Wednesday, March 31, 2010

The EMR Challange, Part 3 - Root Causes

Now, let's get down to the most basic root cause analysis as to why EMRs do not have adequate implementation. Again, it is primarily because implementation is not adequately valued.
Why? Because most underestimate the scope of implementation and assume it is little more than training.
Why? Because most assume it is little more than just automating what clinicians do now (i.e. just move the paper behind glass).
Why? Because most do not have an experience base to be able to understand the complexity of implementation and the nature of emerging requirements necessitating more comprehensive EMR uses.
Why? Because inadequate implementation resources (time/budgets/interest) are available.
Why? Because most are too overwhelmed just with the complexities and demands of what they have to do now within their current environments.

Every EMR vendor provides options for training. A very few go beyond to offer basic, preliminary implementation tools (project planning, guide of suggested milestones, etc.).
In order to get beyond the current challenge, shouldn't EMR vendors incentivize for greater implementation awareness in some fashion? What are the alternatives?

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