Organizational Readiness and Success of the EHR-S Adoption

Conference paper


Despite institutional programs and enthusiastic declarations of eHealth potential, the adoption of Health Information Systems, and Electronic Health Record Systems (EHR-S) in particular, has progressed very slowly. Thus, the expected benefits have not fully surfaced. This can be partly ascribed to the lack of attention to organizational and individual variables influencing the success of the EHR-S adoption, in practice as well as in literature. A possible strategy to reduce the risk of failure is to identify some organizational and cultural factors that get the internal environment “ready” for the innovation. This makes it able to manage the change process needed to effectively enact the EHR-S potential and to assure the satisfaction of all stakeholders involved. Using this hypothesis, in this contribution, the preliminary steps of a study aiming to define a framework supporting the analysis and diagnosis of the “organizational readiness” to the EHR-S adoption will be presented. More in detail, the critical dimensions of organizational readiness and the relationship between this construct, project outcomes and the success of EHR-S adoption will be discussed.


Health Information System Project Outcome Personal Health Record Computerize Physician Order Entry Electronic Health Record System 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


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  1. 1.
    Jakovidis I (1998) Towards personal health record:current situation, obstacles and trends in implementation of EHR in Europe. Int J Med Inform 52(1–3):105–115CrossRefGoogle Scholar
  2. 2.
    Ovretveit J (1998) Integrated care: models and issues. Health Rev–OnlineGoogle Scholar
  3. 3.
    Jhaa AK et al (2008) The use of health information technology in seven nations. Int J Med Inform 77(12):848–854CrossRefGoogle Scholar
  4. 4.
    Ash JS, Bates DW (2005) Factors and forces affecting EHR-S system adoption: report of a 2004 ACMI Discussion. JAMIA 12(1):8–12Google Scholar
  5. 5.
    Amatayakul M (2008) EHRs are not IT projects. HFMA 62(11):128–130Google Scholar
  6. 6.
    Barras R (1986) Towards a theory of innovation in services. Res Policy 15(4):161–173CrossRefGoogle Scholar
  7. 7.
    Weiner BJ, et al (2008) Conceptualization and measurement of organizational readiness for change. Med Care Res Rev 65(4):379–436CrossRefGoogle Scholar
  8. 8.
    Armenakis A et al (1993) Creating readiness for organizational change. Hum Rel 46(6):681–703CrossRefGoogle Scholar
  9. 9.
    Kotter JP (1996) Leading change. Harvard Business Press, BostonGoogle Scholar
  10. 10.
    Iacovou CL et al (1995) Electronic data interchange and small organizations: adoption and impact of technology. MIS Q 19(4):465–485CrossRefGoogle Scholar
  11. 11.
    Chau PY, Hui KL(2001) Determinants of small business EDI adoption: an empirical investigation. J Org Comput Elect Commer 11(4):229–252Google Scholar
  12. 12.
    Campbell JD et al (2001) Introducing telemedicine technology to rural physicians and setting. J Family Pract 50(5):419–424Google Scholar
  13. 13.
    Demiris G et al (2004) Home telehealth: the Missouri telehospice project. Background and next steps. Home Health Care Technol Rep 1:55–57Google Scholar
  14. 14.
    Amatayakul M (2005) EHR? Assess readiness first. HFMA 59(5):112–113Google Scholar
  15. 15.
    McGowan et al (2008) Formative evaluation: a critical component in EHR implementation. JAMIA 15(3):297–302Google Scholar
  16. 16.
    Wickramasinghe NS, Fadlalla AMA, Geisier E, Schaffer JL (2005) A framework for assessing eHealth preparedness. IJEH 1(3):316–334CrossRefGoogle Scholar
  17. 17.
    Stablein D et al (2003) Understanding hospital readiness for computerized physician order entry. J Qual Saf 29(7):336–341Google Scholar
  18. 18.
    Zaltman G et al (1973) Innovations and organizations. Wiley, New YorkGoogle Scholar
  19. 19.
    Caruso A, Marchiori M (2003) The adoption of information systems in SMEs: organizational issues and success factors. In Proceeding of ECIS 2003, Naples, ItalyGoogle Scholar
  20. 20.
    Bates DW et al (2001) Reducing the frequency of errors in medicine using information technology. JAMIA 8(4):299–308Google Scholar
  21. 21.
    Hillestad R et al (2005) Can electronic medical record systems transform health care? Potential health benefits, savings, and costs. Health Aff 24(5):1103–1117CrossRefGoogle Scholar
  22. 22.
    Sittig DF et al (1999) Evaluating physician satisfaction regarding user interactions with an electronic medical record system. In Proceedings of AMIA Symposium (pp. 400-404), vol. 1999Google Scholar
  23. 23.
    Parasuraman A et al (1994) Reassessment of expectations as a comparison standard in measuring service quality: implications for further research. J Mark 58(1):111–124CrossRefGoogle Scholar

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© Springer-Verlag Berlin Heidelberg 2010

Authors and Affiliations

  1. 1.Research Center on Information Systems (LUISS-CeRSI)LUISS Guido Carli UniversityRomeItaly

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