title: A workflow-oriented framework-driven implementation and local adaptation of clinical information systems: a case study of nursing documentation system implementation at a tertiary rehabilitation hospital.
abstract: Health information systems are often designed and developed without integrating users' specific needs and preferences. This decreases the users' productivity, satisfaction, and acceptance of the system and increases the necessity for a local adaptation process to reduce the unwanted outcomes after implementation. A workflow-oriented framework developed in a previous study indicates that users' needs and preferences could be incorporated into the system when implementation follows the steps of the framework, eventually increasing satisfaction with and usefulness of the system. The overall goal of this study was to demonstrate application of the workflow-oriented framework to the implementation of a nursing documentation system at Spaulding Rehabilitation Hospital. In this case study, we present specific steps of implementing and adapting a health information system at a local site and raise critical questions that need to be answered in each step based on the workflow-oriented framework.
authors.affiliation: Professional Development, Spaulding Rehabilitation Hospital, Boston, MA, USA. choijy@uwm.edu
authors.forename: Jeeyae
authors.initials: J
authors.lastname: Choi
authors.forename: Hyeoneui
authors.initials: H
authors.lastname: Kim
mesh_terms: D001900:Boston; D006751:Hospital Information Systems / Q000458:organization & administration*; D006801:Humans; D048108:Nursing Informatics / Q000458:organization & administration*; D009737:Nursing Records; D019982:Organizational Case Studies; D012047:Rehabilitation Centers; D019145:Rehabilitation Nursing; D062606:Tertiary Care Centers; D057188:Workflow