Workflow and Electronic Health Records in Small Medical Practices.
This paper analyzes the workflow and implementation of electronic health record (EHR) systems across different functions in small physician offices. We characterize the differences in the offices based on the levels of computerization in terms of workflow, sources of time delay, and barriers to usin...
| Publicado en: | Perspectives in Health Information Management pp. 1 - 17 |
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| Autores principales: | , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
American Health Information Management Association
Spring2012
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=75382688&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 75382688 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 15594122 2QEL jtl: Perspectives in Health Information Management issn: 15594122 maglogo: N pubinfo: dt: Spring2012 pid: 6825 pub: American Health Information Management Association place: Chicago, Illinois artinfo: ui: 75382688 75382688 104448753 75382688 ppf: 1 ppct: 16 formats: fmt: @attributes: type: P tig: atl: Workflow and Electronic Health Records in Small Medical Practices. aug: au: Ramaiah, Mala Subrahmanian, Eswaran Sriram, Ram D. Lide, Bettijoyce B. affil: Research associate, National Institute of Standards and Technology, Gaithersburg, MD sug: subj: Electronic Health Records Utilization Systems Design Private Practice Adaptation, Occupational Task Performance and Analysis Family Practice Specialties, Medical Systems Implementation Questionnaires Interviews Data Collection Methods Time and Motion Studies Nonparticipant Observation Human ab: This paper analyzes the workflow and implementation of electronic health record (EHR) systems across different functions in small physician offices. We characterize the differences in the offices based on the levels of computerization in terms of workflow, sources of time delay, and barriers to using EHR systems to support the entire workflow. The study was based on a combination of questionnaires, interviews, in situ observations, and data collection efforts. This study was not intended to be a full-scale time-and-motion study with precise measurements but was intended to provide an overview of the potential sources of delays while performing office tasks. The study follows an interpretive model of case studies rather than a large-sample statistical survey of practices. To identify time-consuming tasks, workflow maps were created based on the aggregated data from the offices. The results from the study show that specialty physicians are more favorable toward adopting EHR systems than primary care physicians are. The barriers to adoption of EHR systems by primary care physicians can be attributed to the complex workflows that exist in primary care physician offices, leading to nonstandardized workflow structures and practices. Also, primary care physicians would benefit more from EHR systems if the systems could interact with external entities. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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