%0 Journal Article
%@ 2561-326X
%I JMIR Publications
%V 8
%N 
%P e46901
%T 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
%A Anderson,Ekaterina
%A Moldestad,Megan
%A Brunner,Julian
%A Ball,Sherry
%A Helfrich,Christian
%A Orlander,Jay
%A Rinne,Seppo
%A Sayre,George
%+ Center for Health Optimization and Implementation Research, Veterans Affairs Bedford Healthcare System, 200 Springs Road, Bedford, MA, 01730, United States, 1 7816874936, Ekaterina.Anderson@va.gov
%K electronic health records
%K United States Department of Veterans Affairs
%K Veterans Affairs
%K organizational change
%K delivery of health care
%K integrated
%K medical informatics
%D 2024
%7 10.9.2024
%9 Original Paper
%J JMIR Form Res
%G English
%X Background: The Department of Veterans Affairs (VA), the largest nationally integrated health system in the United States, is transitioning from its homegrown electronic health record (EHR) to a new vendor-based EHR, Oracle Cerner. Experiences of the first VA site to transition have been widely discussed in the media, but in-depth accounts based on rigorous research are lacking. Objective: We sought to explore employee perspectives on the rationale for, and value of, transitioning from a VA-tailored EHR to a vendor-based product. Methods: As part of a larger mixed methods, multisite, formative evaluation of VA clinician and staff experiences with the EHR transition, we conducted semistructured interviews at the Mann-Grandstaff VA Medical Center before, during, and after going live in October 2020. In total, we completed 122 interviews with 26 participants across multiple departments. Results: Before the new vendor-based EHR went live, participants initially expressed cautious optimism about the transition. However, in subsequent interviews following the go-live, participants increasingly critiqued the vendor’s understanding of VA’s needs, values, and workflows, as well as what they perceived as an inadequate fit between the functionalities of the new vendor-based EHR system and VA’s characteristic approach to care. As much as a year after going live, participants reiterated these concerns while also expressing a desire for substantive changes to the transition process, with some questioning the value of continuing with the transition. Conclusions: VA’s transition from a homegrown EHR to a vendor-based EHR system has presented substantial challenges, both practical and cultural in nature. Consequently, it is a valuable case study for understanding the sociotechnical dimension of EHR-to-EHR transitions. These findings have implications for both VA leadership and the broader community of policy makers, vendors, informaticists, and others involved in large-scale health information technology implementations. 
%M 39255006
%R 10.2196/46901
%U https://formative.jmir.org/2024/1/e46901
%U https://doi.org/10.2196/46901
%U http://www.ncbi.nlm.nih.gov/pubmed/39255006