title: Challenges and facilitators to adoption of a point-of-care electronic health record in home care.
abstract: Electronic health records (EHRs), intended to improve the clinical process, are understudied in home care. The researchers assessed clinician satisfaction, informed by workflow and patient outcomes, to identify EHR adoption challenges. The mixed methods study setting was a Philadelphia agency with 137 clinicians. Adoption challenges included: (a) hardware problems coupled with lack of field support; (b) inadequate training; and (c) mismatch of EHR usability/functionality and workflow resulting in decreased efficiency. Adoption facilitators were support for team communication and improved clinical data timeliness. Opportunities for improved adoption included sharing with front-line clinicians EHR data related to patient care and health outcomes.
authors: a Drexel University College of Nursing and Health Professions , Philadelphia , Pennsylvania , USA.
authors: Paulina S
authors: PS
authors: Sockolow
authors: Kathryn H
authors: KH
authors: Bowles
authors: Marguerite C
authors: MC
authors: Adelsberger
authors: Jesse L
authors: JL
authors: Chittams
authors: Cindy
authors: C
authors: Liao
mesh_terms: D000328:Adult; D001291:Attitude of Health Personnel; D057286:Electronic Health Records; D005260:Female; D006699:Home Care Services / Q000592:standards*; D006801:Humans; D008297:Male; D008875:Middle Aged; D063868:Patient Outcome Assessment; D015143:Philadelphia; D019095:Point-of-Care Systems; D011785:Quality Assurance, Health Care