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Successful Strategies for Implementing EMR Systems in Hospitals

机译：在医院中实施EMR系统的成功策略

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摘要

Some hospital leaders are ineffective in implementing the electronic medical record (EMR) systems in the hospitals. The purpose of this multiple case study was to explore strategies hospital leaders use to successfully implement EMR systems. The target population consisted of hospital leaders and healthcare professionals from two hospitals who have successfully implemented EMR systems. The conceptual framework of this research study was Kotter's 8-stage process for leading change, building on the model of an effective change management method. Data were collected from 5 interviewed participants and company documents related to strategies regarding the EMR system implementation. The results of reviewing open-ended interview questions and archived documents were analyzed using codes and themes to facilitate triangulation. Three primary themes were developed from the coded data: (a) strategies hospital leaders use to implement the EMR system, (b) strategies hospital leaders use to achieve quality and best practice, and (c) strategies hospital leaders use to manage change and resistance to change. Results revealed 4 steps for successful implementation: (1) creating a vision, (2) communicating the vision, (3) establishing strong leadership, and (4) consolidating gains. Utilizing the successful strategies hospital leaders use to implement the EMR systems could produce quality patient care, efficiencies in hospital operations, and reduced organizational operation cost. The findings could effect positive social change through delivery of quality health and patient care that results in community cost benefits and healthier patient lifestyles.
机译：一些医院负责人在医院中无法实施电子病历（EMR）系统。这个多案例研究的目的是探索医院领导者成功实施EMR系统所使用的策略。目标人群包括成功实施EMR系统的两家医院的医院负责人和医疗保健专业人员。这项研究的概念框架是基于有效变更管理方法模型的Kotter领导变更的8个步骤。从5名受访者和与EMR系统实施策略相关的公司文档中收集数据。使用代码和主题来促进三角剖分，分析了对不限成员名额的访谈问题和已归档文档的审查结果。从编码数据中得出了三个主要主题：（a）医院领导者用来实施EMR系统的策略，（b）医院领导者用来实现质量和最佳实践的策略，以及（c）医院领导者用来管理变化和抵制的策略改变。结果揭示了成功实施的四个步骤：（1）建立愿景，（2）传达愿景，（3）建立强大的领导力，（4）巩固成果。利用医院领导者用于实施EMR系统的成功策略，可以提高患者护理质量，提高医院运营效率并降低组织运营成本。这些发现可以通过提供高质量的健康和患者护理来实现积极的社会变革，从而带来社区成本收益和更健康的患者生活方式。

著录项

  • 作者

    Nicholas, Marcia.;

  • 作者单位

    Walden University.;

  • 授予单位 Walden University.;
  • 学科 Business administration.
  • 学位 D.B.A.
  • 年度 2018
  • 页码 111 p.
  • 总页数 111
  • 原文格式 PDF
  • 正文语种 eng
  • 中图分类 建筑科学;
  • 关键词

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