While most hospitals and outpatient clinics have made the transition to electronic health records (EHRs), this is not the case for public health departments. Public health departments, which are charged with promoting health and preventing illness for all people with relatively small budgets per capita, are actively seeking (and struggling) to adopt EHRs while faced with a variety of information management and technology adoption challenges. There is a dearth of empirical guidance from real-world studies of public health EHR adoption. Our article presents the first longitudinal analyses of an electronic health record (EHR) implementation across a large public health department and illuminates recommendations to improve the EHR adoption process.
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