Electronic Health Record Business Case Research Analysis
Healthcare is a prevailing topic of today’s conversation. People want and need better access to care. Electronic Health Reports provide access to better care because their implementation and use is considered to be of greatest importance for reducing medical errors and improving the quality of service that patients receive (Song et al. 2011). The traditional paper-based record keeping system will be a thing of the past as the US healthcare delivery system makes a shift to electronic record keeping. This transition will take place as an advantage that links local and national healthcare strategies and places a priority on efficient operational practices. Even though a benefit of reduction in varying costs due to efficiency has been speculated by prior research, the huge financial investment has deterred many organizations from moving forward with EHR adoption. Physicians and organizations have a hard time building a business case for ambulatory EHR systems for several direct and indirect reasons dealing with revenue and benefits. In the article, Exploring the Business Case for Ambulatory Electronic Health Record System Adoption, the authors’ aim was to understand the decision for investment in EHR systems by healthcare organizations.
The authors conducted research on the business case for ambulatory EHR and its use in the decision making process for implementation. It happened to be a part of a larger study of exemplary EHR implementation practices in ambulatory settings (McAlearney et al.2010). Five multi-hospital health systems, that were found to be exemplary in EHR system adoption and use in ambulatory settings (Song et al. 2011) by varying sources and publications, were selected for the research. The authors were concerned whether the organizations in the sample had performed formal business case analyses that led to their decision to invest in their EHR systems, and if the decision was influenced by particular financial or non-financial factors (Song et al. 2011).
The research was conducted by interviews that were a combination of in-person and telephone interviews. For the sake of consistency, an interview guide was created which included open-ended questions within seven domains. After key contact persons at each system were identified for the interview process, two research team members conducted most of the interviews. The interviews lasted 60 minutes and were recorded and transcribed to allow for further analysis. The research team utilized the Atlas.ti software program to assist in keeping track of and analyzing the collected data. While focusing on the business case domain, the researchers posed questions which would give a clue as to the perceptions of the financial costs and benefits associated with EHR adoption and implementation.
Based on the interviews of the key contacts, the research team came to five conclusions from the organizations’ decision of a...