PMID- 31853937
OWN - NLM
STAT- MEDLINE
DCOM- 20200609
LR  - 20201001
IS  - 1869-0327 (Electronic)
IS  - 1869-0327 (Linking)
VI  - 10
IP  - 5
DP  - 2019 Oct
TI  - An Evaluation of System End-User Support during Implementation of an Electronic 
      Health Record Using the Model for Improvement Framework.
PG  - 964-971
LID - 10.1055/s-0039-3402450 [doi]
AB  - BACKGROUND: Electronic health record (EHR) system implementation is complex. 
      Strong support for clinicians and other end-users during the initial phase of 
      implementation requires dedicated resources and commitment to ensure a smooth 
      transition, reduce frustration, and assist in adoption. OBJECTIVES: Evaluate 
      end-user support processes and personnel employed during the initial phase of EHR 
      implementation at an academic medical center and identify facilitators of 
      success, challenges, and lessons learned. METHODS: Using the model for 
      improvement framework, this case report describes the activities that follow the 
      concepts of planning, doing, studying, and acting (PDSA) when providing on-site 
      support to system end users during an EHR implementation in a complex health care 
      system. RESULTS: Strengths included engaged and supportive leadership, use of 
      internal support personnel, use of zone leaders, daily huddles for effective 
      dissemination of information, and an evaluation survey tool to provide data 
      supporting rapid changes in support personnel allocation. Challenges primarily 
      surrounded the management of over 1,000 external support personnel which included 
      limited EHR system knowledge, scheduling, and transportation logistics. 
      CONCLUSION: Implementation of EHR systems continues. Supporting end users is one 
      aspect of these complex projects that require dedicated resources to manage 
      effectively. Organizations taking a more proactive approach, based on learning 
      from experiences, as well as from other health care organizations, can improve 
      their ability to take on this challenge armed with best practices and lessons 
      learned.
CI  - Georg Thieme Verlag KG Stuttgart . New York.
FAU - Kiepek, Wendy
AU  - Kiepek W
AD  - Health Information Technology (HealthIT), Vanderbilt University Medical Center, 
      Nashville, Tennessee, United States.
FAU - Sengstack, Patricia P
AU  - Sengstack PP
AD  - School of Nursing, Vanderbilt University, Nashville, Tennessee, United States.
LA  - eng
PT  - Journal Article
DEP - 20191218
PL  - Germany
TA  - Appl Clin Inform
JT  - Applied clinical informatics
JID - 101537732
SB  - IM
MH  - Academic Medical Centers
MH  - Attitude to Computers
MH  - *Electronic Health Records
PMC - PMC6920050
COIS- None declared.
EDAT- 2019/12/20 06:00
MHDA- 2020/06/10 06:00
PMCR- 2020/10/01
CRDT- 2019/12/20 06:00
PHST- 2019/12/20 06:00 [entrez]
PHST- 2019/12/20 06:00 [pubmed]
PHST- 2020/06/10 06:00 [medline]
PHST- 2020/10/01 00:00 [pmc-release]
AID - 190124cr [pii]
AID - 10.1055/s-0039-3402450 [doi]
PST - ppublish
SO  - Appl Clin Inform. 2019 Oct;10(5):964-971. doi: 10.1055/s-0039-3402450. Epub 2019 
      Dec 18.