I believe that an EMR decision is a combination of factors. Most EMR consultants promote that such a decision is a medical or technical one. However, there is also a social implications at both the microscopic level of an individual doctor and their patients and at a more macroscopic level (interactions with government). This additional factor is rarely mentioned and if mentioned, it is given as a constraint or an incentive. Take the case of the the ARRA/HITECH regulations. Sales pitches will focus on the financial incentives or penalties that can accrue to the purchaser.
But at a more strategic level what does an EMR bring to a doctor or hospital? For many doctor and employee users, it's an issue of quality of life, either professional or personal.
A crucial element in the professional quality of life is a doctor's "risk clock". It is the measure of the professional and legal liability risk of each patient encounter. An internal voice, doctors use it to shuffle a myriad of facts to discern and manage difficult medical conditions. How an EMR might help or hurt this clock is a critical condition to the use of an EMR.
Also strategic is the doctor-user's personal life. If an EMR means getting home on time instead of staying at the hospital doing charting is a significant incentive. Can the EMR do this for the doctor user? That's what is seldom highlighted.
If you are holding on to the idea that meetings have to be held in a conference room, it’s time for you to reconsider. more