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Proceedings of the AMIA Symposium logoLink to Proceedings of the AMIA Symposium
. 2001:309–313.

Measuring the success of electronic medical record implementation using electronic and survey data.

K Keshavjee 1, S Troyan 1, A M Holbrook 1, D VanderMolen 1; COMPLETE Investigators1
PMCID: PMC2243411  PMID: 11825201

Abstract

Computerization of physician practices is increasing. Stakeholders are demanding demonstrated value for their Electronic Medical Record (EMR) implementations. We developed survey tools to measure medical office processes, including administrative and physician tasks pre- and post-EMR implementation. We included variables that were expected to improve with EMR implementation and those that were not expected to improve, as controls. We measured the same processes pre-EMR, at six months and 18 months post-EMR. Time required for most administrative tasks decreased within six months of EMR implementation. Staff time spent on charting increased with time, in keeping with our anecdotal observations that nurses were given more responsibility for charting in many offices. Physician time to chart increased initially by 50%, but went down to original levels by 18 months. However, this may be due to the drop-out of those physicians who had a difficult time charting electronically.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Cacy J., Lawler F., Viviani N., Wells D. The sixth level of electronic health records: a look beyond the screen. MD Comput. 1997 Jan-Feb;14(1):46–49. [PubMed] [Google Scholar]
  2. Churgin P. G. Introduction of an automated medical record at an HMO clinic. MD Comput. 1994 Sep-Oct;11(5):293–300. [PubMed] [Google Scholar]
  3. Lawler F., Cacy J. R., Viviani N., Hamm R. M., Cobb S. W. Implementation and termination of a computerized medical information system. J Fam Pract. 1996 Mar;42(3):233–236. [PubMed] [Google Scholar]
  4. Musham C., Ornstein S. M., Jenkins R. G. Family practice educators' perceptions of computer-based patient records. Fam Med. 1995 Oct;27(9):571–575. [PubMed] [Google Scholar]
  5. Perciful E. G. The relationship between planned change and successful implementation of computer assisted instruction. Comput Nurs. 1992 Mar-Apr;10(2):85–90. [PubMed] [Google Scholar]
  6. Swanson T., Dostal J., Eichhorst B., Jernigan C., Knox M., Roper K. Recent implementations of electronic medical records in four family practice residency programs. Acad Med. 1997 Jul;72(7):607–612. doi: 10.1097/00001888-199707000-00013. [DOI] [PubMed] [Google Scholar]

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