Failure, de-installation of EHRs abound: study

Failures of electronic medical-record systems are part of the lore of healthcare information technology.

Not surprisingly, a recently released survey of healthcare IT use conducted by the Boston-based Medical Records Institute found data to back up the legends.

The institute, which for 23 years has sponsored the annual Toward an Electronic Patient Record, or TEPR, trade show, has for the past nine years conducted an annual survey of attitudes and opinions about healthcare IT.

Nearly 19% of respondents to the survey this year indicated they either have in the past experienced the de-installation of an EMR system (12%) or are now going through a de-installation (7%).

Considering a number of EMR vendors have had products installed in ambulatory-care settings for more than a decade while some pioneering hospitals have been computerizing for several decades, the replacement rates should not be surprising.

{Failure of electronic health records (EHR) systems is not just lore, according to a study conduced by the Boston-based Medical Records Institute. About 19% of respondents said they had experienced the de-installation of an EHR system in the past (12%), or are going through such an experience now (7%).” About half the respondents worked in ambulatory settings, about half in hospitals. “According to the survey, the two top priorities “for strategic decisions in IT” were a need to improve clinical processes and workflow efficiency, chosen by 52% of respondents, and the need to improve the quality of care, selected by 22%. The need to share data came in a distant third place, at just under 8%, and perhaps significantly, down from 14% in last year’s survey.” Growing concerns about sharing data via EMRs may reflect greater awareness that disclosure of EMRs far beyond the healthcare system is for devastating for consumers jobs and lives~Dr. Deborah Peel, Patient Privacy Rights}

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