Electronic health record adoption and health information exchange among hospitals in New York State

Abramson, Erika L.; McGinnis, Sandra; Edwards, Alison; Maniccia, Dayna M.; Moore, Jean; Kaushal, Rainu

doi:10.1111/j.1365-2753.2011.01755.x

Cited by 32 publications

(25 citation statements)

References 10 publications

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“…While the goal of creating integrated EHRs is within our reach, its success will depend chiefly on the creation and especially adoption of standards by all international parties [191]. HIE which will enable data integration, semantic interoperability, and CDS across multiple EHRs has been a desired but largely unattained aim of clinical informatics, especially in commercial EHR systems [192,193]. The opportunity for enabling such scalable CDS will require vendor-supported, web-based CDS development platforms along with vendor-supported application programming interfaces (APIs) allowing the use of innovative, pluggable, interchangeable, and API-based CDS applications.…”

Section: Where Are Ehrs Expected To Be In the Next 25 Years?mentioning

confidence: 99%

Electronic Health Records: Then, Now, and in the Future

2016

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The current use of EHRs initiated by new technology would have been hard to foresee. Current and new EHR technology will help to provide international standards for interoperable applications that use health, social, economic, behavioral, and environmental data to communicate, interpret, and act intelligently upon complex healthcare information to foster precision medicine and a learning health system.

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Section: Where Are Ehrs Expected To Be In the Next 25 Years?mentioning

confidence: 99%

Electronic Health Records: Then, Now, and in the Future

2016

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“…There have, for example, been initiatives, often driven by government regulations or financial stimulations, in the USA [1], the United Kingdom [2] and Denmark [3]. EHR implementation initiatives tend to be driven by the promise of enhanced integration and availability of patient data [4], by the need to improve efficiency and cost-effectiveness [5], by a changing doctor-patient relationship toward one where care is shared by a team of health care professionals [5], and/or by the need to deal with a more complex and rapidly changing environment [6].…”

Section: Introductionmentioning

confidence: 99%

“…EHR systems can be used in individual organizations, as interoperating systems in affiliated health care units, on a regional level, or nationwide [1, 2]. Health care units that use EHRs include hospitals, pharmacies, general practitioner surgeries, and other health care providers [7].…”

Section: Introductionmentioning

confidence: 99%

Implementing electronic health records in hospitals: a systematic literature review

Boonstra

Versluis²,

Vos

2014

BMC Health Serv Res

237

188

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BackgroundThe literature on implementing Electronic Health Records (EHR) in hospitals is very diverse. The objective of this study is to create an overview of the existing literature on EHR implementation in hospitals and to identify generally applicable findings and lessons for implementers.MethodsA systematic literature review of empirical research on EHR implementation was conducted. Databases used included Web of Knowledge, EBSCO, and Cochrane Library. Relevant references in the selected articles were also analyzed. Search terms included Electronic Health Record (and synonyms), implementation, and hospital (and synonyms). Articles had to meet the following requirements: (1) written in English, (2) full text available online, (3) based on primary empirical data, (4) focused on hospital-wide EHR implementation, and (5) satisfying established quality criteria.ResultsOf the 364 initially identified articles, this study analyzes the 21 articles that met the requirements. From these articles, 19 interventions were identified that are generally applicable and these were placed in a framework consisting of the following three interacting dimensions: (1) EHR context, (2) EHR content, and (3) EHR implementation process.ConclusionsAlthough EHR systems are anticipated as having positive effects on the performance of hospitals, their implementation is a complex undertaking. This systematic review reveals reasons for this complexity and presents a framework of 19 interventions that can help overcome typical problems in EHR implementation. This framework can function as a reference for implementers in developing effective EHR implementation strategies for hospitals.

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“…In recent years, an increasing number of hospitals around the world have implemented electronic health record (EHR) systems [1-3]. According to 2015 American Hospital Association survey data, 83.8% of all US non-federal acute care hospitals have adopted at least a basic EHR, representing an almost nine-fold increase since 2008 (9.4%) [4].…”

Section: Introductionmentioning

confidence: 99%

Exploring Workarounds Related to Electronic Health Record System Usage: A Study Protocol

Blijleven¹,

Koelemeijer²,

Jaspers³

2017

JMIR Res Protoc

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BackgroundHealth care providers resort to informal temporary practices known as workarounds for handling exceptions to normal workflow that are unintentionally imposed by electronic health record (EHR) systems. Although workarounds may seem favorable at first sight, they are generally suboptimal and may jeopardize patient safety, effectiveness, and efficiency of care. Identifying workarounds and understanding their motivations, scope, and impact is pivotal to support the design of user-friendly EHRs and achieve closer alignment between EHRs and work contexts.ObjectiveWe propose a study protocol to identify EHR workarounds and subsequently determine their scope and impact on health care providers’ workflows, patient safety, effectiveness, and efficiency of care. First, knowing whether a workaround solely affects the health care provider who devised it, or whether its effects extends beyond the EHR user to the work context of other health care providers, is key to accurately assessing its degree of influence on the overall patient care workflow. Second, knowing whether the consequence of an EHR workaround is favorable or unfavorable provides insights into how to address EHR-related safety, effectiveness, and efficiency concerns. Knowledge of both perspectives can provide input on optimizing EHR designs.MethodsIn the study, a combination of direct observations, semistructured interviews, and qualitative coding techniques will be used to identify, analyze, and classify EHR workarounds. The research project will be conducted within three distinct pediatric care processes and settings at a large university hospital.ResultsData was collected using the described approach from January 2016 to March 2017. Data analysis is underway and is expected to be completed in May 2017. We aim to report the results of this study in a follow-up publication.ConclusionsThis study protocol provides a grounded framework to explore EHR workarounds from a holistic and integral perspective. Insights from this study can inform the design and redesign of EHRs to further align with work contexts of healthcare professionals, and subsequently lead to better organization and safer provision of care.

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Electronic health record adoption and health information exchange among hospitals in New York State

Cited by 32 publications

References 10 publications

Electronic Health Records: Then, Now, and in the Future

Electronic Health Records: Then, Now, and in the Future

Implementing electronic health records in hospitals: a systematic literature review

Exploring Workarounds Related to Electronic Health Record System Usage: A Study Protocol

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