Appl Clin Inform - Transitioning from a legacy EHR to a commercial, vendor-supplied, EHR: one academic health system's experience.

Tópicos

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Resumo

JECTIVE: Describe the planning, decisions, and implementation results experienced during the large-scale transition from one EHR to another throughout a large academic health system, which occurred simultaneously throughout both in-patient and all ambulatory settings.METHODS: Review of internal decision-making documents, interviews with key participants, and data from conversion software.RESULTS: Over 7,000 unique users caring for a population of more than 1.2 million patients in both inpatient and outpatient venues and distributed across two states were successfully transitioned to a new EHR simultaneously. Challenges in data conversion were encountered resulting in more work for end-users than desired or anticipated. Users continued to access older information (principally schedules) in the legacy EHR one year later.CONCLUSION: Data conversion from one EHR to another can be unsuccessful due to differences in how EHR's structure data obtained from underlying feeder applications or databases. Abstraction of only the pertinent clinical content is difficult in the context of transitioning to a new EHR. Clinicians require facile access to legacy content that can be achieved by implanting CCOW compliant solutions.

Resumo Limpo

jectiv describ plan decis implement result experienc largescal transit one ehr anoth throughout larg academ health system occur simultan throughout inpati ambulatori settingsmethod review intern decisionmak document interview key particip data convers softwareresult uniqu user care popul million patient inpati outpati venu distribut across two state success transit new ehr simultan challeng data convers encount result work endus desir anticip user continu access older inform princip schedul legaci ehr one year laterconclus data convers one ehr anoth can unsuccess due differ ehr structur data obtain under feeder applic databas abstract pertin clinic content difficult context transit new ehr clinician requir facil access legaci content can achiev implant ccow compliant solut

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