Asian Review of Social Sciences (ARSS)
Explore the Key Organizational Barriers and Provide Facilitates to Implement EHR Systems: A Systematic Approach
Author : Mohammad Anisuzzaman and Senaka FernandoVolume 7 No.1 January-June 2018 pp 54-59
Abstract
The main objective is to determine the principal organisational barriers and appropriate facilitates activities for the adoption of the Electronic Health Record (EHR) systems. The Primary and secondary data are collected from the peer-reviewed journals from the period of January, 2000 to May, several databases such as ‘EBSCO’, ‘PubMed’, ‘BioMed’, ‘CINHAL’, ‘Cochrane library’ and ‘Web of Science’, were used to search for the systematic literature. We extracted papers from the above databases through PRISMA guideline and synthesised findings through thematic analysis. The data are collected by using the systematic process and we have extracted roughly (n=2,097) journals which were mainly focused of EHR implementation process and techniques. Finally, we have included 13 articles through rigorous screening process. The study includes thirteen articles that have been considered different organisational barriers perceived by the physicians such as organisational structure, technical, social, attitudinal, psychological, legal and financial. Along barriers, some prospective change management activities are considered to overcome some barrier related interventions. Finally, our findings has revealed some fundamental organisational barriers and some change management activities which helped to overcome the typical problems and provided the effective EHR implementation strategies for hospitals.
Keywords
Electronic Health Records, Electronic Medical Record, Meaningful use
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References
[1] E. S. Berner, D. E. Detmer and D. W. Simborg. ―Will the Wave Finally Break? A Brief View of the Adoption of Electronic Medical Records in the United States.‖ J Am Med Inform Assoc 2005, Vol. 12, No. 1, pp. 3-7, 2005, [Accessed: 8th June, 2016], Available at PubMed Central.
[2] D. Blumenthal and M. Taveneer.. ―The ‗Meaningful Use Regulation for Electronic Health Records‖, The New England Journal of Medicine, Vol. 363, pp. 501-504, 2010, [Accessed: 8th June, 2016], [Online]. Available: http://www.nejm.org/doi/full/10.1056/NEJMp1006114
[3] R. J. Campbell, ―Change Management in Health Care‖. Health Care Manager, Vol. 27, No. 1, pp. 23-39, 2008, [Accessed: 11th June, 2016], Available at PubMed Central.
[4] E. Davidson and D. Helsinga, ―Bridging the IT Adoption Gap for Small Physician Practices: An Action Research Study on Electronic
Health Records.‖ Information System Management, Vol. 24, No. 1, pp. 15-8, 2006, [Accessed: 14th June, 2016], [Online]. Available: http://www.tandfonline.com/doi/abs/10.1080/10580530601036786.
[5] C. M. DesRoches, E. G. Campbell, S. R. Rao and K. Donelan. 2008. ―Electronic Health Records in Ambulatory Care — A National Survey of Physicians‖, N Engl J Med, Vol. 359, pp. 50-60, [Accessed on 17th June, 2016], [Online]. Available: www.nejm.org.
[6] L. A. Erika, S. McGinnis, J. Moore, R. Kausal and with HITEC investigators, ―A Statewide Assesment of Electronic Health Record Adoption and Health Information Exchange Among Nursing Homes‖, Health Service Research, Vol. 49, No.1 Pt 2, pp. 361-72, 2013, [Accessed: 22nd June], [Online]. Available: http://www.ncbi.nlm.nih.gov/pubmed/24359612
[7] L. A. Green, G. Potworoski, A. Day and R. May-Gentile, ―Sustaining Meaningful Use‖ of Health Information Technology in Low-resource Practices‖, Ann Fam Med, Vol. 13, pp.17-22, 2015, [Accessed: 12th June, 2016], Available at PubMed Central.
[8] E. W. Jamoon, V. Patel, M. F. Furukawa and J. King, ―EHR adopters vs. non-adopters: Impacts of, Barriers to, and Federal Initiatives for EHR Adoption‖, Health Care Informatics, Vol. 2, pp. 33-39, 2014, [Accessed: 9th June, 2016], Available at Pubmed Central.
[9] A. Jha, R. Kaushal, D. E. Levy, S. Rosenbaum, A. E. Shields and D. Blumenthal, ―Electronic Health Records in Ambulatory Care – A National Survey of Physicians‖, N Engl J Med, Vol. 359, No. 1, pp. 50-60, 2008, [Accessed: 11th June, 2016], [Online]. Available at The New England Journal of Medicine.
[10] N. M. Lorenzi, A. Kouroubali, D. E. Detmer and M. Bloomrosen. 2009, ―How to Successfully Select and Implement Electronic Health Records (EHR) in Small Ambulatory Practice Settings‖, BMC Medical Informatics and Decision Making, Vol. 9, pp. 15, [Accessed: 15th June, 2016] [Online]. Available http://www.biomedcentral.com/1472-6947/9/15 .
[11] W. Martin, ―Electronic Health Records and Change Management‖, 2014.
[12] International Journal of Computer and Information Technology (ISSN: 2279 – 0764) Vol. 3, Issue 3, [Accessed: 11th June, 2016]. [Online]. Available: https://www.healthit.gov/providers-professionals/implementation-resources/change-management-ehr-implementation.
[13] A. S. McAlearney, J. L. Hefner, C. J. Sleck and T. R. Huert, ―The Journey through Grief: Insights from a Qualitative Study of Electronic Health Record Implementation‖, Medical Care Research and Review, Vol. 69, No. 3, pp. 294–315, 2015, [Accessed: 15th June, 2016], Available at PubMed Central.
[14] A. S. McAlearney, J. L. Hefner, M. Rizer and T. R. Huert, ―Evidence-Based Management of Ambulatory Electronic Health Record System Implementation: An Assessment of Conceptual Support and Qualitative Evidence‖, International Journal of medical Informatics, Vol. 8, No. 3, pp. 484–494, 2014, [Accessed: 15th June, 2016], Available at PubMed Central.
[15] M. R. Narcisse, T. R. Kippenbrock, E. Odell and B. Buron, “Advanced Practice Nurses’ ‗Meaningful Use‘ of Electronic Health Records”, Applied Nursing Research, Vol. 26, pp. 127-132, 2013, [Accessed on 12th June, 2015], Available at Biomed Central.