The research aim is to contribute to scholarly inquiry on best practices for institutional leaders in health care organizations who are leading improvement work. The goal is to investigate how a specific sustainable continuous improvement methodology--lean management (LM)--is experienced by leaders charged with implementing it to improve health…

Hospitals, clinics, and physicians' offices are being mandated to implement health information technology to support electronic health records or receive reduced government reimbursements for the treatment of Medicare and Medicaid patients. The EHR Medicare and Medicaid Incentive Program, managed by the Centers for Medicare and Medicaid Services,…

Despite huge growth in hospital technology systems, there remains a dearth of literature examining health care administrator's perceptions of the efficacy of interoperable EHR systems. A qualitative research methodology was used in this multiple-case study to investigate the application of diffusion of innovations theory and the technology…

Background: Hospital adoption of health information technology (HIT) systems is promoted as essential to decreasing medical error and their associated 44,000 annual deaths and $17 billion in healthcare costs (Institute of Medicine, 2001; Kohn, Corrigan, & Donaldson, 1999). Leading national healthcare groups, such as the Institute of Medicine,…