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Appl Clin Inform 2011; 02(02): 158-164
DOI: 10.4338/ACI-2010-11-CR-0066
DOI: 10.4338/ACI-2010-11-CR-0066
Case Report
AMDIS Case Conference
Implementing Electronic Health Records in a Small Subspecialty PracticeFurther Information
Correspondence to:
Justin Graham, MD MS
NorthBay Health System
75 Larry Lane
Oakland, CA 94611
USA
Email: jgraham@gmail.com
Publication History
Received:
17 November 2010
Accepted:
31 March 2011
Publication Date:
16 December 2017 (online)
Summary
Electronic health record adoption has failed to achieve critical mass in small private practices in no small part due to lack of leadership; the challenge of cultural change; and the difficulty of adapting to new automated workflows. We present one small practice that successfully navigated these obstacles, and examine its accomplishments through the lens of organizational psychology.
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Conflict of Interest
Dr. Terpenning’s clinic is a reference site for GE Healthcare and Intrinsiq (the electronic health record implemented in this case report), and she consults for Intrinsiq. She has also received honoraria from MGMA. The remaining authors report no conflicts of interest.
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References
- 1 Morton ME, Wiedenbeck S. A framework for predicting EHR adoption attitudes: A physician survey. Perspect Health Inf Manag 2009; 6: 1-19.
- 2 Lorenzi NM, Smith JB, Conner SR. et al. The success factor profile for clinical computer innovation. Stud Health Technol Inform 2004; 107: 1077-1080.
- 3 Gans D, Kralewski J, Hammons T, Dowd B. Medical groups’ adoption of electronic health records and information systems. Health Aff 2005; 24: 1323-1333.
- 4 Miller RH, Sim I, Newman J. Electronic medical records: lessons from small physician practice. Oakland (CA): California HealthCare Foundation (US) 2003 Oct.
- 5 Weiner B. A theory of organizational readiness for change. Implementation Science 2009; 4: 67-76.
- 6 Ford JD, Ford LW. Decoding resistance to change. Harvard Business Review 2009; 87: 99-104.
- 7 en.wikipedia.org.org [Internet]. San Francisco: Wikimedia Foundation, Inc. [updated 2010 November 6; cited 2010 Nov 11]. Available from http://en.wikipedia.org/wiki/Change_management.
- 8 McCarthy C, Eastman D. Change management strategies for effefctive EMR implementation. Garets D, editor. Chicago(IL): Healthcare Information Management and Systems Society; 2010
- 9 Knickrehm M, Ficery K. (Accenture, Chicago, IL). Secrets of success on EMR journey to meaningful use: leading hospital CIOS reveal key lessons learned. Available from http://www.accenture.com/SiteCollectionDocuments/PDF/Secrets_to_Success_on_the_Journey_to_Meaningful_Use.pdf.
- 10 http://www.managementconsultingnews.com/interviews/bridges_interview.php [Internet]. Oregon: MindShare Consulting LLC; c2010 [cited 2010 Nov 11]. Available from: http://www.managementconsult ingnews.com/interviews/bridges_interview.php.
- 11 Huffington C, Armstrong D, Halton W, Hoyle L, Pooley J. editors. Working below the surface. London: Karnac; 2004
Correspondence to:
Justin Graham, MD MS
NorthBay Health System
75 Larry Lane
Oakland, CA 94611
USA
Email: jgraham@gmail.com
-
References
- 1 Morton ME, Wiedenbeck S. A framework for predicting EHR adoption attitudes: A physician survey. Perspect Health Inf Manag 2009; 6: 1-19.
- 2 Lorenzi NM, Smith JB, Conner SR. et al. The success factor profile for clinical computer innovation. Stud Health Technol Inform 2004; 107: 1077-1080.
- 3 Gans D, Kralewski J, Hammons T, Dowd B. Medical groups’ adoption of electronic health records and information systems. Health Aff 2005; 24: 1323-1333.
- 4 Miller RH, Sim I, Newman J. Electronic medical records: lessons from small physician practice. Oakland (CA): California HealthCare Foundation (US) 2003 Oct.
- 5 Weiner B. A theory of organizational readiness for change. Implementation Science 2009; 4: 67-76.
- 6 Ford JD, Ford LW. Decoding resistance to change. Harvard Business Review 2009; 87: 99-104.
- 7 en.wikipedia.org.org [Internet]. San Francisco: Wikimedia Foundation, Inc. [updated 2010 November 6; cited 2010 Nov 11]. Available from http://en.wikipedia.org/wiki/Change_management.
- 8 McCarthy C, Eastman D. Change management strategies for effefctive EMR implementation. Garets D, editor. Chicago(IL): Healthcare Information Management and Systems Society; 2010
- 9 Knickrehm M, Ficery K. (Accenture, Chicago, IL). Secrets of success on EMR journey to meaningful use: leading hospital CIOS reveal key lessons learned. Available from http://www.accenture.com/SiteCollectionDocuments/PDF/Secrets_to_Success_on_the_Journey_to_Meaningful_Use.pdf.
- 10 http://www.managementconsultingnews.com/interviews/bridges_interview.php [Internet]. Oregon: MindShare Consulting LLC; c2010 [cited 2010 Nov 11]. Available from: http://www.managementconsult ingnews.com/interviews/bridges_interview.php.
- 11 Huffington C, Armstrong D, Halton W, Hoyle L, Pooley J. editors. Working below the surface. London: Karnac; 2004