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