Date of Award



© 2022 Jeffrey L. Brown

Document Type


Degree Name

Doctor of Education (EdD)



First Advisor

Ella Benson

Second Advisor

Ian Menchini

Third Advisor

Dan Feinberg


Electronic medical record systems (EMRs) were quickly adopted by ambulatory care practices due to federal government programs encouraging their rapid adoption and implementation. The accelerated implementation and adoption of these digital care systems introduced new forms of administrative burdens that have become negatively associated with the practice of medicine. Research regarding the challenges related to implementing and adopting EMR systems has been abundant. However, there is little research on EMR optimization strategies within ambulatory practice settings. This qualitative phenomenological study explored the lived experiences of ambulatory practice leaders and the strategies they used to optimize EMR systems. The data collected for this study included individual semi-structured interviews with senior leaders throughout a multi-site ambulatory practice in the northeastern United States. Kotter’s (1996) eight-step process for leading change served as the conceptual framework for this research study. The findings revealed several themes and subthemes associated with ambulatory practice leaders and their strategies to optimize EMR systems. This study supported various concepts in leading change that can potentially offer more effective strategies ambulatory practice leaders can use to optimize EMR systems.


Ed.D. Dissertation

Available for download on Saturday, October 12, 2024