Best Practices in EMR Implementation: A Systematic Review

As experience with Electronic Medical Record (EMR) implementations increases, new knowledge is gained on how to make these implementations more successful. Recently, several new conceptual frameworks described in the literature provide a richer understanding of what makes an EMR implementation successful. Using the systematic review process, we attempt to integrate the various frameworks into an over-arching framework that is comprehensive, yet pragmatic.

[1]  I. Sim,et al.  Physicians' use of electronic medical records: barriers and solutions. , 2004, Health affairs.

[2]  David W. Bates,et al.  Primary care physician time utilization before and after implementation of an electronic health record: A time-motion study , 2005, J. Biomed. Informatics.

[3]  T. Massaro.  Introducing Physician Order Entry at a Major Academic Medical Center: I. Impact on Organizational Culture and Behavior , 1993, Academic medicine : journal of the Association of American Medical Colleges.

[4]  Frances Wickham Lee,et al.  Life After a Disastrous Electronic Medical Record Implementation: One Clinic’s Experience , 2001 .

[5]  Richard Heeks,et al.  Health information systems: Failure, success and improvisation , 2006, Int. J. Medical Informatics.

[6]  R. T. Riley,et al.  Organizational Aspects of Health Informatics , 1994, Computers in Health Care.

[7]  Prabir K. Bagchi,et al.  LOGISTICS INFORMATION SYSTEMS: THE STRATEGIC ROLE OF TOP MANAGEMENT / , 1994 .

[8]  Marc Berg,et al.  Implementing information systems in health care organizations: myths and challenges , 2001, Int. J. Medical Informatics.

[9]  Cynthia S. Gadd,et al.  Assessing physician attitudes regarding use of an outpatient EMR: a longitudinal, multi-practice study , 2001, AMIA.

[10]  Johann Packendorff,et al.  INQUIRING INTO THE TEMPORARY ORGANIZATION: NEW DIRECTIONS FOR PROJECT MANAGEMENT RESEARCH , 1995 .

[11]  James D. Carpenter,et al.  Adding insight: a qualitative cross-site study of physician order entry. , 2005, Studies in health technology and informatics.

[12]  H L Chin,et al.  Implementation of a comprehensive computer-based patient record system in Kaiser Permanente's Northwest Region. , 1997, M.D. computing : computers in medical practice.

[13]  F W Lee,et al.  Impact of an Electronic Medical Record System on Community-Based Primary Care Practices , 2000, The Journal of the American Board of Family Medicine.

[14]  Homer L Chin.  The Reality of EMR Implementation: Lessons from the Field , 2004 .

[15]  J. Aaronson,et al.  Electronic medical records: the family practice resident perspective. , 2001, Family medicine.

[16]  Kalle Lyytinen,et al.  A framework for identifying software project risks , 1998, CACM.

[17]  David Smith,et al.  A physician's perspective: deploying the EMR. , 2002, Journal of healthcare information management : JHIM.

[18]  James P. Lewis.  Project Leadership , 2002 .

[19]  David Tucker,et al.  Electronic medical record implementation barriers encountered during implementation , 1999, AMIA.

[20]  M Maxwell,et al.  EMR: successful productivity tool for modern practice. , 1999, Health management technology.

[21]  David Young,et al.  Research Paper: Patient Experiences and Attitudes about Access to a Patient Electronic Health Care Record and Linked Web Messaging , 2004, J. Am. Medical Informatics Assoc..

[22]  T. Swanson,et al.  Recent implementations of electronic medical records in four family practice residency programs , 1997, Academic medicine : journal of the Association of American Medical Colleges.

[23]  P. Clayton,et al.  Privacy, confidentiality, and electronic medical records. , 1996, Journal of the American Medical Informatics Association : JAMIA.

[24]  Jeffrey Johnson,et al.  The economic effect of implementing an EMR in an outpatient clinical setting. , 2004, Journal of healthcare information management : JHIM.

[25]  Karim Keshavjee,et al.  Applying methodology to electronic medical record selection , 2003, Int. J. Medical Informatics.

