title: Bridging informatics and implementation science: evaluating a framework to assess electronic health record implementations in community settings.
abstract: Effective electronic health record (EHR) implementations in community settings are critical to promoting safe and reliable EHR use as well as mitigating provider dissatisfaction that often results. The implementation challenge is compounded given the scale and scope of EHR installations that are occurring and will continue to occur over the next five years. However, when compared to EHR evaluations relatively few biomedical informatics researchers have published on evaluating EHR implementations. Fewer still have evaluated EHR implementations in community settings. We report on the methods we used to achieve a novel application of an implementation science framework in informatics to qualitatively evaluate community-based EHR implementations. We briefly provide an overview of the implementation science framework, our methods for adapting it to informatics, the effects the framework had on our qualitative methods of inquiry and analysis, and discuss its potential value for informatics research.
authors.affiliation: Center for Healthcare Informatics and Policy, Division of Quality and Medical Informatics, Department of Pediatrics, Weill Cornell Medical College, Health Information Technology Evaluation Collaborative (HITEC), New York, NY, USA.
authors.forename: Joshua E
authors.initials: JE
authors.lastname: Richardson
authors.forename: Erika L
authors.initials: EL
authors.lastname: Abramson
authors.forename: Elizabeth R
authors.initials: ER
authors.lastname: Pfoh
authors.forename: Rainu
authors.initials: R
authors.lastname: Kaushal
mesh_terms: D001291:Attitude of Health Personnel; D001292:Attitude to Computers; D003154:Community Medicine; D004059:Diffusion of Innovation; D057286:Electronic Health Records; D006801:Humans; D007407:Interviews as Topic; D008490:Medical Informatics; D008962:Models, Theoretical; D009518:New York; D012577:Schools, Medical