Date of Conferral



Doctor of Business Administration (D.B.A.)


Information Systems and Technology


Kenneth Gossett


AbstractIneffective strategies to implement electronic health record keeping systems can negatively impact patient care and increase expenses. Hospital administrators and primary care physicians care about this problem because they would be penalized for not meeting meaningful use guidelines. Grounded in the information systems success model, the purpose of this qualitative multiple case study was to explore electronic health record (EHR) implementation strategies primary care physicians use to improve patient care and increase profitability. The participants comprised five primary care physicians involved in the effective implementation of an EHR application in the central coast region of California. Data were collected from semistructured interviews, company documents, and EHR systems. The collected data were analyzed using the six-step thematic process, and four themes emerged: (a) end-user training, (b) meaningful use, (c) EHR acceptance, and (d) communication. A key recommendation is for leaders of EHR applications to support efficient end-user training, follow meaningful use guidelines, use effective communication, and embrace EHR acceptance. The implications for positive social change include the potential for enhancing the quality of patient care and increasing profitability, which will benefit healthcare organizations and the communities where they are located.