title: Strategies for Primary Care Stakeholders to Improve Electronic Health Records (EHRs).
abstract: The use of electronic health records (EHRs) and the vendors that develop them have increased exponentially in recent years. While there continues to emerge literature on the challenges EHRs have created related to primary care provider satisfaction and workflow, there is sparse literature on the perspective of the EHR vendors themselves. We examined the role of EHR vendors in optimizing primary care practice through a qualitative study of vendor leadership and developers representing 8 companies. We found that EHR vendors apply a range of strategies to elicit feedback from their clinical users and to engage selected users in their development and design process, but priorities are heavily influenced by the macroenvironment and government regulations. To improve the "marriage" between primary care and the EHR vendor community, we propose 6 strategies that may be most impactful for primary care stakeholders seeking to influence EHR development processes.
authors.affiliation: From the Center for Excellence in Primary Care and Department of Family & Community Medicine, University of California, San Francisco (JNO, RW-G); West Virginia School of Osteopathic Medicine, Lewisburg (AR); the Joint Medical Program, University of California, San Francisco and Berkeley (TS); and University of California, San Francisco, School of Medicine, San Francisco (TW). Nwando.Olayiwola@ucsf.edu.
authors.forename: J Nwando
authors.initials: JN
authors.lastname: Olayiwola
authors.affiliation: From the Center for Excellence in Primary Care and Department of Family & Community Medicine, University of California, San Francisco (JNO, RW-G); West Virginia School of Osteopathic Medicine, Lewisburg (AR); the Joint Medical Program, University of California, San Francisco and Berkeley (TS); and University of California, San Francisco, School of Medicine, San Francisco (TW).
authors.forename: Ashley
authors.initials: A
authors.lastname: Rubin
authors.affiliation: From the Center for Excellence in Primary Care and Department of Family & Community Medicine, University of California, San Francisco (JNO, RW-G); West Virginia School of Osteopathic Medicine, Lewisburg (AR); the Joint Medical Program, University of California, San Francisco and Berkeley (TS); and University of California, San Francisco, School of Medicine, San Francisco (TW).
authors.forename: Theo
authors.initials: T
authors.lastname: Slomoff
authors.affiliation: From the Center for Excellence in Primary Care and Department of Family & Community Medicine, University of California, San Francisco (JNO, RW-G); West Virginia School of Osteopathic Medicine, Lewisburg (AR); the Joint Medical Program, University of California, San Francisco and Berkeley (TS); and University of California, San Francisco, School of Medicine, San Francisco (TW).
authors.forename: Tem
authors.initials: T
authors.lastname: Woldeyesus
authors.affiliation: From the Center for Excellence in Primary Care and Department of Family & Community Medicine, University of California, San Francisco (JNO, RW-G); West Virginia School of Osteopathic Medicine, Lewisburg (AR); the Joint Medical Program, University of California, San Francisco and Berkeley (TS); and University of California, San Francisco, School of Medicine, San Francisco (TW).
authors.forename: Rachel
authors.initials: R
authors.lastname: Willard-Grace
mesh_terms: D003132:Commerce / Q000191:economics / Q000458:organization & administration / Q000592:standards; D003258:Consumer Behavior; D057286:Electronic Health Records / Q000191:economics / Q000458:organization & administration* / Q000592:standards; D006801:Humans; D007407:Interviews as Topic; D008490:Medical Informatics / Q000191:economics / Q000458:organization & administration* / Q000592:standards; D011320:Primary Health Care / Q000191:economics / Q000458:organization & administration* / Q000592:standards; D036301:Qualitative Research; D012495:San Francisco
keywords: Delivery of Health Care; Electronic Health Records; Information Systems; Primary Health Care; Qualitative Research