OBJECTIVE: Examine how the Electronic Health Record (EHR) and its related systems support or inhibit provider collaboration. BACKGROUND: Health care systems in the US are simultaneously implementing EHRs and transitioning to more collaborative delivery systems; this study examines the interaction between these two changes. METHODS: This qualitative study of five US EHR implementations included 49 interviews and over 60 hours of provider observation. We examined the role of the EHR in building relationships, communicating, coordinating, and collaborative decision-making. RESULTS: The EHR plays four roles in collaboration: a repository, a messenger, an orchestrator, and a monitor. While EHR performance varied, common themes were decreased trust due to poor quality documentation, incomplete communication, potential for increased effectiveness through better coordination, and the emerging role of the EHR in identifying performance gaps. CONCLUSION: Both organizational and technical innovations are needed if the EHR is to truly support collaborative behaviors.
OBJECTIVE: Examine how the Electronic Health Record (EHR) and its related systems support or inhibit provider collaboration. BACKGROUND: Health care systems in the US are simultaneously implementing EHRs and transitioning to more collaborative delivery systems; this study examines the interaction between these two changes. METHODS: This qualitative study of five US EHR implementations included 49 interviews and over 60 hours of provider observation. We examined the role of the EHR in building relationships, communicating, coordinating, and collaborative decision-making. RESULTS: The EHR plays four roles in collaboration: a repository, a messenger, an orchestrator, and a monitor. While EHR performance varied, common themes were decreased trust due to poor quality documentation, incomplete communication, potential for increased effectiveness through better coordination, and the emerging role of the EHR in identifying performance gaps. CONCLUSION: Both organizational and technical innovations are needed if the EHR is to truly support collaborative behaviors.
Authors: Peter J Embi; Charlene Weir; Efthimis N Efthimiadis; Stephen M Thielke; Ashley N Hedeen; Kenric W Hammond Journal: J Am Med Inform Assoc Date: 2013-01-25 Impact factor: 4.497
Authors: Adela Grando; Areti Manataki; Stephanie K Furniss; Benjamin Duncan; Andrew Solomon; David Kaufman; Sarah Hirn; Robert Sunday; Joanne Bouchereau; Brad Doebbeling; Matthew M Burton; Karl A Poterack; Tim Miksch; Richard A Helmers Journal: AMIA Annu Symp Proc Date: 2018-12-05
Authors: Janita F J Vos; Albert Boonstra; Arjen Kooistra; Marc Seelen; Marjolein van Offenbeek Journal: BMC Health Serv Res Date: 2020-07-22 Impact factor: 2.655