The impact of electronic medical record systems on outpatient workflows: a longitudinal evaluation of its workflow effects

International Journal of Medical Informatics
Arun VishwanathPeter Winkelstein

Abstract

The promise of the electronic medical record (EMR) lies in its ability to reduce the costs of health care delivery and improve the overall quality of care--a promise that is realized through major changes in workflows within the health care organization. Yet little systematic information exists about the workflow effects of EMRs. Moreover, some of the research to-date points to reduced satisfaction among physicians after implementation of the EMR and increased time, i.e., negative workflow effects. A better understanding of the impact of the EMR on workflows is, hence, vital to understanding what the technology really does offer that is new and unique. (i) To empirically develop a physician centric conceptual model of the workflow effects of EMRs; (ii) To use the model to understand the antecedents to the physicians' workflow expectation from the new EMR; (iii) To track physicians' satisfaction overtime, 3 months and 20 months after implementation of the EMR; (iv) To explore the impact of technology learning curves on physicians' reported satisfaction levels. The current research uses the mixed-method technique of concept mapping to empirically develop the conceptual model of an EMR's workflow effects. The model is then used wi...Continue Reading

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Related Concepts

Longitudinal Survey
Outcome and Process Assessment (Health Care)
Outpatients
Workflow
Electronic Health Records
Delivery of Health Care
Patient Care
Laboratory Procedures
Longitudinal Studies
Outpatient Clinics, Hospital

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