Date of Conferral



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


Business Administration


Warren Lesser


Ineffective implementation of electronic medical record systems (EMRS) among health care outpatient clinics results in substantial financial loss. Health care managers (HCMs) in outpatient clinics who fail to implement EMRS adversely affect employee usage and performance. Grounded in fayolism theory, the purpose of this qualitative multiple case study was to explore the strategies health care managers used to implement EMRS in their organizations. The participants were six HCMs in a U.S East Coast city. Thematic analysis was used to analyze the data from semistructured interviews and internal company documents. Five themes emerged: internal communication, overcoming barriers, time management, compensation improving productivity, and data organization. A key recommendation for HCMs is to ensure that employees have adequate EMRS training to implement EMRS in health care outpatient clinics. The implications for positive social change include the potential to decrease societal health care costs and optimize health care information management for improved patient safety and wellbeing.