Perceived barrier | Possible barrier-related intervention strategies | |
---|---|---|
A | Finance | Provide documentation on return on investment. Show profitable examples from other EMR implementations. Provide financial compensation. |
B | Technical | Educate physicians and support ongoing training. Adapt the system to existing practices. Implement EMR on a module-by-module basis. Link EMR with existing systems. Promote and communicate reliability and availability of the system. Acquire third party for support during implementation. |
C | Time | Provide support during implementation phase to convert records and assist. Provide training sessions to familiarize users. Implement a user friendly help function and help desk. Redesign workflow to achieve a time gain |
D | Psychological | Discuss usefulness of the EMR Include trial period. Demonstrate ease of use. Start with voluntary use. Let fellow physicians demonstrate the system. Adapt system to current medical practice. |
E | Social | Discuss advantages and disadvantages for doctors and patients. Information and support from physicians who are already users. Ensure support, leadership, and communication from management. |
F | Legal | Develop requirements on safety and security in cooperation with physicians and patients. Ensure EMR system meets these requirements before implementation. Communicate on safety and security of issues. |
G | Organization | Redesign workflow to realize a better organizational fit. Adapt EMR to organization type. Adapt EMR to type of medical practice |
H | Change process | Select a project champion, preferably an experienced physician. Let physicians (or representatives) participate during the implementation process. Communicate the advantages for physicians. Use incentives. Ensure support, leadership, and communication from management. |