Understanding Sophistication in the Context of Electronic Medical Record Systems

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dc.contributor.advisor G. David Garson, Committee Chair en_US
dc.contributor.author Shea, Christopher Michael en_US
dc.date.accessioned 2010-04-02T19:19:17Z
dc.date.available 2010-04-02T19:19:17Z
dc.date.issued 2008-12-01 en_US
dc.identifier.other etd-09262008-111907 en_US
dc.identifier.uri http://www.lib.ncsu.edu/resolver/1840.16/5750
dc.description.abstract The purpose of this study is to further understanding about the state of electronic medical record (EMR) systems in U.S. hospitals. Specifically, the study addresses the following questions: (1) How can sophistication be measured in the context of EMR systems in U.S. hospitals? (2) Is the sophistication level of EMR systems associated with specific information system leadership structures, planning practices, or strategies? A stage model of EMR sophistication was tested using Guttman scaling techniques and was found not to be a valid characterization of EMR systems. Therefore, using latent class analysis, a three-class model was identified, categorizing EMR system sophistication into basic, intermediate, and advanced systems. Logistic regression procedures were used to identify whether specific organizational variables correlate to EMR class membership. These variables measured delivery system capacity, hospital capacity, information system leadership structure, and information system planning practices and strategies. Multinomial logistic regression results suggest that the best predictors of EMR sophistication are the size of the delivery system, having a disaster recovery backup facility for information systems, and pursuing a best-of-suite vendor selection strategy. en_US
dc.rights I hereby certify that, if appropriate, I have obtained and attached hereto a written permission statement from the owner(s) of each third party copyrighted matter to be included in my thesis, dis sertation, or project report, allowing distribution as specified below. I certify that the version I submitted is the same as that approved by my advisory committee. I hereby grant to NC State University or its agents the non-exclusive license to archive and make accessible, under the conditions specified below, my thesis, dissertation, or project report in whole or in part in all forms of media, now or hereafter known. I retain all other ownership rights to the copyright of the thesis, dissertation or project report. I also retain the right to use in future works (such as articles or books) all or part of this thesis, dissertation, or project report. en_US
dc.subject electronic medical record en_US
dc.subject information systems en_US
dc.title Understanding Sophistication in the Context of Electronic Medical Record Systems en_US
dc.degree.name PhD en_US
dc.degree.level dissertation en_US
dc.degree.discipline Public Administration en_US

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