Electronic Medical Records (EMRs) Barriers and Enablers Medical Practices with 50 or More FTE Physicians Barriers to implementation of EMRs in group practices 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. Lack of resources to invest in information technology Lack of provider support Difficulty establishing a good return on investment Time and effort to prepare the organization for EMR Difficulty integrating systems Lack of easy way to input data and notes Skills and preferences of existing support staff Lack of standards within the organization Other or don’t know Limitations of existing products/technology Security concerns Lack of management support 49.4% 41.4% 37.9% 37.9% 31.0% 21.8% 20.7% 13.8% 13.7% 9.2% 5.7% 1.1% The above results are based on 68 responses to the question, “Based on your opinion and experience, which are the three most significant barriers to EMR implementation in your organization?” Enablers that facilitate implementation of EMRs in group practices 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. Sought active leadership involvement Sought active provider involvement Sought active staff involvement Created pre-installation plan Implemented thorough due diligence process Conducted a site visit to an organization already using the product Provided your own pre-implementation training to staff and providers Implemented an EMR pilot Vendor provided on-site training Utilized project management tools such as time line, status reports, etc. Performed Return On Investment analysis Implemented post-implementation assistance 93.9% 93.9% 90.9% 84.8% 81.8% 78.8% 72.7% 66.7% 66.7% 66.7% 63.6% 63.6% The above results are based on 33 EMR user responses to the question, “Did your organization engage in any of the following activities as part of the selection process?” The results list the 12 most frequently cited enablers. A more complete report on this collaborative project by the MGMA Center for Research & Pfizer Health Solutions Inc, is available at www.mgma.com/research The MGMA Center for Research is the research and development companion to the Medical Group Management Association (MGMA). The Center for Research, a 501(c)(3) research foundation, conducts quantitative and qualitative research to advance the art and science of medical group management. Visit www.mgma.com/research.
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