Toward the Design of an Engagement Tool for Effective Electronic Health Record Adoption

Perspect Health Inf Manag. 2019 Jan 1;16(Winter):1g. eCollection 2019 Winter.

Abstract

As healthcare systems continue to expand their use of electronic health records (EHRs), barriers to robust and successful engagement with such systems by stakeholders remain tenacious. To this effect, this research presents the results of a survey tool utilizing both original and modified constructs from the Consolidated Framework for Implementation Research to assess key points of engagement barriers and potential points of intervention for stakeholders of EHRs in a large-scale healthcare organization (500-bed level II regional trauma center). Based on the extensive assessment, the paper presents recommendations for the utility of engagement process modeling and discusses how intervention opportunities can be used to mitigate engagement barriers.

Keywords: adoption; consolidated framework for implementation; electronic health records; intervention.

MeSH terms

  • Attitude of Health Personnel
  • Computer Security / standards
  • Computer User Training / standards
  • Electronic Health Records / instrumentation*
  • Electronic Health Records / organization & administration*
  • Equipment Design*
  • Hospital Bed Capacity, 500 and over
  • Humans
  • Implementation Science*
  • Leadership
  • Organizational Culture
  • Self Efficacy
  • Trauma Centers / organization & administration
  • User-Computer Interface
  • Work Engagement