TY  - JOUR
AU  - Anderson, Ekaterina
AU  - Moldestad, Megan
AU  - Brunner, Julian
AU  - Ball, Sherry
AU  - Helfrich, Christian
AU  - Orlander, Jay
AU  - Rinne, Seppo
AU  - Sayre, George
PY  - 2024
DA  - 2024/9/10
TI  - 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
JO  - JMIR Form Res
SP  - e46901
VL  - 8
KW  - electronic health records
KW  - United States Department of Veterans Affairs
KW  - Veterans Affairs
KW  - organizational change
KW  - delivery of health care
KW  - integrated
KW  - medical informatics
AB  - 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. 
SN  - 2561-326X
UR  - https://formative.jmir.org/2024/1/e46901
UR  - https://doi.org/10.2196/46901
UR  - http://www.ncbi.nlm.nih.gov/pubmed/39255006
DO  - 10.2196/46901
ID  - info:doi/10.2196/46901
ER  -