Working Paper Article Version 1 This version is not peer-reviewed

Implementing an Electronic Health Record System at a Private Hospital in Nepal

Version 1 : Received: 4 October 2019 / Approved: 14 October 2019 / Online: 14 October 2019 (10:38:53 CEST)

How to cite: Paudyal, S. Implementing an Electronic Health Record System at a Private Hospital in Nepal. Preprints 2019, 2019100158 Paudyal, S. Implementing an Electronic Health Record System at a Private Hospital in Nepal. Preprints 2019, 2019100158

Abstract

The purpose of this article is to review a two year long implementation of an electronic health record (EHR) system at the outpatient department of a private hospital in Kathmandu, possibly a first implementation of its kind in Nepal. Procedures: The strategy designed for EHR implementation was based on Professor John P. Kotter's work on successful change management. Main findings: We found that keeping a close watch on the social dynamics affecting adoption decisions among users of the system was crucial for implementing the EHR; this was partly because the project received limited support from an erratically changing hospital leadership and lacked an EHR system suited to the needs of the users. Conclusions: The implementation described in this article is a good lesson on moving from control to drift in information systems implementation, and we hope this work will be useful to health IT professionals working in the space of digital transformation in resource-constrained environments.

Subject Areas

Health information technology in Nepal

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