TY - JOUR
T1 - Implications of an emerging EHR monoculture for hospitals and healthcare systems
AU - Koppel, Ross
AU - Lehmann, Christoph U.
N1 - Funding Information:
RK is the recipient of grants from the FDA, ONC, and NSA. None of that work was involved in the writing of this paper. (Partial support for this work was received from grant # NSF CNS-1035715.) He consults with the Prescription Advisory Service Technology (Princeton, NJ). He has received payments for lectures by Duke University and royalties from Cornell University Press for a book on patient safety. He holds stock options from Wearable Intelligence Inc. He has never been involved in the selection of any EHR. CUL's potential conflicts of interests include board membership on the board of the International Medical Informatics Associations. He is a recipient of grants from AHRQ
Funding Information:
RK is the recipient of grants from the FDA, ONC, and NSA. None of that work was involved in the writing of this paper. (Partial support for this work was received from grant # NSF CNS-1035715.) He consults with the Prescription Advisory Service Technology (Princeton, NJ). He has received payments for lectures by Duke University and royalties from Cornell University Press for a book on patient safety. He holds stock options from Wearable Intelligence Inc. He has never been involved in the selection of any EHR. CUL’s potential conflicts of interests include board membership on the board of the International Medical Informatics Associations. He is a recipient of grants from AHRQ. He is the editor-in-chief of Applied Clinical Informatics and edited the textbook Pediatric informatics. He serves as the director for the Child Health Informatics Center at the American Academy of Pediatrics. He is a member of an ACGME advisory board and serves on the Health IT Policy Committee. He was involved in the selection of an EHR at Johns Hopkins University in an advisory capacity.
Publisher Copyright:
© The Author 2014. Published by Oxford University Press on behalf of the American Medical Informatics Association. All rights reserved.
PY - 2015
Y1 - 2015
N2 - In many hospitals and health systems, a 'new' electronic health record means a shift to one vendor: Epic, a vendor that dominates in large and medium hospital markets and continues its success with smaller institutions and ambulatory practices. Our paper examines the implications of this emerging monoculture: its advantages and disadvantages for physicians and hospitals and its role in innovation, professional autonomy, implementation difficulties, workflow, flexibility, cost, data standards, interoperability, and interactions with other information technology (IT) systems.
AB - In many hospitals and health systems, a 'new' electronic health record means a shift to one vendor: Epic, a vendor that dominates in large and medium hospital markets and continues its success with smaller institutions and ambulatory practices. Our paper examines the implications of this emerging monoculture: its advantages and disadvantages for physicians and hospitals and its role in innovation, professional autonomy, implementation difficulties, workflow, flexibility, cost, data standards, interoperability, and interactions with other information technology (IT) systems.
KW - Cost
KW - Data standards
KW - Epic
KW - Implementation
KW - Innovation
KW - Markets
UR - http://www.scopus.com/inward/record.url?scp=84934285475&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=84934285475&partnerID=8YFLogxK
U2 - 10.1136/amiajnl-2014-003023
DO - 10.1136/amiajnl-2014-003023
M3 - Article
C2 - 25342181
AN - SCOPUS:84934285475
SN - 1067-5027
VL - 22
SP - 465
EP - 471
JO - Journal of the American Medical Informatics Association
JF - Journal of the American Medical Informatics Association
IS - 2
ER -