[26]  Paul D. Smith,et al.  Implementing an EMR system: one clinic's experience. , 2003, Family practice management.

[27]  Concurrent process redesign and clinical documentation system implementation: a 6-month success story. , 1996 .

[28]  P G Townes,et al.  Making EMRs really work: the Southeast Health Center experience. , 2000, The Journal of ambulatory care management.

[29]  Karim Keshavjee,et al.  Measuring the success of electronic medical record implementation using electronic and survey data , 2001, AMIA.

[30]  S. Savin,et al.  KEY SUCCESS FACTORS IN IMPLEMENTING ELECTRONIC MEDICAL RECORDS IN UNIVERSITY HOSPITAL OF RENNES , 2005 .

[31]  J. Hippisley-Cox,et al.  The electronic patient record in primary care—regression or progression? A cross sectional study , 2003, BMJ : British Medical Journal.

[32]  J. Hanley,et al.  The medical office of the 21st century (MOXXI): effectiveness of computerized decision-making support in reducing inappropriate prescribing in primary care. , 2003, CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne.

[33]  C. K. Barsukiewicz,et al.  Electronic medical records: are physicians ready? , 1999, Journal of healthcare management / American College of Healthcare Executives.

[34]  P G Churgin.  Introduction of an automated medical record at an HMO clinic. , 1994, M.D. computing : computers in medical practice.

[35]  John Morrissey.  Day in the Life of a Medical Record: Lifting the Veil on the Security of Today's Paper-based Environment , 2006 .

[36]  Haslina Mohd,et al.  Acceptance Model of Electronic Medical Record , 2005 .

[37]  Blake Ives,et al.  Executive Involvement and Participation in the Management of Information Technology , 1991, MIS Q..

[38]  G. Barnett,et al.  Maintaining the Confidentiality of Medical Records Shared over the Internet and the World Wide Web , 1997, Annals of Internal Medicine.

[39]  E. Rogers,et al.  Diffusion of innovations , 1964, Encyclopedia of Sport Management.

[40]  B. Golden,et al.  Aligning the stars: Using systems thinking to (re)design Canadian healthcare. , 2004, Healthcare quarterly.

[41]  Linda Gavendo,et al.  Computerized Physician Order Entry with Clinical Decision Support in the Long‐Term Care Setting: Insights from the Baycrest Centre for Geriatric Care , 2005, Journal of the American Geriatrics Society.

[42]  Eta S Berner,et al.  Improving ambulatory prescribing safety with a handheld decision support system: a randomized controlled trial. , 2006, Journal of the American Medical Informatics Association : JAMIA.

[43]  Joan S. Ash,et al.  Principles for a Successful Computerized Physician Order Entry Implementation , 2003, AMIA.

[44]  Churgin Pg.  Introduction of an automated medical record at an HMO clinic. , 1994 .

[45]  P. Collins.  Risky business. It takes a 'risk-balanced' team to implement a CPR. , 1998, Healthcare informatics : the business magazine for information and communication systems.

[46]  Diana E. Forsythe,et al.  Implementing computers in ambulatory care: implications of physician practice patterns for system design , 1997, AMIA.

[47]  Casimir A Kulikowski,et al.  Synthesis of Research: An Informatics-based Chronic Disease Practice: Case Study of a 35-year Computer-based Longitudinal Record System , 1998, J. Am. Medical Informatics Assoc..

[48]  J. Pennbridge,et al.  Questionnaire survey of California consumers' use and rating of sources of health care information including the Internet. , 1999, The Western journal of medicine.

[49]  Anne F. Kittler,et al.  A cost-benefit analysis of electronic medical records in primary care. , 2003, The American journal of medicine.

[50]  Magnus Mähring,et al.  IT Project Governance: A Process-Oriented Study of Organizational Control and Executive Involvement , 2002 .

[51]  Randolph C. Barrows,et al.  Review: Privacy, Confidentiality, and Electronic Medical Records , 1996, J. Am. Medical Informatics Assoc..

[52]  E. Rogers.  Diffusion of Innovations , 1962 .