User Experiences of Transitioning From a Homegrown Electronic Health Record to a Vendor-Based Product in the Department of Veterans Affairs: Qualitative Findings From a Mixed Methods Evaluation
VA's transition from a homegrown EHR to a vendor-based EHR system has presented substantial challenges, both practical and cultural in nature. Consequently, it is a valuable case study for understanding the sociotechnical dimension of EHR-to-EHR transitions. These findings have implications for both VA leadership and the broader community of policy makers, vendors, informaticists, and others involved in large-scale health information technology implementations.
Authors
- Julian Brunner (ORCID: https://orcid.org/0000-0002-0878-5178)
- George Sayre (ORCID: https://orcid.org/0000-0001-9378-5019)
- Seppo T. Rinne (ORCID: https://orcid.org/0000-0002-8662-1224)
- Megan Moldestad (ORCID: https://orcid.org/0000-0002-0239-6120)
- Ekaterina Anderson (ORCID: https://orcid.org/0000-0001-7109-3054)
- Jay D. Orlander (ORCID: https://orcid.org/0000-0003-0204-8449)
- Christian D. Helfrich (ORCID: https://orcid.org/0000-0002-9827-4768)
- Sherry L. Ball (ORCID: https://orcid.org/0000-0002-2362-9499)
Institutions
- Boston University (US)
- University of Massachusetts Chan Medical School (US)
- University of Washington (US)
- VA Boston Healthcare System (US)
- Bedford VA Research Corporation (US)
- VA Puget Sound Health Care System (US)
- VA New England Healthcare System (US)
- VA Northeast Ohio Healthcare System (US)
- Center for the Study of Healthcare Provider Behavior (US)
- VA Greater Los Angeles Healthcare System (US)
Publication Details
- Journal
- JMIR Formative Research
- Published
- 2024-09-10
- DOI
- https://doi.org/10.2196/46901
- Citations
- 4
- Primary Topic
- Electronic Health Records Systems
- Type
- article
- Field-Weighted Citation Impact
- 2.83
Funders
- U.S. Department of Veterans Affairs
- Health Services Research and Development
- Quality Enhancement Research Initiative