Electronic medical record systems in critical access hospitals: leadership perspectives on anticipated and realized benefits.

The growth of electronic medical records (EMRs) is driven by the belief that EMRs will significantly improve healthcare providers' performance and reduce healthcare costs. Evidence supporting these beliefs is limited, especially for small rural hospitals. A survey that focused on health information...

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Publicado en:Perspectives in Health Information Management Vol. 7; no. 2; pp. 17p - 18
Autores principales: Mills TR, Vavroch J, Bahensky JA, Ward MM
Formato: research tables/charts Journal Article
Publicado: American Health Information Management Association Spring2010
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Spring2010
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      pub: American Health Information Management Association
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        atl: Electronic medical record systems in critical access hospitals: leadership perspectives on anticipated and realized benefits.
      aug:
        au:
          Mills TR
          Vavroch J
          Bahensky JA
          Ward MM
        affil: Graduate Research Assistant, Department of Health Management and Policy, College of Public Health, University of Iowa, Iowa City, IA
      sug:
        subj:
          Clinical Information Systems Utilization
          Electronic Health Records Utilization
          Hospital Information Systems Utilization
          Hospitals, Rural Iowa
          Audiorecording
          Checklists
          Decision Making
          Decision Support Systems, Clinical
          Descriptive Statistics
          Electronic Order Entry
          Funding Source
          Health Facility Administrators
          Human
          Information Technology Personnel
          Information Technology Legislation and Jurisprudence
          Insurance, Health, Reimbursement
          Iowa
          Motivation
          Organizational Efficiency
          Product Acquisition
          Questionnaires
          Structured Interview
          Surveys
          Systems Implementation
          United States
      ab: The growth of electronic medical records (EMRs) is driven by the belief that EMRs will significantly improve healthcare providers' performance and reduce healthcare costs. Evidence supporting these beliefs is limited, especially for small rural hospitals. A survey that focused on health information technology (HIT) capacity was administered to all hospitals in Iowa. Structured interviews were conducted with the leadership at 15 critical access hospitals (CAHs) that had implemented EMRs in order to assess the perceived benefits of operational EMRs. The results indicate that most of the hospitals implemented EMRs to improve efficiency, timely access, and quality. Many CAH leaders also viewed EMR implementation as a necessary business strategy to remain viable and improve financial performance. While some reasons reflect external influences, such as perceived future federal mandates, other reasons suggest that the decision was driven by internal forces, including the hospital's culture and the desires of key leaders to embrace HIT. Anticipated benefits were consistent with goals; however, realized benefits were rarely obvious in terms of quantifiable results. These findings expand the limited research on the rationale for implementing EMRs in critical access hospitals.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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