ArticleJAMIA open2026
Health professions trainee experiences transitioning to a new Federal Electronic Health Record: applying learning health system principles to support change management in the Veterans Health Administration.
Article in JAMIA open, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Authors and funding
5 authors.
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Abstract
Objective: Electronic health record (EHR) transitions disrupt health system workforces. Health professions trainees (HPTs) play a critical role in providing care yet are under-addressed during transitions. We apply learning health system (LHS) principles to improve HPTs' training experiences during the Veterans Affairs nationwide EHR transition. Materials and Methods: We established a learning community to conduct a mixed-method quality improvement evaluation of HPT user experiences at 2 VA EHR transition sites, translating lessons learned from the first site into interventions for the second. We conducted semi-structured interviews ( Results: At an earlier transition site, key challenges included delayed EHR access, irrelevant and prolonged training, limited live support, and reduced clinical training opportunities, impacting HPTs' future career interests. Change management strategies-such as improved EHR provisioning, reduced training requirements, and expanded live support-resulted in fewer access issues, reduced training time, rapid EHR uptake, and maintained interest in VA careers. However, the relevance of training and operational communication still needs improvement. Discussion: The LHS approach facilitated responsive change management by iteratively identifying and addressing key challenges, enhancing HPT experiences at subsequent transition sites. Effective change management can mitigate adverse impacts on HPTs, thereby supporting their clinical training and retention. Conclusions: The LHS framework, through continuous learning and improvement, can support EHR transitions in large healthcare systems. This evaluation provides actionable insights to guide future transitions, ensuring better training experiences and outcomes for HPTs amidst significant organizational changes.
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