| The Healthcare industry has been fairly slow in the adoption of Electronic Health Record Systems (EHR) Systems that may improve efficiency and effectiveness primarily because of implementation costs. These systems manage an individual's experience within the healthcare system. With federal meaningful use requirements and reimbursement strategies, implementation costs are no longer the largest barrier to EHR System use.;Many of the other barriers identified by previous research are related to usability. This research uses the Delphi Method to examine the usability barriers that interfere with efficiency and examines ways of improving the interaction with the patient while using EHR Systems. The usability barriers are reviewed through the lens of FITT (Fit between Individual, Task and Technology) a framework developed by Elske Ammenwerth, Carola Iller, and Cornelia Mahler (2006), to further understand these barriers and provide insight for future research.;The Wilcoxon signed-rank method was used between the polling iterations to identify the consensus among the Delphi participants. Additional interviews were conducted to provide insight into the healthcare delivery processes, along with an in-depth understanding of why the experts chose these barriers and identify the impact on providers. Many of the barriers that are found in previous literature still exist. While some barriers identified by the Delphi are new to IS research, such as "patient perception of fumbling with the computer, keyboard, and mouse may inhibit communication." Furthermore, other barriers imply inconsistencies between the software and clinical workflow such as "software doesn't fit the workflow for of the clinician.", "a lot of the software [features] do not work in an expected way", and "not designed as an aid for clinical work, rather a repository of things to record." Hardware, software, and process barriers are identified through the Delphi study and validated by the interviews. Improving the fit between the Individual, Task, and Technology may lead to improved usability of EHR Systems. This research offers many areas of future research to further understand EHR System usability, usage, and adoption. |
