Persuasion Tactics in the Implementation of Large-Scale EHR Suites in Public Healthcare

Gunnar Ellingsen; Bente Christensen; Morten Hertzum

doi:10.3233/SHTI210632

Persuasion Tactics in the Implementation of Large-Scale EHR Suites in Public Healthcare

Gunnar Ellingsen, Bente Christensen, Morten Hertzum

Research output: Chapter in Book/Report/Conference proceeding › Article in proceedings › Research › peer-review

Abstract

Large-scale electronic health record (EHR) suites have the potential to cover a broad range of use needs across various healthcare domains. However, a challenge that must be solved is the distributed governance structure of public healthcare: Regional health authorities regulate hospitals, municipalities are responsible for first-line healthcare services, and general practitioners (GPs) have an independent entrepreneurial role. In such settings, EHR program owners cannot enforce municipalities and GPs to come on board. Thus, we examine what tactics owners of large-scale EHR suite programs apply to persuade municipalities to participate, how strongly these tactics are enforced, and the consequences. Empirically, we focus on the Health Platform program in Central Norway where the goal is to implement the U.S. Epic EHR suite in 2022. Theoretically, the paper is positioned in the socio-Technical literature.

Original language	English
Title of host publication	Proceedings of the CSHI2021 Conference on Context Sensitive Health Informatics : The Role of Informatics in Global Pandemics
Editors	Romaric Marcilly, Linda Dusseljee-Peute, Craig E. Kuziemsky, Xinxin Zhu, Peter Elkin, Christian Nohr
Number of pages	5
Volume	SHTI 286
Place of Publication	Amsterdam
Publisher	IOS Press
Publication date	2021
Pages	33-37
ISBN (Electronic)	9781643682303
DOIs	https://doi.org/10.3233/SHTI210632
Publication status	Published - 2021
Externally published	Yes

Keywords

EHR suites
Epic
persuasion tactics
pressure
socio-Technical
technological determinism

Link to document

10.3233/SHTI210632Licence: CC BY-NC

Cite this

Ellingsen, G., Christensen, B., & Hertzum, M. (2021). Persuasion Tactics in the Implementation of Large-Scale EHR Suites in Public Healthcare. In R. Marcilly, L. Dusseljee-Peute, C. E. Kuziemsky, X. Zhu, P. Elkin, & C. Nohr (Eds.), Proceedings of the CSHI2021 Conference on Context Sensitive Health Informatics: The Role of Informatics in Global Pandemics (Vol. SHTI 286, pp. 33-37). IOS Press. https://doi.org/10.3233/SHTI210632

Ellingsen, Gunnar ; Christensen, Bente ; Hertzum, Morten. / Persuasion Tactics in the Implementation of Large-Scale EHR Suites in Public Healthcare. Proceedings of the CSHI2021 Conference on Context Sensitive Health Informatics: The Role of Informatics in Global Pandemics. editor / Romaric Marcilly ; Linda Dusseljee-Peute ; Craig E. Kuziemsky ; Xinxin Zhu ; Peter Elkin ; Christian Nohr. Vol. SHTI 286 Amsterdam : IOS Press, 2021. pp. 33-37

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abstract = "Large-scale electronic health record (EHR) suites have the potential to cover a broad range of use needs across various healthcare domains. However, a challenge that must be solved is the distributed governance structure of public healthcare: Regional health authorities regulate hospitals, municipalities are responsible for first-line healthcare services, and general practitioners (GPs) have an independent entrepreneurial role. In such settings, EHR program owners cannot enforce municipalities and GPs to come on board. Thus, we examine what tactics owners of large-scale EHR suite programs apply to persuade municipalities to participate, how strongly these tactics are enforced, and the consequences. Empirically, we focus on the Health Platform program in Central Norway where the goal is to implement the U.S. Epic EHR suite in 2022. Theoretically, the paper is positioned in the socio-Technical literature.",

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Ellingsen, G, Christensen, B & Hertzum, M 2021, Persuasion Tactics in the Implementation of Large-Scale EHR Suites in Public Healthcare. in R Marcilly, L Dusseljee-Peute, CE Kuziemsky, X Zhu, P Elkin & C Nohr (eds), Proceedings of the CSHI2021 Conference on Context Sensitive Health Informatics: The Role of Informatics in Global Pandemics. vol. SHTI 286, IOS Press, Amsterdam, pp. 33-37. https://doi.org/10.3233/SHTI210632

Persuasion Tactics in the Implementation of Large-Scale EHR Suites in Public Healthcare. / Ellingsen, Gunnar; Christensen, Bente; Hertzum, Morten.
Proceedings of the CSHI2021 Conference on Context Sensitive Health Informatics: The Role of Informatics in Global Pandemics. ed. / Romaric Marcilly; Linda Dusseljee-Peute; Craig E. Kuziemsky; Xinxin Zhu; Peter Elkin; Christian Nohr. Vol. SHTI 286 Amsterdam: IOS Press, 2021. p. 33-37.

Research output: Chapter in Book/Report/Conference proceeding › Article in proceedings › Research › peer-review

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AB - Large-scale electronic health record (EHR) suites have the potential to cover a broad range of use needs across various healthcare domains. However, a challenge that must be solved is the distributed governance structure of public healthcare: Regional health authorities regulate hospitals, municipalities are responsible for first-line healthcare services, and general practitioners (GPs) have an independent entrepreneurial role. In such settings, EHR program owners cannot enforce municipalities and GPs to come on board. Thus, we examine what tactics owners of large-scale EHR suite programs apply to persuade municipalities to participate, how strongly these tactics are enforced, and the consequences. Empirically, we focus on the Health Platform program in Central Norway where the goal is to implement the U.S. Epic EHR suite in 2022. Theoretically, the paper is positioned in the socio-Technical literature.

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Ellingsen G, Christensen B, Hertzum M. Persuasion Tactics in the Implementation of Large-Scale EHR Suites in Public Healthcare. In Marcilly R, Dusseljee-Peute L, Kuziemsky CE, Zhu X, Elkin P, Nohr C, editors, Proceedings of the CSHI2021 Conference on Context Sensitive Health Informatics: The Role of Informatics in Global Pandemics. Vol. SHTI 286. Amsterdam: IOS Press. 2021. p. 33-37 doi: 10.3233/SHTI210632