HIT Institutionalization during COVID Turbulence

Health information technology (HIT) institutionalization is one way to improve healthcare spending. However, it is remaining a challenge to realize. Using an institutional theory and environmental turbulence, we try to better understand the use of HIT within healthcare institutions. We tested structural equation modeling of 432 healthcare personnel survey data. The results show that institutional pressure and environmental turbulence have various (negative and positive) influences on HIT use. Academic and managerial contributions are further discussed in the final session of the study, as well as limitations and suggestions for future research

Health Care Manager Electronic Medical Record Systems Implementation Strategies to Improve Patient Outcomes

Ineffective implementation of electronic medical record systems (EMRS) among health care outpatient clinics results in substantial financial loss. Health care managers (HCMs) in outpatient clinics who fail to implement EMRS adversely affect employee usage and performance. Grounded in fayolism theory, the purpose of this qualitative multiple case study was to explore the strategies health care managers used to implement EMRS in their organizations. The participants were six HCMs in a U.S East Coast city. Thematic analysis was used to analyze the data from semistructured interviews and internal company documents. Five themes emerged: internal communication, overcoming barriers, time management, compensation improving productivity, and data organization. A key recommendation for HCMs is to ensure that employees have adequate EMRS training to implement EMRS in health care outpatient clinics. The implications for positive social change include the potential to decrease societal health care costs and optimize health care information management for improved patient safety and wellbeing