| This study explores the impact of electronic medical records (EMR) on five community-based, primary care practices throughout the country. Using primarily qualitative methods, including semi-structured interviews, observations, and review of financial documents, the study reveals that the EMR has had a significant impact on the work lives of various user groups. Physicians, physician assistants, nurses and support staff indicate that the EMR has changed not only how they manage patient records but how they communicate with each other, provide patient care services, and perform their job functions and responsibilities. The EMR is also perceived by its users to impact practice costs. Although most practices were unaware of actual expenses and cost savings associated with the EMR, practices that have eliminated duplicate paper-based systems believe that they have realized cost savings.;Several important themes emerged from this study. Even though there is no simple formula for ensuring EMR success, there are factors that, if present, may help ensure a smooth transition from paper medical records to the EMR. The organizational context in which the system is implemented is an important component. Effective leadership, the presence of a system champion, availability of technical training and support, and adequate resources, are all essential elements to the EMRs success. The "lessons learned" among these practices may be particularly useful to others about to embark on an EMR implementation project. |
