Date of Conferral

2022

Degree

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

School

Business Administration

Advisor

Jorge J. Gaytan

Abstract

Despite the 2009 mandate from the U.S. Government that healthcare organizations adopt and implement electronic medical records (EMR) systems to avoid fines and take advantage of the benefits EMR systems provide, adoption of EMR systems in the United States has been low. Since 2011, medical facilities have received incentive payments if they demonstrated “meaningful use” of certified EMR systems; however, medical facilities unable to demonstrate meaningful use beginning in 2015 have faced up to 5% penalties. Grounded in the diffusion of innovation theory, the purpose of this qualitative single case study was to explore strategies that hospital project managers use to adopt and implement EMR systems successfully to receive federal incentive payments. The participants included three project managers in a hospital in Illinois with successful experience in adopting and implementing EMR systems to receive federal incentive payments. Data were collected from semistructured interviews and company documents. Thematic analysis resulted in three themes: the process of change management, initial and continuous training of staff, and staff resistance to current and new processes. A key recommendation is for leaders and adopters to establish up-front communication to outline the stages of the implementation process to the staff. The implications for positive social change include the potential to reduce patients’ time in the hospital. Hospital leaders could use the federal incentive payments from the U.S. Government to improve the healthcare services delivered to members of the community.

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