Journal Club: Lessons learned from a comprehensive electronic patient record procurement process—implications for healthcare organisations

Join Shankar Sridharan (GOSH) in discussion with Katie MacLure (BCS Health & Care) for our next live BCS (CITP) BMJ HCI Journal Club hosted by Digital Health.

Lessons learned from a comprehensive electronic patient record procurement process—implications for healthcare organisations

W Priestman, R Collins, H Vigne, S Sridharan, L Seamer, D Bowen, N Sebire

https://informatics.bmj.com/content/26/1/e000020

The authors from Great Ormond Street Hospital have conducted a study which describes learning from procurement of a comprehensive electronic patient record (EPR/electronic health record (EHR)), system for a specialist clinical academic institution. Using a retrospective review of procurement process in addition to evaluation of peer-reviewed literature in the field, the main lessons learned include the importance of detailed preparation of organisational requirements/specifications and organisational ‘readiness’. Early staff involvement, resulting in ownership of the selected system by the organisation was a key achievement. The scoring process used required significant resource commitment but, despite being extensive in scope, provided relatively poor distinction between suppliers, despite significant variation in supplier self-scoring. Other elements, such as demonstrations and site visits, provided superior evaluation of functional abilities, and specification requirements should be regarded as threshold evaluation.

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