Seven years after Meaningful Use: Physicians’ and nurses’ experiences with electronic health records

Rathert, Cheryl; Porter, Tracy H.; Mittler, Jessica; Fleig-Palmer, Michelle M.

doi:10.1097/hmr.0000000000000168

Cited by 79 publications

(101 citation statements)

References 22 publications

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“…Results indicate an overall discontent with the new technology at approximately 3 months postimplementation relative to preimplementation perceptions. While these findings are generally consistent with prior work that has described the challenges health services organization staff have described at early EHR implementation such as functionality gaps, 18 training deficits, 19 and usability challenges, 20 this study highlights specific nuances public health department EHR implementers should consider. The behavioral health and crises services area reported greater dissatisfaction with the EHR than the public health services area.…”

Section: Discussionsupporting

confidence: 84%

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

Crowley

Mishra

Cruz‐Cano

et al. 2019

Journal of Public Health Management and Practice

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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.

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Section: Discussionsupporting

confidence: 84%

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

Crowley

Mishra

Cruz‐Cano

et al. 2019

Journal of Public Health Management and Practice

View full text Add to dashboard Cite

show abstract

“…Despite the apparent progress in implementation methods and the use of EHRs, the realization of benefits still lags behind expectations. Great challenges for clinicians as end users of EHRs exist, which restricts their potential to facilitate both the work of clinicians and the improvement of patient care quality [13]. Whether the use of EHRs improves efficiency (i.e., "saves time") for clinicians or not is still regarded as controversial [2].…”

Section: Introductionmentioning

confidence: 99%

Effects of Electronic Health Record Implementation and Barriers to Adoption and Use: A Scoping Review and Qualitative Analysis of the Content

Tsai

Eghdam

Davoody

et al. 2020

Life

101

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Despite the great advances in the field of electronic health records (EHRs) over the past 25 years, implementation and adoption challenges persist, and the benefits realized remain below expectations. This scoping review aimed to present current knowledge about the effects of EHR implementation and the barriers to EHR adoption and use. A literature search was conducted in PubMed, Web of Science, IEEE Xplore Digital Library and ACM Digital Library for studies published between January 2005 and May 2020. In total, 7641 studies were identified of which 142 met the criteria and attained the consensus of all researchers on inclusion. Most studies (n = 91) were published between 2017 and 2019 and 81 studies had the United States as the country of origin. Both positive and negative effects of EHR implementation were identified, relating to clinical work, data and information, patient care and economic impact. Resource constraints, poor/insufficient training and technical/educational support for users, as well as poor literacy and skills in technology were the identified barriers to adoption and use that occurred frequently. Although this review did not conduct a quality analysis of the included papers, the lack of uniformity in the use of EHR definitions and detailed contextual information concerning the study settings could be observed.

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“…The findings of this scoping review suggest that librarians who are interested in PFCC can leverage their daily activities to contribute information to the Medicare Attestation Worksheet to document meaningful use requirements, which provide for reimbursement of patient-specific education under the Medicare Access and Chip Reauthorization Act of 2015 [17]. Specifically, stage 2 of the Eligible Professional Meaningful Use Core Measures outlines the requirements of organizations to perform electronic health record (EHR) tasks to achieve coordination of care.…”

Section: Discussionmentioning

confidence: 99%

Involvement of information professionals in patient- and family-centered care initiatives: a scoping review

DeRosa

Nelson

Delgado

et al. 2019

jmla

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Objective: The goal of this scoping review was to collect data on patient- and family-centered care (PFCC) programs and initiatives that have included the direct involvement of librarians and information professionals to determine how librarians are involved in PFCC and highlight opportunities for librarians to support PFCC programs.Methods: Systematic literature searches were conducted in seven scholarly databases in the information, medical, and social sciences. Studies were included if they (1) described initiatives presented explicitly as PFCC programs and (2) involved an information professional or librarian in the PFCC initiative or program. Based on the definition of PFCC provided by the Institute for Patient- and Family-Centered Care, the authors developed a custom code sheet to organize data elements into PFCC categories or initiatives and outcomes. Other extracted data elements included how the information professional became involved in the program and a narrative description of the initiatives or programs.Results: All included studies (n=12) identified patient education or information-sharing as an integral component of their PFCC initiatives. Librarians were noted to contribute to shared decision-making through direct patient consultation, provision of health literacy education, and information delivery to both provider and patient with the goal of fostering collaborative communication.Conclusions: The synthesis of available evidence to date suggests that librarians and information professionals should focus on patient education and information-sharing to support both patients or caregivers and clinical staff. The burgeoning efforts in participatory care and inclusion of patients in the decision-making process pose a unique opportunity for librarians and information professionals to offer more personalized information services.

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Seven years after Meaningful Use: Physicians’ and nurses’ experiences with electronic health records

Cited by 79 publications

References 22 publications

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

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

Effects of Electronic Health Record Implementation and Barriers to Adoption and Use: A Scoping Review and Qualitative Analysis of the Content

Involvement of information professionals in patient- and family-centered care initiatives: a scoping review

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