User Experiences of Transitioning From a Homegrown Electronic Health Record to a Vendor-Based Product in the Department of Veterans Affairs: Qualitative Findings From a Mixed Methods Evaluation

Ekaterina Anderson   ^{1, 2} , MA, PhD ;   Megan Moldestad   ³ , MS, CCC-SLP ;   Julian Brunner   ⁴ , PhD ;   Sherry Ball   ⁵ , PhD ;   Christian Helfrich   ^{3, 6} , PhD ;   Jay Orlander   ^{7, 8} , MD, MPH ;   Seppo Rinne   ^{1, 9} , MD, PhD ;   George Sayre   ^{3, 6} , PsyD

¹ Center for Health Optimization and Implementation Research, Veterans Affairs Bedford Healthcare System, Bedford, MA, United States

² Division of Health Informatics and Implementation Science, Department of Population and Quantitative Health Sciences, University of Massachusetts Chan Medical School, Worcester, MA, United States

³ Veterans Affairs Seattle-Denver Center of Innovation for Veteran-Centered and Value-Driven Care, Veterans Affairs Puget Sound Health Care System, Seattle, WA, United States

⁴ Veterans Affairs Center for the Study of Healthcare Innovation, Implementation & Policy, Veterans Affairs Greater Los Angeles Healthcare System, North Hills, CA, United States

⁵ Veterans Affairs Northeast Ohio Healthcare System, Cleveland, OH, United States

⁶ School of Public Health, University of Washington, Seattle, WA, United States

⁷ Chobanian & Avedisian School of Medicine, Boston University, Boston, MA, United States

⁸ Veterans Affairs Boston Healthcare System, Boston, MA, United States

⁹ The Pulmonary Center, Chobanian & Avedisian School of Medicine, Boston University, Boston, MA, United States