The Impact of an Aggressive Deployment of the National Electronic Health Record: Radiology Departments

The Impact of an Aggressive Deployment of the National Electronic Health Record: Radiology Departments

Author: 
DeVida J. Rembert
Program of study: 
D.H.A.
Abstract: 
Meaningful use of IT requirements is meant to improve health care through technological advancements promoting information sharing and efficient record keeping. The meaningful use incentives require health care providers to improve the efficiency, safety, quality, and reduce health disparities of services. The new initiatives prompted deployment of electronic record-keeping, hardware, and software technology nationwide. Professionals who have already experienced EMR and radiology system integration have concluded that the work that has to be accomplished is much more remarkable than authorities and other stakeholders presumed. The specific problem is that there are influential factors, such as technology vulnerabilities and compliance risks, associated with deploying an integrated healthcare record. The purpose of this qualitative Delphi study with 3 survey rounds for consensus explores the influences a deployment of a national electronic health record system may have on hospital information and radiology systems integration in a hospital setting. The research material collected could certainly assist with developing health care information system theories and future projections for EHR, EMR, and radiology systems integration. The study provides a list of factors, barriers, and adoption influences. Overall the implications suggest when health information systems and processes fail, tremendous burdens are placed on the institutions. The findings may be of interest to the radiographic imaging society, particularly radiology hospital information systems division leaders, frontline informatics imaging staff, and health care information system analysts and administrators.
Dedication: 
I dedicate my dissertation study and diploma to my husband Alvin Rembert, my beacons of; love, hope, endurance, promise, patience and immeasurable understanding. Alvin your unrelenting words of encouragement through many opaque days kept me focused and determined to complete this journey…Babe I love you with all my heart, this one is for you!
Acknowledgements: 
Jehovah GOD, first and foremost, I thank you for providing me with love, strength, faith, and endurance during this challenging time in my life. I am thankful for the cooperation and encouragement of a significant number of individuals that I wish to recognize. First my committee members, my chair, Dr. Stacy Mulder who supported and guided me in this journey, reviewing my work and encouraging my progress. Thank you for being such a wonderful mentor throughout my doctoral journey. Dr. Wangemann I will never forget our time together in Year One Residency, especially the closing day reflecting on why we selected a particular coin. Your calm words of wisdom and support during residency provided a strong foundation. Dr. Lawrence you have been a wonderful critic regarding quality and helping me to stay on course. To my two daughters Shakia Denique and Micah Janique, I love you more than life; you have supported me through school during your entire life in countless ways. I ask that you continue to persevere only you have the will to make your dreams come true. To my granddaughter, the medicine of my heart, Lyric Dekai you can achieve any goal you set when you put GOD first. Lei as you continue in life always remember what affects you will most definitely affect your family because of our deep love for you. Boshia of the Harbor, our Maltese always right there by my side, I am grateful for her protection, a working doorbell and alarm during intense times of study. To my sisters Cherry Moragne, Monica Goodwin and Denise Johnson, sisters-in laws Brenda Foster and Janet Washington, I thank you for your infinite wisdom, neverending support, and your invaluable love. To Karen Wilson, Francine Prince, Lillian Bush, and Kathy Boston, nieces, nephews, family and friends who no doubt felt ignored or neglected from time to time, it has been a long but enduring road for all of us, thank you for standing by me. To my spiritual father James W. Bush, my Delran sisters Joyce Brown and Vivian “Pepper” Jones thank you for looking out for my spiritual welfare during exasperating times. Eric Q. Brown, Eric Richardson and Debra Grandy thank you for your unconditional love, your continued support with supplying the missing pieces to the so many puzzles when we worked together as a team and even now providing support with this goal, there are no words describing how grateful I am to have you in my life. Thank you cousins Geraldine Miles and Corrine Miles Brisbon, for your strong family roots, taking care of my Mom, and for helping me to make this journey bearable…I love you with all my heart. In memory of yesterday, I thank GOD for my dad Shelton Jones who guided me intellectually and with his wisdom, love and laughter. To my mom, Catherine Jones a victim to Alzheimer’s disease, diagnosed shortly after I set out to complete this goal…I love you with all my heart I know somewhere in your mind and most definitely in your heart you are “Still Cassie.” In remembrance of my grandmother, I carry you in my heart, you taught me to be grateful for my opportunities, be humble for my accomplishments, to put GOD first in my life, and to be thankful for the blessings granted. My grandmother taught me how to be a lady, to be discipline, and to have determination. My Na Na mounted in my mind and heart that dedication would take me far in life. I often reflect on her reminder, “Only the Strong Survive.” I am who I am today because of Victoria Miles Wooden.