Implementation of electronic medical records in hospitals: two case studies PDF20160224-13490-M7QW2Z

Title	Implementation of electronic medical records in hospitals: two case studies
Author	Stephen Shortell
Pages	10
File Size	104 KB
File Type	PDF20160224-13490-M7QW2Z
Total Downloads	77
Total Views	549

Summary

Available online at www.sciencedirect.com Health Policy 84 (2007) 181–190 Implementation of electronic medical records in hospitals: two case studies John Øvretveit a,b,∗ , Tim Scott c , Thomas G. Rundall d , Stephen M. Shortell e , Mats Brommels a,f a Medical Management Centre, Karolinska Institute...

Description

Health Policy 84 (2007) 181–190 Available online at www.sciencedirect.com Implementation of electronic medical records in hospitals: two case studies John Øvretveita,b, , Tim Scottc, Thomas G. Rundalld, Stephen M. Shortelle, Mats Brommelsa,f a Medical Management Centre, Karolinska Institute, Stockholm, Sweden b Faculty of Medicine, Bergen University, Norway c Department of Organisation, School of Management, University of St Andrews, Scotland d Henry J. Kaiser Professor of Organized Health Systems, School of Public Health, University of California, Berkeley, USA e Blue Cross of California Distinguished Professor of Health Policy and Management and Dean School of Public Health University of California, Berkeley, California 94720, USA f School of Public Health, Helsinki University, Finland Abstract There is evidence that health information technology can improve quality, safety and reduce costs but that health care providers needed more information about how to implement these technologies to realise its potential. This paper summarises the research and proposes a theory of implementation based on the research evidence. The second part describes two implementations of electronic medical record systems and compares the theory against the fndings of these two case studies. The paper provides implementers with research-informed guidance about efective implementation, contributes to developing implementation theory and notes policy implications for current national strategies for IT in health. © 2007 Elsevier Ireland Ltd. All rights reserved. Keywords: Information technology; Electronic medical record; Implementation; Health care 1. Introduction Health services do not have a good history of cost efective implementation of health information Corresponding author at: The Karolinska Institute Medical Man- agement Centre, Floor 5, Berzelius v ¨ ag 3, Stockholm SE-171 77, Sweden. Tel.: +46 31 69 39 28; fax: +46 31 69 1777. E-mail addresses: [email protected] (J. Øvretveit), [email protected] (T. Scott), [email protected] (T.G. Rundall), [email protected] (S.M. Shortell), [email protected] (M. Brommels). technology systems (HIT), or of electronic medical records (EMR) which are at the center of such systems. The potential for increasing safety and productivity is largely unrealised. Many countries and services have policies for introducing EMRs, but there is a wide gap between policy and practice. Implementation experi- ence has been varied and sometimes negative, notably in public health systems where there may be the greatest benefts from EMR systems which allow connections between services. The ambitious and well-funded UK policy for all NHS hospitals was to have electronic 0168-8510/$ – see front matter © 2007 Elsevier Ireland Ltd. All rights reserved. doi:10.1016/j.healthpol.2007.05.013...