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Appl Clin Inform 2012; 03(03): 318-325
DOI: 10.4338/ACI-2012-03-RA-0006
DOI: 10.4338/ACI-2012-03-RA-0006
Case Report – Special Edition Changing IT Systems
An integrated EHR at Northern California Kaiser Permanente
Pitfalls, challenges, and benefits experienced in transitioningFurther Information
Correspondence to:
Steven Bornstein, MD
Physician Lead 2003–2012
Northern California Kaiser Permanente HealthConnect
Electronic Health Record
500 El Cerrito Ave
Hillsborough, California 94010
United States
Email: ssfstb@gmail.com
Publication History
recieved:
08 March 2012
accepted:
17 July 2012
Publication Date:
16 December 2017 (online)
Summary
As legacy information systems age, transition to newer systems is inevitable, but at times fraught with challenge. This brief article addresses some of the pitfalls, challenges, and benefits we experienced at Kaiser Permanente as we transitioned several key clinical information systems to Epic Systems for our integrated comprehensive Electronic Health Record (EHR).
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Keywords
Implementation and deployment - clinical information systems - facilitators and barriers - electronic health records and systems - patient records - telemedicine and telehealth - clinical documentation and communications - integrated information systems
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Conflict of Interest
The author has no conflicts of interest in this paper.
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References
- 1 McGee MK. Performance Monitoring Aims to Improve EHR Satisfaction, InformationWeek, [cited 2010 May 25]. Available from: http://www.informationweek.com
- 2 Berry C, Burrington-Brown J, Doyon C, Frank L, Halpert A, Helbig S. et al. e-HIM Work Group on Electronic Document Management as a Component of EHR. Electronic Document Management as a Component of the Electronic Health Record. [cited 2010 Nov]. Available from: The AHIMA Body of Knowledge at www.ahima.org.
- 3 Johnson K. Too Much Information: Are EHRs Drowning Primary Care? [Internet][cited 2012 Feb]. Available from: http://www.medscape.com/viewarticle/758632.
- 4 Acker B, Bronnert J, Brown T. et al. Problem list guidance in the EHR. J AHIMA 2011; 82 (09) 52-58.
- 5 Steciw A. Take this EHR and shove it: Why EHR training is important [Internet]. [cited 2011 Nov 2]. Available from: http://searchhealthit.techtarget.com/healthitexchange/healthitpulse/take-this-ehr-and-shove-it-why-ehr-training-is-important.
- 6 Reynolds G. Avoiding ‘Alert Fatigue,. [Internet] [2009 Oct] Available from: http://www.healthdatamanage/ment.com/issues/2009_71.
- 7 Zhou YY, Kanter MH, Wang JJ, Garrido T. Improved quality at Kaiser Permanente through e-mail between physicians and patients. Health Aff (Millwood) 2010; 29 (Suppl. 07) 1370-1375. PMID 20606190.
- 8 Franklin VL. Patients’ engagement with “Sweet Talk” –a text messaging support system for young people with diabetes. Journal of Medical Internet Research 2008; 10 (02) 20.
Correspondence to:
Steven Bornstein, MD
Physician Lead 2003–2012
Northern California Kaiser Permanente HealthConnect
Electronic Health Record
500 El Cerrito Ave
Hillsborough, California 94010
United States
Email: ssfstb@gmail.com
-
References
- 1 McGee MK. Performance Monitoring Aims to Improve EHR Satisfaction, InformationWeek, [cited 2010 May 25]. Available from: http://www.informationweek.com
- 2 Berry C, Burrington-Brown J, Doyon C, Frank L, Halpert A, Helbig S. et al. e-HIM Work Group on Electronic Document Management as a Component of EHR. Electronic Document Management as a Component of the Electronic Health Record. [cited 2010 Nov]. Available from: The AHIMA Body of Knowledge at www.ahima.org.
- 3 Johnson K. Too Much Information: Are EHRs Drowning Primary Care? [Internet][cited 2012 Feb]. Available from: http://www.medscape.com/viewarticle/758632.
- 4 Acker B, Bronnert J, Brown T. et al. Problem list guidance in the EHR. J AHIMA 2011; 82 (09) 52-58.
- 5 Steciw A. Take this EHR and shove it: Why EHR training is important [Internet]. [cited 2011 Nov 2]. Available from: http://searchhealthit.techtarget.com/healthitexchange/healthitpulse/take-this-ehr-and-shove-it-why-ehr-training-is-important.
- 6 Reynolds G. Avoiding ‘Alert Fatigue,. [Internet] [2009 Oct] Available from: http://www.healthdatamanage/ment.com/issues/2009_71.
- 7 Zhou YY, Kanter MH, Wang JJ, Garrido T. Improved quality at Kaiser Permanente through e-mail between physicians and patients. Health Aff (Millwood) 2010; 29 (Suppl. 07) 1370-1375. PMID 20606190.
- 8 Franklin VL. Patients’ engagement with “Sweet Talk” –a text messaging support system for young people with diabetes. Journal of Medical Internet Research 2008; 10 (02) 20.