000000409 001__ 409 000000409 005__ 20250424232521.0 000000409 0247_ $$2DOI$$a10.6083/M40Z717P 000000409 037__ $$aETD 000000409 245__ $$aAn implementation strategy for EHR in the small primary care physician offices incorporating human factors engineering principles 000000409 260__ $$bOregon Health and Science University 000000409 269__ $$a2009 000000409 336__ $$aCapstone 000000409 502__ $$bM.B.I. 000000409 502__ $$gBiomedical Informatics 000000409 520__ $$aThere has been a huge adoption gap of health information technology in small primary care physician offices in the U.S. that is poorly understood. Usability barriers, cost, and time factors may all contribute. Poor office workflow efficiency has anecdotally been reported to complicate efforts, and the Center for Medicare and Medicaid Services developed the Doctors Office Quality Information Technology toolkit to address this issue. The CMMS Office Systems Survey reviewed the use of this tool, but that data is not yet published. Recently, to help reengineer the electronic health record (EHR) and implement it in a more provider- supportive fashion, ergonomics has been applied to health information technology. This capstone will review the implementation of HIT in small primary care physician offices, failures of HIT implementation in the literature, and propose an ergonomic paradigm based on human factors engineering to develop more usable, useful, and safer approaches to the implementation of EHR into primary care practices. 000000409 540__ $$fCC BY 000000409 542__ $$fIn copyright - single owner 000000409 650__ $$aMedical Informatics Applications$$021939 000000409 650__ $$aPatient Care$$019442 000000409 650__ $$aWorkflow$$038890 000000409 650__ $$aElectronic Health Records$$038928 000000409 650__ $$aMedical Informatics$$021938 000000409 650__ $$aMedical Records Systems, Computerized$$029086 000000409 650__ $$aErgonomics$$020379 000000409 691__ $$aSchool of Medicine$$041369 000000409 692__ $$aDepartment of Medical Informatics and Clinical Epidemiology$$041422 000000409 7001_ $$aMendel, Sandra$$uOregon Health and Science University$$041354 000000409 7201_ $$aSittig, Dean$$uOregon Health and Science University$$041354$$7Personal$$eAdvisor 000000409 8564_ $$9c4adde0d-de4a-42a0-a1fc-38104d5bfc8c$$s144794$$uhttps://digitalcollections.ohsu.edu/record/409/files/410_etd.pdf$$ePublic$$28d9cc94a310cff6f648e42561e91495d$$31 000000409 905__ $$a/rest/prod/hd/76/s0/06/hd76s006h 000000409 909CO $$ooai:digitalcollections.ohsu.edu:409$$pstudent-work 000000409 980__ $$aBiomedical Informatics