Table 3

Perceived barriers and related possible interventions

Perceived barrier

Possible barrier-related intervention strategies


A

Finance

Provide documentation on return on investment.

Show profitable examples from other EMR implementations.

Provide financial compensation.


B

Technical

Educate physicians and support ongoing training.

Adapt the system to existing practices.

Implement EMR on a module-by-module basis.

Link EMR with existing systems.

Promote and communicate reliability and availability of the system.

Acquire third party for support during implementation.


C

Time

Provide support during implementation phase to convert records and assist.

Provide training sessions to familiarize users.

Implement a user friendly help function and help desk.

Redesign workflow to achieve a time gain


D

Psychological

Discuss usefulness of the EMR

Include trial period.

Demonstrate ease of use.

Start with voluntary use.

Let fellow physicians demonstrate the system.

Adapt system to current medical practice.


E

Social

Discuss advantages and disadvantages for doctors and patients.

Information and support from physicians who are already users.

Ensure support, leadership, and communication from management.


F

Legal

Develop requirements on safety and security in cooperation with physicians and patients.

Ensure EMR system meets these requirements before implementation.

Communicate on safety and security of issues.


G

Organization

Redesign workflow to realize a better organizational fit.

Adapt EMR to organization type.

Adapt EMR to type of medical practice


H

Change process

Select a project champion, preferably an experienced physician.

Let physicians (or representatives) participate during the implementation process.

Communicate the advantages for physicians. Use incentives.

Ensure support, leadership, and communication from management.


Boonstra and Broekhuis BMC Health Services Research 2010 10:231   doi:10.1186/1472-6963-10-231

Open Data