Physicians' Meaningful Use of Electronic Health Records: A Transcendental Phenomenological Studyl

Physicians' Meaningful Use of Electronic Health Records: A Transcendental Phenomenological Studyl

Author: 
Godyson Orji
Program of study: 
D.H.A.
Abstract: 
Despite incentives of the Health Information Technology for Economic and Clinical Health Act to private practice physicians for the acceleration and meaningful use of Electronic Health Records (EHR), only 12% of physicians in the United States meaningfully use EHR. The purpose of the qualitative transcendental phenomenological study was to investigate physicians’ lived experience with the meaningful use of EHR in private medical practices. The central research questions pertained to physicians’ lived experiences and challenges with processes, procedures, and adaptive strategies pertaining to meaningful use of EHR. Thirteen physicians in private practice within New Jersey participated in interviews about their experiences with EHR in their practices. Moustakas’ modified Van Kaam phenomenological method of data analysis led to six major themes. The first theme pertained to disappointment with the lack of interconnectivity and compatibility. The second theme was about costs from system upgrades, staffing needs, and reduced revenues. The third theme stemmed from physicians’ reports of the excessive time investment of doctors and staff in EHR and meaningful use processes. The fourth theme pertained to unreasonable or irrelevant meaningful use criteria. The fifth theme stemmed from physicians’ concerns about their demographic data collection for population medicine. The sixth theme was about how EHR provides streamlined, organized recordkeeping. Discussion of these findings occurred in light of the conceptual framework encompassing the Technology Acceptance Model and Diffusion of Innovation theory. The study culminated in recommendations for leadership and suggestions for future research.
Dedication: 
This dissertation is firstly dedicated to the LORD and Maker of Heaven and Earth (Eternal Creator and GOD of all flesh), who sustained and has always helped me navigate through the various turbulent storms of life. For in him (GOD) I live, move, and have my being. The totality of my life depends on him; for without him, I am nothing. Secondly, I dedicate this work to anyone who has been stigmatized as a child, looked down on, or told by family members that they will never make it in life. The LORD turned those childhood scorns I faced into a propelling and burning desire that made me set my least educational attainment to be a doctorate degree. Thirdly, I dedicate this work to my mom Charity Orji and my wife Catherine Orji; who made great sacrifices at various important stages of my academic pursuit.
Acknowledgements: 
My first acknowledgement and gratitude goes to Dr. Susan Mandel, my dissertation chair, and committee members, Dr. Heather Allen, and Dr. Macharia Waruingi for accepting to mentor and guide me through this aspect of my lifelong learning journey. Thank you Dr. Susan Mandel for your immersed and cherished contributions towards my doctoral degree. Your candid advice improved my understanding, inspired me, and increased my knowledge. Thank you Dr. Susan Mandel, Dr. Heather Allen, and Dr. Macharia Waruingi for your inestimable guidance, feedback, support, and assistance that always set me on the right track. Secondly, I want to acknowledge Dr. Diane Nixon for her remarkable suggestions and counsel. Dr. Diane Nixon, thank you for giving me hope and great encouragement when I needed it most. Your suggestions were very insightful and gave me the opportunity to explore and improve in my academic pursuit. I acknowledge and thank all study participants who shared their lived experiences on EHR meaningful use. My appreciation also goes to Pastor Anthony Storino, Pastor Carol Storino, church brethren, Amata and her husband, and my wife Catherine Orji who have always stood in the gap to pray for my academic success. My sincere gratitude also goes to my parents Mr. Kenneth Orji and Mrs. Charity Orji, younger brother Hope Orji, and all those who have prayed and supported me, spiritually and morally. Above all, my heart felt gratitude and acknowledgement goes to my father and GOD who have always seen me through every challenge and trial of this life. God gave me the passion and opportunity to serve and honor him wholeheartedly in all I do.