A Systematic Framework to Assess EMRs and EHRs

  • Rima Gibbings
  • Nilmini Wickramasinghe
Part of the Healthcare Delivery in the Information Age book series (Healthcare Delivery Inform. Age)


With the development and diffusion of EMRs and EHRs, it is necessary for healthcare providers and hospital executives to have a systematic and efficient way to quickly evaluate different EMRs and EHRs to ensure the one they select is best for their specific needs. This chapter proffers McFarlan’s Strategic Grid as an appropriate tool in this regard and discusses how it could be modified to enable systematic, effective, and efficient assessments of EMRs and EHRs.


EMRs, EHRs, Systematic framework, McFarlan’s strategic grid, EMR/EHR workflow 


  1. Atherton, J. (2011). Development of the electronic health record. AMA Journal of Ethics, 13(3), 186–189.Google Scholar
  2. Camp, C., Smoot, R. L., Kolettis, T. N., Groenewald, C. B., Greenlee, S. M., & Farley, D. R. (2008). Patient records at mayo clinic: Lessons learned from the first 100 patients in Dr Henry S. Plummer’s Dossier Model. Mayo Clinic Proceedings, 83(12), 1396–1399.CrossRefPubMedGoogle Scholar
  3. Capterra. (2015). Capterra Medical Software Blog. Retrieved from
  4. ctsguides. (2016). eClinicalWorks. Retrieved from
  5. Fund, T. C. (2013). U.S. health care from a global perspective spending, use of services, prices, and health in 13 countries. Retrieved from
  6. Gillum, R. F. (2013). From papyrus to the electronic tablet: A brief history of the clinical medical record with lessons for the digital age. The American Journal of Medicine, 126(10), 853–857.CrossRefPubMedGoogle Scholar
  7. Gregg, H. (2014). 10 things to know about epic. Chicago, IL: Becker's Hospital Review. Retrieved from Scholar
  8. Linder, J., Ma, J., Bates, D., Middleton, B., & Stafford, R. (2007). Electronic health record use and the quality of ambulatory care in the United States. Archives of Internal Medicine, 167(13), 1400–1405. Retrieved from Scholar
  9. NexGen Healthcare. (2016). Corporate Fact Sheet. Retrieved from
  10. Parker, S. (n.d.). EHR Vendor. Retrieved from
  11. Post, W. (2004). Text of President Bush’s 2004 State of the Union Address.
  12. Raghupathi, W. (2010). Data mining in health care. In S. Kudyba (Ed.), Healthcare informatics: Improving efficiency and productivity (pp. 211–223). Oxfordshire, UK: Taylor & Francis.CrossRefGoogle Scholar
  13. Shay, R. (2016, January 1). Practice Fusion Blog. Retrieved from
  14. Siegler, E. L. (2010). The evolving medical record. Annals of Internal Medicine, 153(10), 671–677.CrossRefPubMedGoogle Scholar

Copyright information

© Springer International Publishing AG, part of Springer Nature 2018

Authors and Affiliations

  • Rima Gibbings
    • 1
  • Nilmini Wickramasinghe
    • 2
  1. 1.UIC University of Illinois at ChicagoChicagoUSA
  2. 2.Deakin UniversityKew EastAustralia

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