title: How to organize for a large-scale openEHR-based Electronic Patient Record.
abstract: This paper reports from a large-scale openEHR-based EPR project 2012-2016 in the North Norway Regional Health Authority. To be able to support patient pathways across the health region's trusts, there is a need for standardized routines and practices. Therefore, the North Norway Regional Health Authority has since 2011 had an increased regional focus to prepare for this new system. This includes a) centralizing its IT portfolio to one location, b) creating regional work standards for using the EPR system, and c) establishing a Regional Department for functional ICT. There are several challenges connected to changing the focus from working as individual health trusts to work as one region. There are issues of power balance and local influence that will need a careful consideration to ensure a successful outcome.
authors.affiliation: Norwegian Centre for Integrated Care and Telemedicine.
authors.forename: Gro-Hilde
authors.initials: GH
authors.lastname: Ulriksen
authors.affiliation: Norwegian Centre for Integrated Care and Telemedicine.
authors.forename: Rune
authors.initials: R
authors.lastname: Pedersen
authors.affiliation: Telemedicine and eHealth Research Group, Faculty of Health Sciences, the Arctic University of Norway.
authors.forename: Rolf
authors.initials: R
authors.lastname: Wynn
authors.affiliation: Telemedicine and eHealth Research Group, Faculty of Health Sciences, the Arctic University of Norway.
authors.forename: Gunnar
authors.initials: G
authors.lastname: Ellingsen
mesh_terms: D019091:Critical Pathways / Q000458:organization & administration*; D057286:Electronic Health Records / Q000458:organization & administration*; D055991:Health Records, Personal; D008498:Medical Record Linkage / Q000379:methods*; D017146:Models, Organizational; D009937:Organizational Objectives; D012040:Regional Health Planning / Q000458:organization & administration*