What are the issues and challenges in implementing electronic health records in primary care?

1. Week 8: Electronic Health
Records: Issues and Challenges
What are the issues and challenges in
implementing electronic health
records in primary care?

2. HIS Sustainability – Week 4
What are the challenges of sustainability for health
information systems in developing countries?

3. Electronic Health Records
• The electronic health record includes all
information contained in a traditional health
record including a patient’s health profile,
behavioural and environmental information.
As well as content the EHR also includes the
dimension of time, which allows for the
inclusion of information across multiple
episodes and providers, which will ultimately
evolve into a lifetime record (Mon, 2004,
Amatayakul, 2004).

4. Primary Health Care
• In the Philippines’ Public Health, Primary
Health Care are catered in Rural Health
Centers and Baranggay Health Stations

5. Predeployment
• What is EMR going to be used?
– Does it follow standards?
• Costing
• Stakeholders – who are the members of the project
management team?
• Thorough needs assessment
– Workflow analysis
• Capacity of the end users to use the technology
• Capacity Building
– Concerns privacy and confidentiality
• Development of policies for the use of the EMR for the
whole organization

6. Deployment
• Technical Support
• Adaption and behavioral change on the end users
• Management Change for management and mid
management level position
– Development of policies for the use of the EMR for each
facility
• Man and machine ratio
• Ethical and Legal
• Use of the EMR
• Environment issues – flood, appropriate temperature
for the machines to work, physical security of the
machines, security of the database in any case

7. Post deployment
M and E
• UTAUT

8. Post deployment
Data Demand and Use (USAID)
• Awareness of the importance of data in
decision making
• Role of Leaders in promoting data use
• Capacity of the team to demand and use data
• Promotion and Sustaining the DDU through
HIS (HER)
• Plan to overcome data use