data breach occurs. Besides the threat to privacy concerns, patients have shown stress as they
hardly know the information their doctors put into the system the worry of if their data is private
and what was necessary. Most patients are curious and want to know what the providers include
in their records.
While applying EHR has been associated with easy and effective access to billing
systems, for instance, improving the recognition or identification of clinical problems and
changing of the provider practice has shown a great challenge. Users may find themselves caught
up with workload when the number of patients increases. That means, they have shown
ineffectiveness whereby the users or providers suffer burnout and fatigue. In such instances,
there may be wrong information recording as the providers may be in a hurry to finish their
work. For example, there may be errors in the billing system or filling the patient demographic
credentials like. Computers have been known for autocorrections, and incorrect data may be
computed without the notice or knowledge of the user. Burnout is associated with technical
errors which may result in cases of wrong procedures or any other human errors like
misdiagnoses hence risk to health and lives of the patients. Uses of EHR has been associated
with more cases of technical and human errors as compared to the paper records.
The end-users of the EHR are also faced with the challenge of technical ability. Computer
literacy with the constantly advancing technology has become a significant issue in the
healthcare system. According to Health Resources and Service Administration in U.S
connectivity in the rural settings is difficult which impacts the physicians in such hospitals (Jha
et al. 2010). As a result, a challenge of buy-in, as well as resist to change, may occur where the
providers of the healthcare are not ready to accept the new changes in the system operations.
Some of the providers who have used paper records for long may also show doubt of the

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capability of the EHR system. Due to the technical ability required by the users, training is also
needed for the end-users and personnel to ensure the best usage and practice for all staff
members. Patients should also be oriented about the uses of the EHR system to eliminate the
doubt or worry of their privacy.
Solution
One major solution for the two issues is implementing a staff training and education
program. Before changing policies for instance on the implementation of EHR systems, the
management has to train and educate. Additionally, changing the healthcare facility policies will
improve the buy-in of the EHR system by the administration. This will ensure that there are
adequate resources and competent authority to ensure implementation of the system. The training
should include the policies in the facility, for instance, the security guideline, ways of detecting a
cyber threat, the type of data to be protected and mode of transferring and storing it, password
setting and email guidelines and compliance policies.


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- Spring '17