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CU Implementation of EHR in Mayo Clinic Presentation

August 31, 2023

Boonstra, A. (2014). Implementing electronic health records in hospitals: A systematic literature review. BMC Health Services Research, 14(370). http://bmchealthservres.biomedcentral.com/articles/10.1186/1472-6963-14-370

Kruse, C. S., Stein, A., Thomas, H., & Kaur, H. (2018). The use
of Electronic Health Records to support population health: A systematic
review of the literature. Journal of Medical Systems, 42(11). https://doi.org/10.1007/s10916-018-1075-6

Koskela, T., Sandström, S., Mäkinen, J., & Liira, H. (2016). User
perspectives on an electronic decision-support tool performing
comprehensive medication reviews—A focus group study with physicians and
nurses. BMC Medical Informatics and Decision Making, 16(1), 6. https://doi.org/10.1186/s12911-016-0245-z

Lessons learned from an EHR deployment: DoD discusses challenges with implementing Cerner. https://www.healthcareitnews.com/video/dod-execs-share-challenges-implementing-cerner-ehr

Tummers, J., Tobi, H., Catal, C. et al. (2021). Designing a reference architecture for health information systems. BMC Medical Informatics and Decision Making 21(210).

Lessons learned from an EHR deployment: DoD discusses challenges with implementing Cerner. https://www.healthcareitnews.com/video/dod-execs-share-challenges-implementing-cerner-ehr

Optional Reading

Uslu A, & Stausberg J. (2021). Value of the electronic medical record for hospital care: Update from the literature. Journal of Medical Internet Research, 23(12):e26323. doi: 10.2196/26323 PMID: 34941544. Available in the Trident Online Library.

Al-Emran, M. Mezhuyev, V., Kamaludin, A., & Shaalan, K. (2018)
The impact of knowledge management processes on information systems: A
systematic review. International Journal of Information Management, 43, 173-187. ISSN 0268-4012, https://doi.org/10.1016/j.ijinfomgt.2018.08.001. Available in the Trident Online Library.

Kruse CS, & Beane A. (2018) Health information technology
continues to show positive effect on medical outcomes: Systematic
review. Journal of Medical Internet Research, 20(2):e41. doi:10.2196/jmir.8793. Available in the Trident Online Library.

Expert Solution Preview

Introduction:

Electronic health records (EHRs) have become an integral part of healthcare systems worldwide. They bring numerous benefits in terms of patient care, data management, and overall healthcare outcomes. However, the implementation and use of EHRs also present certain challenges that need to be addressed to optimize their effectiveness.

Answer:

The article by Boonstra (2014) presents a systematic literature review focused on the implementation of EHRs in hospitals. The study identifies several key factors that influence the successful adoption of EHRs, including technical, organizational, and socio-political aspects. Additionally, the article highlights the importance of considering the end-users’ perspectives and involving them in the design and implementation process to ensure smooth integration and user acceptance.

Kruse, Stein, Thomas, and Kaur (2018) conducted a systematic review to explore the use of EHRs in supporting population health. The authors found that EHRs have the potential to improve population health outcomes by facilitating data collection, analysis, and reporting. However, they also emphasize the need for more research to better understand the specific mechanisms through which EHRs can effectively impact population health.

Koskela, Sandström, Mäkinen, and Liira (2016) conducted a focus group study to explore user perspectives on an electronic decision-support tool for medication reviews. The study involved physicians and nurses, and the findings indicated that the tool was perceived positively and had a potential to improve medication safety and quality of care. However, challenges related to usability, integration with existing systems, and workload were also identified, suggesting the need for careful consideration of implementation factors.

The lessons learned from the EHR deployment discussed by the Department of Defense (DoD) in the healthcareITnews.com video highlight the challenges associated with implementing the Cerner EHR system. The video underscores the importance of addressing interoperability issues, ensuring user training and support, and managing the change process effectively to overcome implementation hurdles.

Tummers, Tobi, Catal, et al. (2021) propose a reference architecture for health information systems. The authors emphasize the need for a holistic approach that considers various system components, such as data sources, data management, and decision-making support. The proposed architecture aims to enhance interoperability, data integration, and system scalability to support the evolving needs of healthcare organizations.

In conclusion, the articles and resources provide insights into various aspects of EHR implementation, usage, and challenges. They highlight the significance of involving end-users, understanding organizational dynamics, addressing technical and interoperability issues, and considering the holistic design of health information systems. By considering these factors, healthcare organizations can optimize the benefits of EHRs while overcoming challenges to improve patient care and healthcare outcomes.

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