Hi @Registered Member, so good to see you are linking beyond one organization, critical and dare I say chronic problem for decades despite all of the whole system attempts to change .... implement.
- Maybe you have seen this report out of Vancouver, but I think it helps lay out the general principles and lay of the land of cooperation, though I know you are looking for EHR specific.
- As I am sure most of us believe, EHR simply has its place in the idea of humans and organizations cooperating and what I would say are mixed blessings - possibilities and barriers and often, counter productivity of EHR systems.
Anyways here it is. http://apsc-saravyc.sites.olt....ns-ENG-Web-FINAL.pdf
Four organizations partnered to address youth homelessness in Vancouver: Analysis of an intersectoral collaboration
...We analyzed the process by which four organizations in Vancouver collaborated to fill the gaps in services for street-involved youth with mental illness. Our purpose was to identify the components of a successful collaboration to address youth mental health and housing among homeless youth, so that other organizations could draw on this example in building their own collaborations. By understanding how the collaboration occurred, we will be better able to create services that are more inclusive and integrated, and provide better, more comprehensive care for young people with mental health issues. ...
This other paper specifically addresses Electronic Health Record,EHR, quite useful as rigourous and gets into the everyday use - frontline process of EHR.
I think it waves away much of the confusion around EHR in the context you are aiming of using it.
Using information communication technology in models of integrated community-based primary health care: learning from the iCOACH case studies
Carolyn Steele Gray, https://ihpme.utoronto.ca/facu...carolyn-steele-gray/ Jan Barnsley, Dominique Gagnon, Louise Belzile, Tim Kenealy, James Shaw, Nicolette Sheridan, Paul Wankah Nji and Walter P. Wodchis
...the full potential of these systems to support other critical activities of integrated care are not being fully realized, which can be attributable to implementation determinants as depicted in the three narratives presented. We explore these determinants from the perspective of integrated care as examples of a disruptive innovation [53, 54] in the health system, as the model alters the status quo in health care service delivery with an aim of higher quality more efficient care delivery [55, 56]. Where eHealth is argued to be a driver of innovation , our study suggests that technology use in these cases remains limited to old ways of working, often creating process inefficiencies and the need for complex workaround strategies. In effect, providers are following old ways of working rather than leading through the adoption of more innovative uses ICT to support the new models of care. We put forward that the barriers to more innovative adoption of ICT are linked to (1) data access barriers, (2) limited functionality of available technology, and (3) organizational and provider inertia.... ...
see the article here: https://implementationscience....86/s13012-018-0780-3