Despite recent increases in electronic health record (EHR) investment and implementation spurred by the Health Information Technology for Economic and Clinical Health (HITECH) Act and other major care coordination initiatives in the U.S., the relationship between EHR use and health care quality improvement remains unclear. Insufficient knowledge of how the human element of medicine intersects with physicians’ and patients’ use of health IT tools could be contributing to this puzzle.
While major advances in the health IT field are being made, significant knowledge gaps about how health IT is actually used by physicians and their patients persist - particularly with regard to understanding physicians’ and patients’ information needs in the context of health IT-supported health care delivery.
Research provides foundational insights into this problem and many of the socio-technical factors important in EHR design, implementation, and use, including:
This webinar discusses these factors and offers new knowledge from a series of studies examining how patients and doctors incorporate health IT tools into their health care experiences.
- unexpected changes in clinical workflow
- the reality of negative unintended consequences
- the role of work relationships and communication patterns in practice-level EHR use
- the role of individual views of uncertainty in health IT use
- unanticipated challenges associated with asynchronous (secure e-mail) communication between patients and their providers
- interruptions to workflow attributed to health IT
Holly J. Lanham, Ph.D., MBA, is an assistant professor of medicine at The University of Texas Health Science Center San Antonio; an investigator at the Veterans Evidence Based Research Dissemination and Implementation Center at the South Texas Veterans Health Care System; and an adjunct assistant professor of Information, Risk, and Operations Management at the McCombs School of Business.
She received her MBA from the McCombs School of Business in 2004 and her Ph.D. in information systems from the McCombs School of Business in 2010. Her research focuses on topics at the intersection of information technology and human behavior in health care organizations. She is also an investigator with the Duke University National Institute of Nursing Research Center of Excellence, Adaptive Leadership for Cognitive/Affective Symptom Science and an advisory board member for the McCombs Health Care Initiative.