Kraatz Andrew S, Lyons Colleen M, Tomkinson Julie
Program Management Office and Strategic Planning, Continuum Health Partners, New York City, NY, USA.
J Healthc Inf Manag. 2010 Spring;24(2):34-40.
Coordinating the implementation of an enterprise-wide ambulatory EMR has its challenges both from an IT technology perspective as well as from a clinical workflow perspective. Add to it the complexities of integrating a wide variety of legacy systems, the desire for electronic prescription processes, the need for remote access for doctors and patients, along with the number of physicians from diverse specialties that want to qualify for the federal stimulus funding and you have a summary of the Continuum Health Partners, Inc. (CHP) ongoing Ambulatory EMR project. This article will provide a detailed description of the key benefits to implementing an EMR, typical challenges, key strategies and techniques for managing an implementation, and critical success drivers to be monitored. Using a case study of a healthcare provider that leveraged strategic planning and these techniques, the article will show how an organization can maneuver successfully through the challenges in implementing an EMR and how the initiative can serve as a catalyst for change.
从信息技术角度以及临床工作流程角度来看，协调企业范围内门诊电子病历系统的实施都面临着挑战。再加上整合各种遗留系统的复杂性、电子处方流程的需求、医生和患者远程访问的需求，以及众多希望获得联邦刺激资金资格的不同专业的医生，这些就构成了Continuum Health Partners公司（CHP）正在进行的门诊电子病历项目的概况。本文将详细描述实施电子病历的主要益处、典型挑战、管理实施的关键策略和技术，以及需要监测的关键成功驱动因素。通过一个利用战略规划和这些技术的医疗服务提供商的案例研究，本文将展示一个组织如何成功应对实施电子病历过程中的挑战，以及该举措如何成为变革的催化剂。
