Using electronic health records to save money

Bar‐Dayan, Yosefa; Saed, Halil; Boaz, Mona; Misch, Yehudith; Shahar, Talia; Husiascky, Ilan; Blumenfeld, Oren

doi:10.1136/amiajnl-2012-001504

Cited by 20 publications

(17 citation statements)

References 17 publications

(13 reference statements)

Supporting

Mentioning

Contrasting

Order By: Relevance

“…; Bar‐Dayan et al. ); we selected the health systems in our study based on these accepted measures of successful implementation, thus attempting to mitigate this potential limitation.…”

Section: Discussionmentioning

confidence: 99%

“…An additional limitation is the inability of our study to link EHR implementation strategies to either clinical or financial outcomes. However, previous research has established the link between successful EHR implementation and positive patient and provider outcomes (Shekelle, Morton, and Keeler 2006;Bonner et al 2010;Adler-Milstein et al 2013;Bar-Dayan et al 2013); we selected the health systems in our study based on these accepted measures of successful implementation, thus attempting to mitigate this potential limitation.…”

Section: Study Limitationsmentioning

confidence: 99%

See 1 more Smart Citation

The Journey through Grief: Insights from a Qualitative Study of Electronic Health Record Implementation

McAlearney

Hefner

Sieck

et al. 2014

Health Services Research

View full text Add to dashboard Cite

Objective. To improve understanding of facilitators of EHR system implementation, paying particular attention to opportunities to maximize physician adoption and effective deployment. Data Sources/Study Setting. Primary data collected from 47 physician and 35 administrative key informants from six U.S. health care organizations identified because of purported success with EHR implementation. Study Design. We conducted interviews and focus groups in an extensive qualitative study. Data Collection/Extraction Methods. Verbatim transcripts were analyzed both deductively and inductively using the constant comparative method. Principal Findings. Conceptualizing EHR adoption as loss through the lens of K€ ubler-Ross's five stages of grief model may help individuals and organizations more effectively orient to the challenge of change. Coupled with Kotter's eight-step change management framework, we offer a structure to facilitate organizations' movement through the EHR implementation journey. Combining insights from these frameworks, we identify 10 EHR strategies that can help address EHR implementation barriers. Conclusions. Loss is one part of change often overlooked. Addressing it directly and compassionately can potentially facilitate the EHR implementation journey. We offer a summarized list of deployment strategies that are sensitive to these issues to support physician transition to new technologies that will bring value to clinical practice.

show abstract

“…; Bar‐Dayan et al. ); we selected the health systems in our study based on these accepted measures of successful implementation, thus attempting to mitigate this potential limitation.…”

Section: Discussionmentioning

confidence: 99%

Section: Study Limitationsmentioning

confidence: 99%

The Journey through Grief: Insights from a Qualitative Study of Electronic Health Record Implementation

McAlearney

Hefner

Sieck

et al. 2014

Health Services Research

View full text Add to dashboard Cite

show abstract

“…The benefits of EHR, if it is properly implemented, are far more substantial than the risks. The benefits include higher patient and doctor satisfaction, real‐time information tracking, fewer handwritten forms, fewer preventable errors, fewer dosage errors, and increased quality of care …”

Section: Introductionmentioning

confidence: 99%

Healthcare software design and implementation—A project failure case

Ebad

2020

Softw Pract Exp

View full text Add to dashboard Cite

Electronic health records (EHRs) are implemented by many health care organizations as a potential service solution. Despite the appeal of EHRs, failure in their implementation can lead to negative consequences, ranging from the loss of money to reputation damage, for health care providers. However, the causes of this problem have not attracted the attention of a sufficient number of researchers. This paper aims to investigate this phenomenon objectively and subjectively in a public context using an interview-based qualitative approach supported by archival data and records of a real-world failed EHR project. The results show that the factors influencing failure are divergent and include technical and managerial issues. In particular, the timing and duration of the training as well as the integration of EHR with the enterprise systems were found to be the strongest influencing factors, followed by reasons related to the software design (eg, a lack of required pharmacy functionality) and software people management (eg, resistance to change). The paper also discusses points related to EHR development and design, such as the development paradigm, data quality and validation, architecture for security, and source code naming convention. K E Y W O R D S electronic health record, software design, software project management, failure, software security 1 1258 1259While increased adoption and growth of EHR have been observed, there is a surprising lack of studies regarding the reasons why EHR implementation fails. Such studies could help prevent past implementation mistakes and reduce the overall risk involved in implementation. The benefits of EHR, if it is properly implemented, are far more substantial than the risks. The benefits include higher patient and doctor satisfaction, real-time information tracking, fewer handwritten forms, fewer preventable errors, fewer dosage errors, and increased quality of care. 6,7 However, due to several factors, including technological barriers and poor infrastructure, these benefits are not always achieved, especially in developing countries. 8 Additionally, each health service has particularities that should be considered to facilitate adoption. 9 Adoption may involve diverse changes in the different phases of the work of health professionals. Once EHR is implemented, the process is continually changing and evolving. EHR implementation is thus a challenging development stage, especially in developing countries characterized by a lack of information and communication technology (ICT) adoption. 8,10 The consequences of implementation failure not only affect patient satisfaction but also can cause tremendous economic loss and reputation damage for health care providers.The contribution of our study is the identification of the reasons for EHR implementation failure in real-world environments. To the best of our knowledge, this area has received less research attention than different aspects related to EHR systems. 1,6,[11][12][13][14] Conducting such real-world-based studies is harder i...

show abstract

“…In 2008, Bar-Dayan et al35 showed a 4.1% price decline, in overall expense, among specialty physicians who used an EHR system. The system made referral transfers more efficient, delivering needed information easier between primary care physicians and specialty physicians.…”

mentioning

confidence: 99%

The Feasibility of the Nationwide Health Information Network

Valle

Gomes²,

Godby³

et al. 2016

The Health Care Manager

View full text Add to dashboard Cite

The Nationwide Health Information Network (NHIN) use in health care facilities was examined for utilization and efficacy; although the advantages are abundant, health care facilities have been reluctant to adopt it because of associated costs. The purpose of this study was to analyze the feasibility of a US NHIN by exploring and determining the benefits of an NHIN and assessing the barriers to its implementation. The research methodology applied in examining the implementation of NHIN in the United States was a qualitative literature review, which followed the basic guidelines of a systematic literature review, partnered with a semistructured interview of a chief information officer of a private, nonprofit, 193-bed hospital located in Westminster, Maryland. A total of 33 sources were referenced. The results of this study suggest that implementation and utilization of NHIN by health care industry stakeholders lead to an increased quality of patient care, increased patient-provider communication, and cost-savings opportunities. Increased quality of care is achieved by reducing adverse drug events and medical errors. Cost-savings opportunities are generated by a reduction in spending and prices that is attributable to electronic health record systems' increased efficiency and effectiveness. Nevertheless, barriers to NHIN implementation and utilization still remain throughout the health care industry, the main one being concerns about interoperability.

show abstract

Using electronic health records to save money

Abstract: From a policy perspective, our data suggest that EHR can facilitate effective utilization of healthcare providers and decrease costs.

Cited by 20 publications

References 17 publications

The Journey through Grief: Insights from a Qualitative Study of Electronic Health Record Implementation

The Journey through Grief: Insights from a Qualitative Study of Electronic Health Record Implementation

Healthcare software design and implementation—A project failure case

The Feasibility of the Nationwide Health Information Network

Contact Info

Product

Resources

About