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 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

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EMR Implementation Considerations Slides

  1. 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. 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. 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. 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. 5. Essential Considerations Needs assessment Design Testing Implementation Functionality
  6. 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. 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. 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. 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. 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. 11. System Functionality Efficiency Robustness Add benefit to the clinical environment Security  Confidentiality  Integrity  Privacy
  12. 12. System Selection Open source vs. commercial systems Actual costs Available support Small print
  13. 13. Implementation Phased rollout Training User support Finding champions Creating super users Celebrating successes and learning from mistakes Adequate budget
  14. 14. Ask Questions“Studies have shown that holding andcaressing animals can dramaticallyspeed a person’s recovery”
  15. 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. 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. 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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