A study from HIMSS Analytics finds only 60 percent of healthcare organizations have formalized electronic health record governance structures in place, with 63 percent of those structures involving a cross-functional, multi-disciplinary advisory board or committee. In addition, physician/clinician engagement and adoption were seen by respondents as the most significant EHR governance challenges.

EHR governance was defined in the study as "an organizational entity that oversees the use of your EHR solution and the process by which changes can be made to the underlying structure of that solution." The purpose of the study was to examine healthcare organizations that have implemented EHR solutions to discover how they approach EHR governance within their organization.

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