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Case Study: Developing Nursing Partnerships to Support a Successful Electronic Medical Record Implementation

No clinical discipline is untouched by the implementation of an electronic medical record (EMR). Although significant for every discipline, the impact of an EMR implementation for nursing is greater than for most. This article highlights the importance of clinical partnerships and the leadership of the informatics nurse specialists (INSs) in coordinating the nursing contribution for the implementation of an EMR. At this integrated medical center, including a clinic and two large hospitals, the EMR includes a set of unified functions and applications implemented as a multiyear project. Specifically, the EMR functions included nursing documentation including nursing care plans, select multidisciplinary documentation, paper physician orders entered by the health unit coordinator, medications entered into the system by pharmacists and documented by nurses, and EMR viewing tools. It replaced paper medical record forms with computer systems and supported reengineering of the workflow processes needed to access, update, and review the medical record. The scope of this project included hospital-based practices.