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First published February 28, 2008 as JAMIA PrePrint; doi:10.1197/jamia.M2584
Journal of the American Medical Informatics Association 2008;15(3):297-301
© 2008 American Medical Informatics Association

A more recent version of this article appeared on May 1, 2008
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Submitted on August 6, 2007
Accepted on January 14, 2008

Formative Evaluation: A Critical Component in EHR Implementation

Julie J. McGowan PhD, MS, MLS1*, Caitlin M. Cusack MD, MPH2, and Eric G. Poon MD, MPH3

Affiliation of the authors: 1 Indiana University School of Medicine, Regenstrief Institute, Inc., Indianapolis, IN ; 2 Center for Information Technology Leadership (CITL), Partners Healthcare System, Charlestown, MA; Harvard Medical School, Boston, MA ; 3 Brigham and Women's Hospital, Boston, MA; Harvard Medical School, Boston, MA

* To whom correspondence should be addressed.

This Viewpoint paper has grown out of a presentation at the American College of Medical Informatics 2007 Winter Symposium, the resulting discussion, and several activities that have coalesced around an issue that most informaticians accept as true but is not commonly considered during the implementation of Electronic Health Records (EHR) outside of academia or research institutions. Successful EHR implementation is facilitated and sometimes determined by formative evaluation, usually focusing on process rather than outcomes. With greater federal funding for the implementation of electronic health record systems in health care organizations unfamiliar with research protocols, the need for formative evaluation assistance is growing. Such assistance, in the form of tools and protocols necessary to do formative evaluation and resulting in successful EHR implementations, should be provided by practicing medical informaticians.




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