Evaluation of the Electronic Health Record (EHR) system used in the Northwest Territories

Regions: Inuvialuit Settlement Region, Gwich'in Settlement Area, Sahtu Settlement Area, Dehcho Region, North Slave Region, South Slave Region

Tags: health, health care evaluation, electronic health record, patient care

Principal Investigator: Kuhn, Karen (3)
Licence Number: 15209
Organization: University of Bath
Licenced Year(s): 2013 2012 2011
Issued: Mar 08, 2013

Objective(s): To conduct an evaluation of the HealthNet EHR implementation in the NWT to assess the impact on patient care and resource utilization as well as gather lessons learned that may be used to inform other clinical systems implementations.

Project Description: The overall aim of this research project is to conduct an evaluation of the HealthNet Electronic Health Record (EHR) implementation in the NWT to assess the impact on patient care and resource utilization as well as gather lessons learned that may be used to inform other clinical systems implementations.

Since the research protocol and ethics applications were approved, the Department of Health and Social Services (DHSS) has initiated a Case Study project with Canada Health Infoway. The establishment of that DHSS/Infoway project has required modifications to this Research project in order to eliminate duplication between the two projects.

This Research project will employ a quantitative approach for data collection, analysis and interpretation. Due to limited data availability, the project is primarily a subjective evaluation gathering the system user’s perceived impact of HealthNet through surveys using the Canada Health Infoway System and Use (S&U) on-line survey tool. In addition, objective data on the actual system usage will be collected from the system logs that record user events such as logging into the system and accessing data/screens.

Due to data availability, it is not feasible to gather objective measures to assess the impact to patient care or clinical outcomes such as the reducing duplicate testing, length of stay, or readmission rates. Also the qualitative data collection method via interviews has been removed from this research project. Interviews with end users and key informants will be conducted by the DHSS and Infoway and will not be used as part of this Research project.

The NWT Department of Health and Social Services is involved in the project. The findings from the evaluation will be used to resolve any issues that may be impacting clinician adoption as well as look for opportunities to optimize the electronic health record system to support patient care in the NWT.

The DHSS has requested a copy of the researchers’ dissertation report that will be submitted to the University of Bath.




The fieldwork for this study will be conducted from February 28, 2013 to March 31, 2013.