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== EHR issues in Critical Access Hospitals ==
 
  
Implementation of an EHR is an overwhelming task no matter where it is done.  However, achieving this task in a critical access hospital (defined as a hospital that provides 24-hour emergency services with less than 25 acute care and swing beds and is more than 35 miles from another hospital) with limited resources is more challenging.  A recent study addressing this issue is EHR Implementation Advice to Critical Access Hospitals from Peer Experts and Other Key Informants http://aci.schattauer.de/en/contents/archive/issue/1824/manuscript/20820.html].
 
 
Methods
 
 
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Participants:
 
16 peer experts
 
3 vendor representatives
 
7 implementation experts
 
6 EHR consultants
 
3 CAH Regional Extension Center representatives
 
4 researchers in clinical informatics and HIT policy
 
2 national EHR policy stakeholders
 
 
Questions:
 
1  "What are the things you'd want to know most about planning and preparation processes for EHR implementation at CAHs?  Name two."
 
2  "What advice would you give CAHs on the planning and preparation processes for EHR implementation?"
 
 
Results
 
 
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19 themes, ranked in order of number of times mentioned, from expert comments:
 
EHR Team
 
Communication
 
Clinician/Physician Buy-in/Ownership
 
Budget/Financial Resources
 
EHR System Selection
 
Preparatory Work
 
Technology
 
Optimization/Ongoing Work
 
Outside Partners/Information Resources
 
EHR Training/Go-live Support
 
Workflow/Productivity
 
Project Management
 
Purpose/Goals
 
Leadership
 
Change/Encouragement
 
Policy/Meaningful Use
 
Governance
 
System Install/Go-live
 
Clinical Decision Support/Knowledge Management
 
 
Suggestions by Theme:
 
 
EHR Team
 

Latest revision as of 22:41, 17 October 2015