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

Objective: Evaluate an electronic health record (EHR) implementation across a large public health department to better understand and improve implementation effectiveness of EHRs in public health departments. Design: A survey based on Consolidated Framework for Implementation Research constructs was administered to staff before and after implementation of an EHR. Setting: Large suburban county department of health and human services that provides clinical, behavioral, social, and oral health services. Participants: Staff across 4 program areas completed the survey prior to EHR implementation (n = 331, June 2014) and 3 months post-EHR final implementation (n = 229, December 2015). Intervention: Electronic health record Main Outcome Measures: Constructs were validated using confirmatory factor analysis and included information strengths and information gaps in the current environment; EHR impacts; ease of use; future use intentions; usefulness; knowledge of system; and training. Paired t tests and Wilcoxon signed rank tests of a matched sample were performed to compare the pre-/postrespondent scores. Results: A majority of user perceptions and expectations showed a significant (P
Source: Journal of Public Health Management and Practice - Category: Health Management Tags: Research Reports: Research Full Report Source Type: research