Dissertation/Thesis Abstract

Factors influencing the quality of EHR performance: An exploratory qualitative study
by Rhodes, Harry B., Ph.D., Capella University, 2016, 235; 10252643
Abstract (Summary)

A significant amount of evidence existed in support of the positive effect on the quality of healthcare that resulted from transitioning to electronic health information systems, equally compelling evidence suggests that the development process for electronic health information systems falls short of achieving its potential. The objective of this research was to assess the existing HIT standards and health information management (HIM) principles to determine if they are robust enough to inform the development of national and international interoperability standards. The research question asked; How do HIT standards and HIM principles and practices influence the quality of EHR performance? This study’s goal was to maintain focus on the collaborative challenges revealed by the lack of understanding and shared vision that commonly exists between HIM professionals, HIT developers, and HIT vendors that obstruct synergy and enfolding of health information standards-based capabilities and HIM practice (business) standards. The complex electronic health record (EHR) universe proved well suited for testing by a combination of complexity science and the unified theory of acceptance and use of technology (UTAUT) information management theories. Through analysis of research literature and qualitative interviews, the research identified nine factors defined into drivers and barriers that influenced the actions of healthcare organizations; leadership, patient focus, planning, communication, alignment with lifecycle models people, processes, dynamics, training and user input, change management standard adoption, and recognition of the power of technology. Analysis of the data obtained from exploratory qualitative interviews of health information technology professionals selected from a professional healthcare management organization supported conclusions that leadership, collaboration, planning, and training limiters, have a direct impact on EHR system success or failure.

Indexing (document details)
Advisor: Braxton-Lieber, Sherri
Commitee: Gagnon, Sharon, Walsh, Vicky
School: Capella University
Department: School of Business and Technology
School Location: United States -- Minnesota
Source: DAI-B 78/08(E), Dissertation Abstracts International
Source Type: DISSERTATION
Subjects: Information Technology, Health care management
Keywords: Electronic health record, Electronic health record development, Health information standards, Health information technology, Information technology, Information technology security
Publication Number: 10252643
ISBN: 9781369484571
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