title: Applying the clinical adoption framework to evaluate the impact of an ambulatory electronic medical record.
abstract: This paper describes the application of the Clinical Adoption (CA) Framework to evaluate the impact of a recently deployed electronic medical record (EMR) in a Canadian healthcare organization. The CA Framework dimensions evaluated were EMR quality, use and net benefits at the micro level; and people, organization and implementation at the meso level. The study involved clinical and support staff from two ambulatory care clinics, and managers and technical staff from the organization. A number of issues were identified at both levels of the CA Framework that had affected EMR adoption in the two clinics. Some perceived benefits in care coordination and efficiency were reported despite challenges that arose from early deployment decisions. There were five lessons that could be applied to other ambulatory care settings. The CA Framework has proved useful in making sense of ways that EMR can add value to the organization.
authors: School of Health Information Science, University of Victoria, Canada.
authors: Francis
authors: F
authors: Lau
authors: Colin
authors: C
authors: Partridge
authors: Gurprit
authors: G
authors: Randhawa
authors: Mike
authors: M
authors: Bowen
mesh_terms: D000555:Ambulatory Care Information Systems / Q000706:statistics & numerical data*; D001291:Attitude of Health Personnel; D002170:Canada; D057286:Electronic Health Records / Q000706:statistics & numerical data*; D055991:Health Records, Personal; D014600:Utilization Review