Best Practices for Implementing Electronic Health Records and Information Systems

Abstract

This chapter introduces a multi-level, multi-dimensional meta-framework for successful implementations of EHR in healthcare organizations. Existing implementation frameworks do not explain many features experienced and reported by implementers and have not helped to make health information technology implementation any more successful. To close this gap, we have developed an EHR implementation framework that integrates multiple conceptual frameworks in an overarching, yet pragmatic meta-framework to explain factors which lead to successful EHR implementation, in order to provide more quantitative insight into EHR implementations. Our meta-framework captures the dynamic nature of an EHR implementation through their function, interactivity with other factors and phases, and iterative nature.