An Institutional Theory Perspective on EHR Engagement: Mandates, Penalties, and Enforcement

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dc.contributor.authorKeith, Mark
dc.contributor.authorStewart, Elina
dc.contributor.authorStewart, Tevin
dc.contributor.authorJosephson, Mitchell
dc.contributor.authorCash, Bob
dc.contributor.authorBice, Connor
dc.date.accessioned2021-12-24T17:53:53Z
dc.date.available2021-12-24T17:53:53Z
dc.date.issued2022-01-04
dc.description.abstractElectronic Health Record (EHR) systems are the predominant information system (IS) used by healthcare clinicians and have been the source of both great success and pain. User engagement with EHR systems is unique from traditional IS contexts in significant ways. Prior research explains EHR usage and success primarily on traditional technology acceptance research (i.e., TAM, UTAUT). However, these models assume that EHR engagement is no different from IS systems in general business domains. Yet, the healthcare context is far more regulated than most. Based on qualitative focus group sessions with a leading healthcare analytics firm (KLAS Research), we identify the role of mandates, penalties, and enforcements from government, organizations, associations, and insurance companies in explaining EHR engagement. We validate a measurement instrument for these factors and demonstrate that their inclusion can improve model fit five times over a traditional UTAUT-based model (R2 = 54.8% versus 10.2%).
dc.format.extent10 pages
dc.identifier.doi10.24251/HICSS.2022.475
dc.identifier.isbn978-0-9981331-5-7
dc.identifier.urihttp://hdl.handle.net/10125/79811
dc.language.isoeng
dc.relation.ispartofProceedings of the 55th Hawaii International Conference on System Sciences
dc.rightsAttribution-NonCommercial-NoDerivatives 4.0 International
dc.rights.urihttps://creativecommons.org/licenses/by-nc-nd/4.0/
dc.subjectIT Adoption, Diffusion, and Evaluation in Healthcare
dc.subjectadoption
dc.subjectehr
dc.subjectelectronic health records
dc.subjectengagement
dc.subjectinstitution theory
dc.titleAn Institutional Theory Perspective on EHR Engagement: Mandates, Penalties, and Enforcement
dc.type.dcmitext

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