Agent-based simulation model for predicting adoption rates of Electronic Medical Records

There is an emerging trend among healthcare providers towards the replacement of paper-based health records with Electronic Medical Records (EMRs) in order to increase the quality of healthcare [1]–[4]. President Barack Obama's proposed health care plan encourages the adoption of state-of-the-art health information technology systems [5]. Interoperability is a critical issue in EMR systems, and uncertainty about which systems will become prevalent within the industry represents a barrier to adoption. This paper presents an agent-based model for characterizing the rate of adoption of EMRs based on the weighted importance of vendor functionality to institutional needs. Seeking to develop a decision-making tool within this arena, we have implemented an agent-based simulation that reveals the impact of various features on overall adoption rates. This paper discusses our model; the justification of its parameters; the uses among several social groups; and the interpretation of our findings.

[1]  Mitchel Resnick,et al.  Turtles, termites, and traffic jams - explorations in massively parallel microworlds , 1994 .

[2]  Sten F. Andler,et al.  Financial report , 1984, Bulletin of the Detroit Institute of Arts.

[3]  Melissa Steward Electronic Medical Records , 2005, The Journal of legal medicine.

[4]  André de Palma,et al.  Discrete Choice Theory of Product Differentiation , 1995 .

[5]  Catherine Tucker,et al.  Privacy, Network Effects and Electronic Medical Record Technology Adoption , 2007, WEIS.

[6]  S Rehm,et al.  Electronic medical records: the FPM vendor survey. , 2001, Family practice management.

[7]  Steven T. Berry Estimating Discrete-Choice Models of Product Differentiation , 1994 .

[8]  Catherine Tucker,et al.  Privacy Protection and Technology Diffusion: The Case of Electronic Medical Records , 2009, Manag. Sci..

[9]  Ruth White Ending the Document Game: Connecting and Transforming Your Healthcare through Information Technology , 2006 .

[10]  J. Sidorov It Ain't Necessarily So: The Electronic Health Record And The Unlikely Prospect Of Reducing Health Care Costs. , 2006, Health affairs.

[11]  G. Bowker,et al.  The multiple bodies of the medical record : Toward a sociology of an artifact , 1996 .

[12]  Steffie Woolhandler,et al.  Hope and hype: predicting the impact of electronic medical records. , 2005, Health affairs.

[13]  K. Rasmussen [Electronic medical records]. , 2006, Ugeskrift for laeger.

[14]  S.D. Patek,et al.  Modeling the adoption patterns of new healthcare technology with respect to Continuous Glucose Monitoring , 2008, 2008 IEEE Systems and Information Engineering Design Symposium.