Clinicians’ Experiences of Transition to Electronic Health Records

Abstract

Electronic health records (EHR) are becoming a part of college counseling centers. The purpose of this study was to explore the experiences of clinicians (N = 5) who recently underwent the transition from paper files to an EHR system. A grounded theory methodology was used to analyze the interview data, and a member check was conducted to verify the accuracy of the results. Finally, the authors discuss implications for clinicians and offer suggestions to assist with the transition to an EHR system based on the data collected.

Implicações Éticas na Psicoterapia On-line em Tempos de Covid-19

“…Diante disso, é importante que psicólogos avaliem como é possível estabelecer a confidencialidade com os clientes diante das TICs, utilizadas na prestação de serviços, e busquem ser transparentes sobre as características e os riscos da psicoterapia nesse contexto, comunicando aos clientes por meio de um documento de consentimento informado (Chaet, Clearfield, Sabin, & Skimming, 2017;Lustgarten et al, 2020). O consentimento informado deve abranger, entre outros fatores pertinentes, os limites da confidencialidade (Magruder, Adams, Pohto, & Smith, 2018;Lustgarten et al, 2020).…”

Digital privacy in mental healthcare: current issues and recommendations for technology use

“…Using an EMR system involves issues related to client privacy, such as how much information is appropriate to place in an EMR, especially when that record is accessible to professionals throughout an organization [61,63 ,64,65]. To illustrate, as the other health providers and administrators can access the client care information, each document that mental health professionals create can both intentionally and unintentionally inform all related and unrelated providers and administrators [63 ]. Therefore, researchers highlight the importance of fair information practices to reduce any patient digital privacy violations [10 ,61,66].…”

“…Most informed consent in integrated healthcare settings include limits of confidentiality; however, clients may not always realize what information contained within an EMR is shared with others [63 ]. Also, mental health professionals should discuss unique risks of EMRs as well as data storage issues.…”