Electronic Health Record Implementation Findings at a Large, Suburban Health and Human Services Department

Abstract

Electronic health records can benefit public health practices in many ways; however, public health departments will face significant challenges incorporating EHRs, which are typically designed for non-public health settings, into the public health workflow. Electronic health record implementation recommendations for health departments are provided. When implementing an EHR in a public health setting, health departments should provide extensive preimplementation training opportunities, including EHR training tailored to job roles, competencies, and tasks; assess usability and specific capabilities at a more granular level as part of procurement processes and consider using contracting language to facilitate usability, patient safety, and related evaluations to enhance effectiveness and efficiencies and make results public; apply standard terminologies, processes, and data structures across different health department service areas using common public health terminologies; and craft workforce communication campaigns that balance potential expected benefits with realistic expectations.

Protocol for implementation of an evidence based parentally administered intervention for preterm infants

“…The framework has been used for diverse interventions in inpatient, clinic and community settings. A systematic review in 2016 identified 26 empirical studies using the CFIR, [62] and there are numerous studies published since then [43,[63][64][65][66][67][68][69][70][71]. However, only two previous studies occurred in a high acuity inpatient setting (adult acute care units) [63,70] and no prior studies include the NICU setting.…”

O uso de métodos quantitativos em pesquisas sobre avaliação da implementação de sistemas de informação em saúde

“…Na amostra desta pesquisa, observou-se, em três estudos, a aplicação do questionário apenas de forma online, por meio de link, via e-mail ou outras formas de comunicação, sem a necessidade de material impresso (Abramson et al, 2012;Crowley et al, 2019;Hadji et al, 2016). Outras três pesquisas utilizaram métodos online e/ou enviaram o questionário impresso via correio (Adler-Milstein, DesRoches, et al, 2014;Adler-Milstein et al, 2015.…”

“…Na busca do sucesso empresarial, medir desempenho de sistemas de informação pode ser considerado uma das principais estratégias, tornando-se, desse modo, um diferencial competitivo. Não muito divergente, quando essa mesma preocupação é direcionada para organizações na área da saúde, é essencial que esses sistemas apresentem um excelente funcionamento, capaz de organizar e manipular grandes quantidades de informação, em prol do alcance dos objetivos organizacionais (Crowley et al, 2019).…”

“…Para se compreender melhor esses aspectos, vários estudos foram realizados, utilizando abordagens de análise de dados qualitativa, quantitativa ou mista (Hsiao, Chang, & Chen, 2011;Janols, Lind, Göransson, & Sandblad, 2014;Gold & Mclaughlin, 2016;Hadji, Martin, Dupuis, Campoy, & Degoulet, 2016;Adler-Milstein et al, 2017;Deriel et al, 2017;Handayani et al, 2017;Priestman et al, 2018;Crowley et al, 2019). No entanto, deve se ressaltar que a pesquisa relacionada à utilização de métodos quantitativos torna-se relevante devido ao uso de técnicas estatísticas, as quais oferecem maior confiabilidade por serem mais objetivas, possibilitando generalizações (Creswell, 2007;Fiates, Serra, & Martins, 2014).…”

Protocol for Implementation of an Evidence Based Parentally Administered Intervention for Preterm Infants

“…The framework has been used for diverse interventions in inpatient, clinic and community settings. A systematic review in 2016 identi ed 26 empirical studies using the CFIR, [61] and there are numerous studies published since then [42,[62][63][64][65][66][67][68][69][70]. However, only two previous studies occurred in a high acuity inpatient setting (adult acute care units) [62,69] and no prior studies include the NICU setting.…”