Date of Conferral



Doctor of Information Technology (D.I.T.)


Information Systems and Technology


Charlie Shao


AbstractElectronic health record system implementations have a high failure rate when properly developed strategies are not used. These implementation failures affect healthcare workers and practitioners core roles through a lack of documentation practices, which decreases the quality of the care of the patients. Grounded in the technology acceptance model, the purpose of this qualitative multiple case study was to explore the strategies information technology systems engineers use for the implementation of Health Information Management Systems. The participants were 10 information technology systems engineers from three healthcare organizations in the greater Tennessee area. The data were collected through recorded participant interviews and document collection. Thematic analysis was used to analyze, and report patterns, and develop emerging themes in the data. Key findings included (1) implementation strategies encompassing communication, system development lifecycle practices, and stakeholder buy-in; (2) technology acceptance encompassing the importance of health information management systems, future implementation strategy trends, perceived ease of use and perceived usefulness of the system, and stakeholder buy-in. A key recommendation is that information technology system engineers develop and follow system development lifecycle practices that provide enhanced technology adoption rates through uniform structured implementation processes. The implications for positive social change include the potential for improved patient care and cost reductions for patients due to healthcare charting practices' automation.