Acceptance and performance by clinicians using an ambulatory electronic medical record in an HMO
Journal
Proc Annu Symp Comput Appl Med Care
Publication Date
1995
Pages
708-11
Summary:
- HIT Description: Ambulatory electronic medical records (EMR) system More info...
- Purpose of Study: Evaluate user acceptance of the ambulatory EMR system
- Years of study: 1994
- Study Design: Descriptive Quantiative
- Outcomes: User satisfaction
- Settings: HMO provider organization
- Intervention: Implementation of ambulatory EMR system.
- Evaluation Method: End-user surveys.
- HIT System: Vendor-offered ambulatory EMR system (EpicCare), implemented in two different physician primary care office groups.
- Implementation: o Increase in physician agreement to the statement ÒEpicCare is worth the time and effort to use itÓ from 52% (at 2 months) to 85% (4-6 months). o Increase in physician agreement to the statement ÒEpicCare is easy to useÓ from 45% (at 2 months) to 79% (4-6 months). o Eighty-five percent of physicians disagreed with the statement ÒIf given a choice, I would return to the old systemÓ at 4-6 months.
- Extrinsic Factors in valuing cost and benefits: Difference in training costs, lost productivity associated with baseline end-user computer skills
- Changes in efficiency and productivity: 25-38 hours of lost productivity, with approximately 2:10 minutes per patient visit (1:56 for orders tasking).
- Time needed to accrue benefit: 4-6 months