Healthcare Essay: EHR Implementation Difficulties and Case Managers

This essay addresses the difficulties encountered during the implementation of Electronic Health Records (EHRs) in healthcare systems, focusing on the challenges faced by case managers and healthcare professionals. It highlights issues such as initial costs, lack of IT staff, and usability problems, which have led to reduced efficiency and clinician satisfaction. The essay references studies showing that EHR implementation has not always improved work efficiency and quality, and it emphasizes the importance of addressing usability issues to enhance patient safety. The essay further discusses the barriers to EHRs, including the lack of incentives and the impact on efficiency and satisfaction levels of clinicians. The essay also provides references to support the claims made within the text.

Running head: HEALTHCARE
Topic: HEALTHCARE
Name of the Student:
Name of the University:
Author’s Note:

1HEALTHCARE
Over the years, many hospital acquired complications have emerged as a potential
problem. These are the complications for which risk mitigation strategies can reduce but
cannot necessarily eliminate the risk of occurring. Various complications in healthcare arise
due to social politics, changes in lifespan demography, increased as well as enhanced levels
of social literacy and mainly due to the extremely extravagant expenses seen in healthcare
offerings. Furthermore, many complications have been raised due to unnecessarily utilized
outpatient services pertaining to hospitals (Lee et al.2014).
Thus the implementation of methods related to alternative medicine as well as
modalities have posed serious problems among the case managers and associated healthcare
professionals. This essay encompasses the difficulties faced during the implementation of
EHRs in the healthcare systems and the potential problems faced by the case managers. Due
to various complications in the healthcare systems, the people who have been affected are
mainly nurses, health care professionals, staffs of the hospitals affected. Electronic health
records (EHR) have been introduced as an alternative of the manual process of the patients’
information which has been collected. According to (Wager, Lee & Glacer,2017),
implementation of Electronic records in nursing homes have led to various problems like
initial cost regarding the IT department, lack of enough IT members, and moreover the proper
lack of fiscal incentive. Moreover, the national estimates on EHR adaptation which is
involved in long term care are almost non- existent. According to studies carried among
health care professionals, it has been observed that there has not been any improvement in the
efficiency and quality of work done by the physicians and related healthcare professionals.
Moreover the case managers face difficulties in the usabilities which creates potential
problems in healthcare information systems. Poor EHR usability has been connected with
reduction of efficiency, decrease in the satisfaction levels of clinicians and issues which
would compromise the safety of the patient.

2HEALTHCARE
From the following paragraphs it can be understood that case managers have faced
potential difficulties regarding the changes in the storage of patient information from manual
to implementation of electronic health care records. Potential barriers to EHRs has been
problems in initial cost, lack of the members involved, and lack of incentives. Moreover,
usabilities in assessing the EHRs have been important as it have reduced the usual levels of
efficiency and satisfaction levels of the clinicians.

3HEALTHCARE
References
Alva, M. L., Gray, A., Mihaylova, B., Leal, J., & Holman, R. R. (2015). The impact of
diabetes‐related complications on healthcare costs: new results from the UKPDS
(UKPDS 84). Diabetic Medicine, 32(4), 459-466.
Kaipio, J., Lääveri, T., Hyppönen, H., Vainiomäki, S., Reponen, J., Kushniruk, A., ... &
Vänskä, J. (2017). Usability problems do not heal by themselves: National survey on
physicians’ experiences with EHRs in Finland. International journal of medical
informatics, 97, 266-281.
Lee, J. Y., Jo, M. W., Yoo, W. S., Kim, H. J., & Eun, S. J. (2014). Evidence of a broken
healthcare delivery system in Korea: unnecessary hospital outpatient utilization
among patients with a single chronic disease without complications. Journal of
Korean medical science, 29(12), 1590-1596.
Walji, M. F., Kalenderian, E., Piotrowski, M., Tran, D., Kookal, K. K., Tokede, O., ... &
Kimmes, N. S. (2014). Are three methods better than one? A comparative assessment
of usability evaluation methods in an EHR. International journal of medical
informatics, 83(5), 361-367.