Assessing differences between realized and anticipated gains from Electronic Health Record adoption

Lori T. Peterson, John Eberhardt, Eric W. Ford, Timothy R. Huerta

Research output: Chapter in Book/Report/Conference proceedingConference contribution


Background: Return on investment (ROI) concerns related to Electronic Health Records (EHRs) are a major barrier to the technology's adoption. Physicians generally rely upon early adopters to vet new technologies prior to putting them into widespread use. Therefore, early adopters' experiences with EHRs play a major role in determining future adoption patterns. Objective: The paper's purposes are: 1) to map the EHR Value Streams that define the ROI calculation; and 2) to compare Current Users' and Intended Adopters' perceived Value Streams to identify similarities, differences and governing constructs. Data Source: Primary data collected by the Texas Medical Association, which surveyed 1,772 physicians on their use and perceptions of practice gains from EHR adoption. Methods: Using Bayesian Belief Network Modeling, Value Streams are constructed for both current EHR users and Intended Adopters. Principal Findings: Current Users and Intended Adopters differ significantly in their perceptions of the EHR Value Stream. Intended Adopters' Value Stream displays complex relationships among the potential gains compared to the simpler, linear relationship that Current Users identified. The Current Users identify "Reduced Medical Records Costs" as the gain that governs the Value Stream while Intended Adopters believe "Reduced Charge Capture Costs" define the Value Stream's starting point. Conclusions: Current Users' versus Intended Adopters' assessments of EHR benefits differ significantly and qualitatively from one another. Accelerating EHR adoption requires the realized gains of Current Users be clearly mapped for potential adopters to evaluate in comparison to their anticipated gains.

Original languageEnglish (US)
Title of host publicationAcademy of Management 2009 Annual Meeting: Green Management Matters, AOM 2009
StatePublished - 2009
Externally publishedYes
Event69th Annual Meeting of the Academy of Management, AOM 2009 - Chicago, IL, United States
Duration: Aug 7 2009Aug 11 2009


Other69th Annual Meeting of the Academy of Management, AOM 2009
Country/TerritoryUnited States
CityChicago, IL


  • Bayesian belief network model
  • Electronic Health Records
  • Value stream

ASJC Scopus subject areas

  • Management Information Systems
  • Management of Technology and Innovation
  • Industrial relations


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