ArticleHealth care management review
Assessing organizational capacity for achieving meaningful use of electronic health records.
Article in Health care management review. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.
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The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
14 citing papers in PubMed.
- Electronic health records in patient care: strengths, facilitators, challenges, and future directions-a scoping review.BMC health services research · 2026Article
- The Themes Have to Be Considered in the Change Process Within Healthcare Organizations: Critical Analysis Review.Journal of multidisciplinary healthcare · 2025Review
- Barriers to and Facilitators of Pediatric Vaccination Reporting in Four US States, 2023.American journal of public health · 2024Article
- From "Local Control" to "Dependency": Transitions to Single-Vendor Integrated Electronic Health Record Systems and Their Implications for the EHR Workforce.Journal of general internal medicine · 2023Article
- From innovative applications of the effectiveness-implementation hybrid trial design to the dissemination, implementation, effectiveness, sustainment, economics, and level-of-scaling hybrid trial design.Frontiers in health services · 2022Article
- Modeling and Predicting Outcomes of eHealth Usage by European Physicians: Multidimensional Approach from a Survey of 9196 General Practitioners.Journal of medical Internet research · 2018Article
- Characterizing the Utilization of the Problem List for Pediatric Trauma Care.AMIA ... Annual Symposium proceedings. AMIA Symposium · 2018Article
- Mapping Multi-Site Clinic Workflows to Design Systems-Enabled Interventions.EGEMS (Washington, DC) · 2017Article
- Progress in the Enhanced Use of Electronic Medical Records: Data From the Ontario Experience.JMIR medical informatics · 2017Article
- Brazilian Specialists' Perspectives on the Patient Referral Process.Healthcare (Basel, Switzerland) · 2017Article
- Determinants of a successful problem list to support the implementation of the problem-oriented medical record according to recent literature.BMC medical informatics and decision making · 2016Review
- Assessing race and ethnicity data quality across cancer registries and EMRs in two hospitals.Journal of the American Medical Informatics Association : JAMIA · 2016Article
- People, Process and Technology: Strategies for Assuring Sustainable Implementation of EMRs at Public-Sector Health Facilities in Kenya.AMIA ... Annual Symposium proceedings. AMIA Symposium · 2016Article
- Stage 1 of the meaningful use incentive program for electronic health records: a study of readiness for change in ambulatory practice settings in one integrated delivery system.BMC medical informatics and decision making · 2014Article
Corrections and comments
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Authors and funding
8 authors.
Funding
Abstract
backgroundHealth care institutions are scrambling to manage the complex organizational change required for achieving meaningful use (MU) of electronic health records (EHR). Assessing baseline organizational capacity for the change can be a useful step toward effective planning and resource allocation. PURPOSE: The aim of this article is to describe an adaptable method and tool for assessing organizational capacity for achieving MU of EHR. Data on organizational capacity (people, processes, and technology resources) and barriers are presented from outpatient clinics within one integrated health care delivery system; thus, the focus is on MU requirements for eligible professionals, not eligible hospitals.
methodsWe conducted 109 interviews with representatives from 46 outpatient clinics.
findingsMost clinics had core elements of the people domain of capacity in place. However, the process domain was problematic for many clinics, specifically, capturing problem lists as structured data and having standard processes for maintaining the problem list in the EHR. Also, nearly half of all clinics did not have methods for tracking compliance with their existing processes. Finally, most clinics maintained clinical information in multiple systems, not just the EHR. The most common perceived barriers to MU for eligible professionals included EHR functionality, changes to workflows, increased workload, and resistance to change. PRACTICE IMPLICATIONS: Organizational capacity assessments provide a broad institutional perspective and an in-depth clinic-level perspective useful for making resource decisions and tailoring strategies to support the MU change effort for eligible professionals.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.