University of Wisconsin–Madison

Small Clinic EMR Implementation

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    Photo: Jeff Miller

    Overview: Electronic medical records (EMR) are designed to improve care, reduce costs, and increase efficiency in a hospital/clinic setting.

    Methods: This project studies the implementation of EMR technology in small clinics by:

    • examining principles from technology implementation developed by the business and industrial engineering research on change management;
    • translating these principles to study the implementation of EMR technology in small clinics; and
    • evaluating the validity of various data collection instruments to assess the characteristics of successful EMR technology implementation in small clinics.

    Funding: Agency for Healthcare Research and Quality (AHRQ)

  • Pascale Carayon, PhD
    Procter & Gamble Bascom Professor in Total Quality
    Department of Industrial and Systems Engineering
    Director, Center for Quality and Productivity Improvement
    University of Wisconsin-Madison

    James Bobula, MA, PhD
    Department of Family Medicine and Practice
    School of Medicine and Public Health
    University of Wisconsin-Madison

    Patricia Flatley Brennan, RN, PhD
    Lillian S. Moehlman-Bascom Professor of Nursing and Industrial and Systems Engineering
    Theme Leader, Living Environments Laboratory
    University of Wisconsin-Madison

    Ann Schoofs Hundt, PhD
    Research Scientist, Associate Director of Education
    Center for Quality and Productivity Improvement
    University of Wisconsin-Madison

    Michael J. Smith
    Professor Emeritus
    Industrial and Systems Engineering
    University of Wisconsin-Madison

    Paul D. Smith, MD
    Professor, Department of Family Medicine
    School of Medicine and Public Health
    University of Wisconsin-Madison

  • Carayon, P., Smith,P., Hundt, A.S., Kuruchittham, V. & Li, Q. (2009). Implementation of an electronic health records system in a small clinic: The viewpoint of clinic staff. Behaviour and Information Technology, 28 (1), 5-20.

    Hundt, A.S., Carayon, P., Smith, P.D. & Kuruchittham, V. (2002). A macroergonomic case study assessing electronic medical record implementation in a small clinic. Proceedings of the Human Factors and Ergonomics Society (HFES) 46th Annual Meeting, Baltimore, MD.

    Carayon, P. & Smith, P. (2000). Evaluating the human and organizational aspects of Information Technology implementation in a small clinic. Proceedings of the Systems, Social and Internationalization Design Aspects of Human-Computer Interaction, pp. 903-907.

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