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Preliminary Research Report: EHR Hangover Syndrome

Preliminary Research Report: EHR Hangover Syndrome. John Dunn January 28, 2010 Oregon HIMSS . OHSU Healthcare. OHSU EHR Implementation Status. “Complete” Computerized Physician Order Entry Nursing documentation/care planning E-prescribing Information exchange “To Do”

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Preliminary Research Report: EHR Hangover Syndrome

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  1. Preliminary Research Report: EHR Hangover Syndrome John Dunn January 28, 2010 Oregon HIMSS

  2. OHSU Healthcare

  3. OHSU EHR Implementation Status • “Complete” • Computerized Physician Order Entry • Nursing documentation/care planning • E-prescribing • Information exchange • “To Do” • Decision support & reporting • Closed loop medication administration

  4. User Feedback

  5. Symptoms of EHR Hangover • “The thrill is gone” • User frustration & fatigue • Unending enhancement & support requests More enhancements Fewer changes

  6. Professional Staff Survey - EHR

  7. Prevention Strategies • Expectations Management • Minimalistic Design • Training • Effective Communications

  8. Promising Treatment Options • Support • Telephone & “at the elbow” support • Physician outreach • Departmentally-based resources • Work Prioritization & Simplification • Communications • Time

  9. Prognosis • ARRA funding/penalties will ensure widespread EHR adoption • 5-10 year learning curve • Dauntingly complex environment

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