Review of Different Training Approaches to Facilitate Successful Adoption of EMR Systems by Physicians in Hospital Settings

Working Paper Authors Publish Date
54 Tetyana Nechyporenko
Ann McKibbon
Oct. 2015

Background
Despite multiple advantages of electronic medical records (EMRs) for healthcare practices, doctors are often resistant to apply these systems in their work2-6. According to research, low computer literacy of clinicians3,8,12,16, inadequate physician training 3,4,7-15, insufficient support 3,4,17 and lack of change management5 are among the main barriers to EMR adoption. Of these barriers, healthcare provider training is recognized as one of the main critical success factors of EMR acceptance4,10,18-27. Thus, development of effective training strategies for system implementation is critical.

Objective
This paper was aimed to investigate current published literature on a variety of physician training approaches that facilitate EMR adoption in hospitals.

Methods
 A non-systematic literature review was performed. Published information was retrieved from Embase, Medline and IEEE Xplore electronic databases, websites of organizations relevant to EMR implementation (HIMSS, American EHR Partners, etc.) and referenced links. Articles were evaluated for eligibility and filtered. Obtained data were represented in a narrative format using tables and figures.

Review
The paper addresses the following aspects of inpatient physician training on EMR adoption: 1) role of the organization in physician engagement and training support, 2) effective planning of EMR education that encompasses training needs assessment, computer literacy enhancement and development of a detailed multicomponent training plan, 3) defining appropriate instructors (vendors, information technology (IT) professionals, training consultants or champions and super-users), 4) optimal training timelines and schedules, 5) setting of training location (on-site, off-site, or both), 6) diversity of training materials, 7) effective training methods, 8) delivery mode variety, 9) evaluation of EMR education effectiveness and  10) components of EMR support.

Discussion
On the basis of literature review, recommendations on the best physician training practices that encourage software adoption are provided.

Conclusion
Training is a critical part of EMR implementation and, to perform it appropriately, an educational approach should be developed individually for each specific hospital facility using tools and suggestions described in this paper.

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