rely on personal expertise rather than representing user groups led to suboptimal outcomes.
  • Specialty-focused optimization hindered the potential for integrated, team-based healthcare delivery through the EHR.