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Implementation of an EHR is an overwhelming task no matter where it is done. However, achieving this task in a critical access hospital (defined as a hospital that provides 24-hour emergency services with less than 25 acute care and swing beds and is more than 35 miles from another hospital) with limited resources is more challenging. A recent study addressing this issue is EHR Implementation Advice to Critical Access Hospitals from Peer Experts and Other Key Informants http://aci.schattauer.de/en/contents/archive/issue/1824/manuscript/20820.html]. | Implementation of an EHR is an overwhelming task no matter where it is done. However, achieving this task in a critical access hospital (defined as a hospital that provides 24-hour emergency services with less than 25 acute care and swing beds and is more than 35 miles from another hospital) with limited resources is more challenging. A recent study addressing this issue is EHR Implementation Advice to Critical Access Hospitals from Peer Experts and Other Key Informants http://aci.schattauer.de/en/contents/archive/issue/1824/manuscript/20820.html]. | ||
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== Methods == | == Methods == | ||
Revision as of 22:00, 17 October 2015
EHR issues in Critical Access Hospitals
Implementation of an EHR is an overwhelming task no matter where it is done. However, achieving this task in a critical access hospital (defined as a hospital that provides 24-hour emergency services with less than 25 acute care and swing beds and is more than 35 miles from another hospital) with limited resources is more challenging. A recent study addressing this issue is EHR Implementation Advice to Critical Access Hospitals from Peer Experts and Other Key Informants http://aci.schattauer.de/en/contents/archive/issue/1824/manuscript/20820.html].
Methods
Participants: 16 peer experts 3 vendor representatives 7 implementation experts 6 EHR consultants 3 CAH Regional Extension Center representatives 4 researchers in clinical informatics and HIT policy 2 national EHR policy stakeholders
Questions: 1 "What are the things you'd want to know most about planning and preparation processes for EHR implementation at CAHs? Name two." 2 "What advice would you give CAHs on the planning and preparation processes for EHR implementation?"
Results
19 themes, ranked in order of number of times mentioned, from expert comments: EHR Team Communication Clinician/Physician Buy-in/Ownership Budget/Financial Resources EHR System Selection Preparatory Work Technology Optimization/Ongoing Work Outside Partners/Information Resources EHR Training/Go-live Support Workflow/Productivity Project Management Purpose/Goals Leadership Change/Encouragement Policy/Meaningful Use Governance System Install/Go-live Clinical Decision Support/Knowledge Management
Suggestions by Theme:
EHR Team
