Organizations Readiness and Business Transformation Required for EMR Implementation
e-Health ePoster Library. Zohdy W. Jun 5, 2017; 167116; EP01.03
Dr. Wael Zohdy
Dr. Wael Zohdy
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Abstract
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Purpose/Objectives: The aim is to assess the readiness of Orillia Soldiers' Memorial Hospital (OSMH) to adopt the Electronic Medical Record (EMR) and to develop a change management plan prior to full implementation of the new system.

Methodology/Approach: The EMR Project Management team developed a survey which was sent electronically to OSMH staff and covered the following domains: Participant's characteristics, current use of paper / electronic chart, participant's expectations, engagement, and participant's computer literacy.

Finding/Results: The survey targeted 1200 participants with 304 (25.0 %) responding, of which, 214 (70.0%) reported regularly working with patients. The percentage aged 45.0 years or older was 57.0 % whereas 43.0% were below the age of 45. Participants working regularly with patients were significantly more interested in attending EMR seminars 132/194 (68.0%) as compared to remaining participants 35/74 (47.3%), P=0.003. Although 143/220 (68.0%) of Healthcare Professionals (HCPs) were interested in attending EMR seminars, only 18/32 (47.4%) of non-HCPs were interested (P=0.058). Seventy percent of physicians (12/17) and (66/100) 66.0 % of registered nurses were interested in attending seminars (P=0.811). When asked if an EMR will enhance best practice, 129/174 (74.1%) of HCPs, and 66/85 (77.6%) of non-HCPs agreed (P=0.644). Participants with previous experience in an acute EMR were much more interested in attending seminars and believed that the new system will enhance best practice as compared to those with no past experience, 102/167 (61.1%) vs. 48/102 (47.1%) P=0.031 and 127/151 (84.1%) vs. 76/116 (65.5%) P=0.0001; respectively. Sixty six out of 147 (45.0%) of participants ≥45 years old believe that they need 10 hours or more of training to completely learn the new system and 23/110 (21.0%) of those younger than 45 think that they need that amount of time to learn the system (P=0.0001). Interestingly, the perception that the new system implementation was worth the time and effort, enhances work performance, makes the tasks easier and improves the quality of data did not differ between the two groups. The average of general computer and information literacy skills scores were significantly higher in the below 45 age group compared to above ≥45 age group (3.5±0.62 Vs. 2.7±0.88, 3.3±0.74 Vs. 2.47±1.1, 3.4±0.6 Vs. 2.7±0.9 and 3.0±0.77 Vs. 2.2±0.97, respectively P=0.0001). The same observation was apparent in participants with previous experience in an EMR as they scored higher than those with no EMR experience in the first 3 domains and average information literacy skills score was nevertheless the

Conclusion/Implications/Recommendations: Staff without previous experience in EMR or without regular patient contact are less engaged and probably need additional, focused training. Interest among HCPs and non-HCPs is virtually the same. Regarding value of an EMR system, staff nearing retirement share the same attitude as their younger peers, but, feel a significant need for more training. The perception of the overall value of an advanced acute care EMR among HCPs and non-HCPs is similar.

140 Character Summary: Assessment of the organization readiness in the planning phase is necessary for successful implementation of the EMR projects.
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