Authors: Gagnon, Marie-Pierre¹; Desmartis, Marie²; Labrecque, Michel³; Légaré, France³; Lamothe, Lise⁴; Fortin, Jean-Paul⁵; Rancourt, Jean-François⁶; Duplantie, Julie²

Source: Informatics in Primary Care, Volume 18, Number 1, April 2010 , pp. 31-40(10)

Publisher: Radcliffe Publishing Ltd.

Abstract:

Background: Electronic medical records (EMRs) have the potential to foster a safer, more effective and more efficient healthcare system. However, their implementation in primary care practice remains a challenge.

Objective: This study aims at exploring factors that have influenced the successful implementation of an EMR system in a family medicine group (FMG) in the Province of Québec, Canada.

Methods: A case study approach was selected to get a deep understanding of the phenomenon in its context. The case was chosen on the basis that it was the first FMG in Québec to implement a full EMR used by all clinicians. Fifteen semi-structured interviews were conducted with key informants.

Results: Factors that have influenced the success of the EMR implementation were classified under three broad themes: a project leader who combined the roles of clinical, technology and knowledge champion; an organisation that was open to and supportive of change; and an evidence-based implementation strategy tailored to the local context and adoption pace.

Conclusions: This study underscores the importance of a champion for successful EMR implementation. It proposes a set of roles and characteristics that could be found in a champion as well as other elements for a successful EMR implementation strategy.

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Keywords: CHAMPION; ELECTRONIC MEDICAL RECORDS; FAMILY MEDICINE GROUP; IMPLEMENTATION; KNOWLEDGE TRANSFER

Document Type: Research article

Affiliations: 1: Québec University Hospital Research Centre, Québec City, Canada and Faculty of Nursing, Laval University, Québec City, Canada 2: Québec University Hospital Research Centre, Québec City, Canada 3: Québec University Hospital Research Centre, Québec City, Canada; Department of Family and Emergency Medicine, Laval University, Québec City, Canada 4: Department of Health Management, University of Montréal, Montréal City, Canada 5: Department of Family and Emergency Medicine, Laval University, Québec City, Canada 6: GMF of Montmagny, Montmagny, Québec City, Canada

Publication date: 2010-04-01

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