title: Electronic medical records: a path forward.
abstract: Health systems are moving to implement comprehensive electronic medical record (EMR) systems, or significant pieces of them, in the belief that EMR can be integrated into clinical practice and lead to improved patient outcomes and enhanced safety. There are substantial roadblocks to implementing EMR, including significant cost, the competency needed to implement, the political environment, organization infrastructure and culture, and how organization leaders understand return on investment. Complicating factors include the drive to implement EMR to meet meaningful use standards to qualify for a federal incentive program and recently publicized studies that question the value equation of the EMR as it relates to patient care improvements. We offer our experiences on the successful implementation of the EMR across the large health systems we lead. We offer practical advice and tips on how to achieve successful implementation, evidence that successful implementations improve patient care and safety, and a glimpse of how EMR is a significant foundation in a future of collaborative models that provide continuum-based care.
authors.affiliation: Sentara Healthcare, Norfolk, Virginia, USA.
authors.forename: David L
authors.initials: DL
authors.lastname: Bernd
authors.forename: Peter S
authors.initials: PS
authors.lastname: Fine
mesh_terms: D004059:Diffusion of Innovation; D057286:Electronic Health Records / Q000191:economics; D005380:Financing, Government; D019983:Guideline Adherence; D012052:Reimbursement, Incentive; D014481:United States