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Table 4 Values of and barriers to EHR use

From: 'To take care of the patients': Qualitative analysis of Veterans Health Administration personnel experiences with a clinical informatics system

Valued attributes and functions of the EHR

Barriers and concerns about use of the EHR

Time: Asynchronous communication allows VA personnel to send and receive information at a time convenient for them

Time: time required to complete reminders

Documentation: Support for appropriate documentation

Impersonality: with colleagues--inappropriate conversations becoming part of medical record

Communication: Can easily alert other providers about a patient's status

Impersonality: with colleagues--trust

Quality of care: Reminders prompt providers to initiate important conversations

Impersonality: with patients

Quality of care: Structured consults and reminders provide guidance to providers about evidence-based priorities

Systems issues: reminders are a first step in a process of evidence-based care but are not the complete process