Date of Conferral



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


Business Administration


Kenneth Gossett


In 2015, only 15% of behavior health hospitals in the United States had been converted from paper charting systems to electronic health records (EHRs) systems. Healthcare managers are concerned about the lack of EHRs because they need to meet mandated federal requirements to implement EHR systems. Using the technology acceptance model, the purpose of this qualitative single case study was to identify strategies behavioral healthcare managers use to adopt their EHR system. The participants consisted of 5 behavioral healthcare managers working in a chemical dependency treatment facility located in the U.S. Midwest. Data were collected from semistructured interviews, a review of notes, and a review of company policies. Data were analyzed using the modified van Kaam method. Three themes emerged: effortlessness of use, adoption efficiency, and transformational leadership behavior. A key recommendation is that behavioral healthcare managers evaluate their management style and consider transformational leadership techniques to motivate followers through the change management workflow process. Healthcare managers, using EHR systems, can benefit from increased workplace efficiency, improved quality of patient care, and reduction of expenses for a healthcare facility.

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