Organization’s Quality Maturity as a Vehicle for EHR Success

Abstract

In health care industry, EHR has been advocated to improve care quality. The journey toward the development and adaptation of EHR should be holistic and integrate all the EHR's building blocks-health record management, business process improvement (BPI), collaboration and innovation, change management, user governance, etc.-that are intertwined together as like the links of a chain to improve quality of health care services. These cornerstones that shares common features with quality principles will pave the way for implementing EHR. To go along with quality features and take advantage of quality principles namely "quality maturity" builds a solid foundation for adaptation of EHR. Therefore, the recent theories of EHR success go far beyond technical rationales and focus on organizational and managerial factors in quality improvement. The milestone of quality concept in information system success is revealed in Delone and Mclean's model which launches system quality, information quality, service quality, as distinct elements of the IS success. EHR is a means to an end -to improve quality within enterprises- based on quality approaches. In this regards, more research should be conducted to investigate the relationship between of organization's quality maturity and EHR development success.

Managing Maturity in Process-Based Improvement Organizations: A Perspective of the Romanian Companies

“…A maturity model can be used as a benchmark for comparison and as an aid to understanding the business processes. By understanding a maturity model, organizations can use this to help not only assess their current maturity level, but also to help efficiently advance them to a higher level of maturity (Meidani et al 2010;Veronesi, Visioli 2010;Rad, Levin 2006;Antonucci et al 2004). …”

Writing and reading in the electronic health record: an entirely new world

“…EHR studies between 1995 and 2005 are generally categorized into four topics: the presence of an EHR, EHR adoption, EHR functionalities, and EHR disparities (8). Since then, new EHR challenges have been discussed with a focus on workflow, interoperability, communication (9), the educational use of an EHR, (10–13) and organizational support and quality (14, 15). However, little attention has been given to the topic of physicians’ EHR usage regarding the aspects of writing and reading EHR-generated documentation.…”

A CMMI-based approach for medical software project life cycle study

“…In addition, in order to pave the way of implementing Electronic health record (EHR). Meidani et al pointed out that we should go far beyond technical perspectives and focus on organizational and managerial factors in quality improvement (Meidani et al 2012). Thus, organization must continiuously improve their business process, team building and user involvement, innovation, change management by varied management technologies, such as Business process improvement (BPI).…”

“…Thus, organization must continiuously improve their business process, team building and user involvement, innovation, change management by varied management technologies, such as Business process improvement (BPI). Business process reengineering (BPR) ( Meidani et al 2012). Ting et al (Ting et al 2011) also provide twenty three critical elements about successful implementation of RFID-based health management projects in medical organization.…”

“…In addition, the proper framework should have capabilities to put considerations on different theories and approaches. Because we know there should have more and more researches to be conducted for achieving project success based on varied management technologies (Meidani et al 2012). …”