Studying the use of a commercial electronic medical record in a primary care practice

The purpose of this project is to examine whether currently available commercial electronic medical records (EMRs) are an inadequate platform for reforming medical practice as has been often touted. The project will undertake an in-depth case study of the implementation of an EMR into one private primary care practice and assess the extent to which it facilitated greater efficiency, productivity, and/or quality improvement, or why it failed to do so. The findings will be used to identify critical design elements for an EMR or other system to incorporate if it were to achieve such results. The product will be a discussion paper outlining one or more models and variations, discussing implementation issues, identifying strengths and weaknesses, and speculating about next steps. This paper will be directed toward an audience of IT and practice systems experts and used for publication. A panel of 10 experts will be convened to discuss the paper and to identify next steps, including whether a larger conference might be warranted. The project will be considered successful if it identifies an alternative model to the current EMR and prompts a broader discussion of how primary care practice could take advantage of the possibilities of IT to solve the inefficiencies and ineffectiveness of the current system.

Grant Details

Amount Awarded $45,135.00

Awarded on: 6/17/2005

Time frame: 7/1/2005 - 10/31/2006

Grant Number: 52901


Harvard Pilgrim Health Care Inc.

93 Worcester Street
Wellesley, 02148-3609


Gordon T. Moore
Project Director