TY - GEN
T1 - Experts speak
T2 - 14th World Congress on Medical and Health Informatics, MEDINFO 2013
AU - Craven, Catherine K.
AU - Sievert, Mary Ellen C.
AU - Hicks, Lanis L.
AU - Alexander, Gregory L.
AU - Hearne, Leonard B.
AU - Holmes, John H.
PY - 2013
Y1 - 2013
N2 - The US government has allocated $30 billion dollars to implement Electronic Health Records (EHRs) in hospitals and provider practices through a policy called Meaningful Use. Small, rural hospitals, particularly those designated as Critical Access Hospitals (CAHs), comprising nearly a quarter of US hospitals, had not implemented EHRs before. Little is known on implementation in this setting. We interviewed a spectrum of 31 experts in the domain. The interviews were then analyzed qualitatively to ascertain the expert recommendations. Nineteen themes emerged. The pool of experts included staff from CAHs that had recently implemented EHRs. We were able to compare their answers with those of other experts and make recommendations for stakeholders. CAH peer experts focused less on issues such as physician buy-in, communication, and the EHR team. None of them indicated concern or focus on clinical decision support systems, leadership, or governance. They were especially concerned with system selection, technology, preparatory work and a need to know more about workflow and optimization. These differences were explained by the size and nature of these small hospitals.
AB - The US government has allocated $30 billion dollars to implement Electronic Health Records (EHRs) in hospitals and provider practices through a policy called Meaningful Use. Small, rural hospitals, particularly those designated as Critical Access Hospitals (CAHs), comprising nearly a quarter of US hospitals, had not implemented EHRs before. Little is known on implementation in this setting. We interviewed a spectrum of 31 experts in the domain. The interviews were then analyzed qualitatively to ascertain the expert recommendations. Nineteen themes emerged. The pool of experts included staff from CAHs that had recently implemented EHRs. We were able to compare their answers with those of other experts and make recommendations for stakeholders. CAH peer experts focused less on issues such as physician buy-in, communication, and the EHR team. None of them indicated concern or focus on clinical decision support systems, leadership, or governance. They were especially concerned with system selection, technology, preparatory work and a need to know more about workflow and optimization. These differences were explained by the size and nature of these small hospitals.
KW - Critical Access Hospitals
KW - Electronic Health Records
KW - Hospitals
KW - Medical Informatics
KW - Qualitative Research
KW - Rural
UR - http://www.scopus.com/inward/record.url?scp=84894301850&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=84894301850&partnerID=8YFLogxK
U2 - 10.3233/978-1-61499-289-9-608
DO - 10.3233/978-1-61499-289-9-608
M3 - Conference contribution
C2 - 23920628
AN - SCOPUS:84894301850
SN - 9781614992882
T3 - Studies in Health Technology and Informatics
SP - 608
EP - 612
BT - MEDINFO 2013 - Proceedings of the 14th World Congress on Medical and Health Informatics
PB - IOS Press
Y2 - 20 August 2013 through 23 August 2013
ER -