I had not been in the hospital during implementation though I assumed that the hospital board did not complete ADKAR model. Some high-level staff did not aware whether EMR in the hospital can reduce the redundancy of the work. They did not have an appropriate orientation to guide all staff to the new EMR system hence most of them did not aware why they need to use EMR. Some of the staff did not want to adapt to a new system. Even those who understood and want to be a part of a new system, they did not clearly perceive the new EMR system. Furthermore, a small group of staff that received the training merely knew the software well enough and could use it properly. An only reinforcement which is beyond the hospital level is the insurance claim. An IT staff need to fill in the standard data table and submit the EMR for insurance claiming every month.