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EMR Implementation Considerations Slides
EMR Implementation Considerations Slides
EMR Implementation Considerations Slides
EMR Implementation Considerations Slides
EMR Implementation Considerations Slides
EMR Implementation Considerations Slides
EMR Implementation Considerations Slides
EMR Implementation Considerations Slides
EMR Implementation Considerations Slides
EMR Implementation Considerations Slides
EMR Implementation Considerations Slides
EMR Implementation Considerations Slides
EMR Implementation Considerations Slides
EMR Implementation Considerations Slides
EMR Implementation Considerations Slides
EMR Implementation Considerations Slides
EMR Implementation Considerations Slides
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EMR Implementation Considerations Slides

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This HIBBS presentation provides background on how to assess the value of a medical informatics solution, explains implementation issues with regard to rolling out any type of electronic medical …

This HIBBS presentation provides background on how to assess the value of a medical informatics solution, explains implementation issues with regard to rolling out any type of electronic medical record system, and mentions points that will help ensure the successful implementation of a medical informatics solution.

Learning Objectives:

Assess the value of a medical informatics solution
Be aware of issues associated with the rolling out of any type of electronic medical record system
Explain what is necessary for a successful implementation of a medical informatics solution

Published in: Education, Technology, Business
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  • 1. EMR Implementation Considerations Y. SINGH NELSON R. MANDELA SCHOOL OF MEDICINE DEPARTMENT OF TELEHEALTH SINGHY@UKZN.AC.ZA HIBBs is a program of the Global Health Informatics PartnershipContent licensed under Creative Commons Attribution-Share Alike 3.0Unported
  • 2. Learning Objectives To give you an idea of how to assess the value of a medical informatics solution Make you aware of some of the questions you need to ask before rolling out any type of electronic medical record system Points that will help ensure the successful implementation of an medical informatics solution
  • 3. An Example Information systems too manage medical information is beneficial Peter Littlejohns BMJ 2003;326;860-863 Three quarters of information systems fail Limpopo Province IBM 134 million rands
  • 4. Why do EMRS Fail Poor communication Developers unaware of the environment No change management in place Perceptions (resistance to change) No support from government To high expectations
  • 5. Essential Considerations Needs assessment Design Testing Implementation Functionality
  • 6. Needs Assessment Most important part  directly results in success or failure High end and sophisticated technology is not always the correct solution Where are the developers from Workflow Analysis Actual vs perceived benefit Collecting data without analysis or using it, is not beneficial to you
  • 7. Design Ensure that you are fully involved Remember … you need to tell the developer what you want Insist that the developer uses the spiral development model Must take into account the environment Flexible
  • 8. Testing Testing must not be done in a lab Have a trial run of the system in the actual environment with the full participation of the developers Independent evaluator
  • 9. System Functionality Comprehensiveness of information  Does the system capture and store all the necessary information Degree of structure of data  Retrieval and analysis of the data Ubiquity of access  Multiple read privileges
  • 10. System Functionality Backups  How are they done  How often are they done  Where is it stored What happens if the system fails  Second system with essential functionality  Paper based batch entry back-up Ease of use and flexibility
  • 11. System Functionality Efficiency Robustness Add benefit to the clinical environment Security  Confidentiality  Integrity  Privacy
  • 12. System Selection Open source vs. commercial systems Actual costs Available support Small print
  • 13. Implementation Phased rollout Training User support Finding champions Creating super users Celebrating successes and learning from mistakes Adequate budget
  • 14. Ask Questions“Studies have shown that holding andcaressing animals can dramaticallyspeed a person’s recovery”
  • 15. Important Questions Is there clinical need for the system? Do all the components function? correctly Is it reliable? Is it accurate? Is it fast and accurate? Is the system well built? Are people likely to use it?
  • 16. More Important Questions Which parts cause what effect? How can it be maintained? How can it be improved? Is the interface intuitive and easy to use? Does it communicate effectively with other components/hospital systems? Is it robust?
  • 17. Thank You HIBBs is a program of the Global Health Informatics Partnership www.ghip.netThe work is provided under the terms of this Creative Commons Public License (“CCPL" or "license"). The work is protected by copyright and/or other applicable law. Any use of the work other than as authorized under this license or copyright law is prohibited.

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