The Role of Provider Perceptions in Deploying an EMR at Michigan State University

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The Role of Provider Perceptions in Deploying an
EMR at Michigan State University

• Pamela Whitten, PhD
• Lorraine Buis, PhD
• Michigan State University
• Michael Mackert, PhD
• University of Texas at Austin

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EMRs

• The potential for EMRs has been recognized since
  the 1960s
• Benefits include cost savings, reduced medical
  errors, and improved quality and continuity of
  care
• Despite benefits, adoption has been slow
• Structural and organizational issues have been
  cited as barriers to adoption

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Purpose

• To understand the role and impact of individual
  and organizational issues on perceptions
  regarding EMRs by physicians at Michigan State
  University (MSU).
• This investigation sought to identify
• Perceptions of the general impacts of EMRs
• Initial and current attitudes toward EMR adoption
• Perceptions of the success and impacts MSUs EMR
  Relationships between demographic or experiential
  variables and perceptions of the EMR system

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Methods

• 41 providers from MSU HealthTeam
• Gender 66 male and 34 female
• Age 41 were 35 50 and 51 were 50
• Computer Skills 56 rate skills and high and
  none report skills below average
• MSU EMR rollout

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Survey Instrument

• 144 item survey
• Based on Lærum, Ellingsen, and Faxvaag (2001)
• Approximately 30 minute completion time
• Descriptive statistics were employed to
  understand perceptions of EMRs in general and at
  MSU

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Results

• Providers report positive perceptions of the
  general impacts of EMRs
• Majority believe EMRs have or will have a
  beneficial impact on
• Access to healthcare in rural areas (83)
• Clinicians access to up to date knowledge (80)
• Quality of healthcare (71)
• Interactions within the health team (68)
• Continuing medical education (68)

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Results

• Providers report mixed perceptions regarding
  adoption and overall success of the system at MSU
• 45 favored adoption initially and still consider
  it a good choice
• 11 didnt initially favor adoption, but now
  consider it a good choice
• 34 initially favored adoption, but now consider
  it a bad choice
• 11 initially opposed the adoption and still
  consider it a bad choice

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Results

• Ratings of EMR success at MSU were mixed
• 27 rating as good or excellent
• 56 rating as fair
• 17 rating as poor
• Ratings of EMR satisfaction at MSU were mixed
• 37 rating as good or excellent
• 34 rating as fair
• 29 rating as poor

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Results

• No demographic variables were consistently
  related to perceptions of the success and
  satisfaction of the EMR system at MSU.
• Age was found to be negatively correlated with
  the perceived satisfaction of the EMR system at
  MSU
• (r -.401, plt.05)

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Results

• Several measures of the perception of potential
  impacts of EMRs on healthcare were related to
  success and satisfaction
• Particularly, beliefs that EMRs have impacts on
• Quality of healthcare
• Enjoyment on the practice of medicine
• Interactions within the health team
• Rapport between clinicians and patients
• Clinician autonomy

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Results
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Discussion

• Mixed feelings toward adoption indicates a need
  to involve users in decision making to increase
  buy-in
• Perceptions of the impacts of EMRs have greater
  impact on success and satisfaction than
  demographics
• Speaks to the need to increase EMR education