HIS EHR Assessment Framework has come out of my doing HIS EHR Assessments again and again over the past 2 decades across North America, Germany, GCC, Indonesia and India. It is a Heuristic check that tells me the breadth and depth of the HIS EHR system in question. I have Excel checklists to support this framework. Though it is not an exhaustive checklist covering everything out there in the field of HIS EHR. Sharing it here for my fellows. Feel free to use it. Just pass the credits back to me with every use. Give me feedback to enhance and improve it further. Knowledge is the only form of power that grows by using it.

1. HIS EHR
Assessment Framework
Visit Schedule
Dec, 2017
Contact:
sales@taurusglocal.net
drgupta@taurusglocal.com
Website:
www.taurusglocal.com

2. 2
Agenda
1 Assessment framework
2 Visit schedule

3. 3
In order to properly evaluate XXXXX, we have developed a
comprehensive assessment framework
Assessment framework
1
2
3
4
Implementation
& support
Technical
architecture
& design
Functional
richness
User
interface
XXXXX
Assessment framework

4. 4
We will conduct a functions analysis and deep dive into selected
core topics
Assessment framework
Assessment framework
1
2
3
4
Implementation
& support
Technical
architecture
& design
Functional
richness
User
interface
Topics
Emergency
room
Intensive care
unit
OR
management
Laboratory
information
system
Blood bank
Appointment
& scheduling
of outpatient
Billing
Radiology
information
system
Dialysis
Inpatient
admission,
discharge,
transfer
Nursing and
ward
management
Pharmacy &
inventory
Physiotherapy
Doctor
consultation /
generic EMR
1 2 3
4 5 6
7 8 9
10 11 12
13 14
Deep dive
assessment

5. 5
During our visit we will analyze on the main functional areas of the
hospital information systems
Assessment Plan
Hospital
Informatio
n System
OPD, Orders,
Nursing
Workbench
Laboratory,
Blood Bank
Radiology,
Imaging
Pharmacy
and Material
Management
Billing and
Claims
ER,
OR,
ICU

6. 6
Functional analysis key areas (1/4)
Assessment framework
Functional
topics
Appointment &
scheduling of
outpatient
Doctor
consultation /
generic EMR
Inpatient
admission,
discharge, transfer
1 2 3
Laboratory
information
system
4
 Appointments
 Outpatient
billing
 Outpatient
triage
 Queue
management
 Registration
 Scheduling
 Visit
management
 Admission
 Admission
discharge
transfer
 Bed booking
 Bed
management
 Housekeeping
 IP billing
 Pre-admission
 Registration
 Allergy
management
 Audit trail
 Communicatio
n
 Confidentiality
 Medication
management
 Order tracking
 Vitals charting
 Medication
management
 Dashboards
 Clinical trails
 External
samples
 Order
management
 Pre-analytical
 Report
management
 Sample
management
 Results &
verification
Key
areas*

7. 7
Functional analysis key areas (2/4)
Assessment framework
Radiology
information
system
5
 Exam
management
 Outsourcing
 PACS
integration
 Radiology
reception
 Reporting
activities
 Scheduling
Pharmacy &
inventory
DialysisBlood bank
6 7 8
 Goods received
notes
 Internal store
activities
 IP Activities
 OP Activities
 Return to
vendor
 Store
management
 Vendor rating
 Antibody
screening
 Blood
administration
 Blood product
issues
 Donor activities
 Disposal of
blood bag
 Return of
blood bags
 Patient
condition
 Dialysis
requests
 Dialysis
progress
Functional
topics
Key
areas*

8. 8
Functional analysis key areas (3/4)
Assessment framework
Physiotherapy
9
OR & theatre
management
10
 Appointments
 Patient
condition
 Treatment
 Surgery
management
 Theatre
activities
 OT Stores
Billing
Nursing and
ward
management
11 12
 ER billing
 IP billing
 OP Billing
 General billing
 Nurse
administrative
activities
 Nursing
activities/patie
nt care
activities
 Ordering
activities
 Tracking
 Ward
management
Functional
topics
Key
areas*

9. 9
Functional analysis key areas (4/4)
Assessment framework
Emergency room
13
Intensive care
unit
14
 Patient arrival
 Registration
 Admission
 Triage
 Bed
management
 Discharge
 Care
management
 Care
management
 Clinical
documentation
 Devices
 Patient result
management
 Research
Functional
topics
Key
areas*

10. 10
Our technical assessment will focus on 8 main topics
Assessment framework
Assessment framework
1
2
3
4
Implementation
& support
Technical
architecture
& design
Functional
richness
User
interface
Topics
Data privacy
Standard value
sets
Architecture
Modularity
Reporting
Security
Data & Meta
data
Scalability
1 2 3
4 5 6
7 8

11. 11
Technical analysis key areas (1/2)
Assessment framework
Architecture ScalabilitySecurity
1 2 3
Data privacy
 Design and
configuration
 Programming
&
communication
s
 Languages
 System
flexibility
 Interfaces
 Hardware
 Monitoring
tools
 Overall security
 Users and
profiles
 Control
 Operations
 Performance
metrics
 Transaction
recovery
 Administrative,
Functional &
geographic
scalability
 Load, generation
&
heterogeneous
scalability
 Role based
access
 Data locking
 Password
protection
 Field based
access rights
 Protected
health
information
4
Technical
topics
Key
areas*

12. 12
Technical analysis key areas (2/2)
Assessment framework
Data & Meta
data
6
 Data entry
 Data quality
 System data
load
 Unique
identifiers
Standard value
sets
7 8
 Data
definitions
 Local standards
 Global
standards
 Diagnosis
standards
 Procedure
standards
 Code sets
Reporting
 Static reporting
 Dynamic
reporting
 Programming/
SQL reporting
 Graphical
representations
 Dashboard
Modularity
5
 Components
 Module
Integration
 Module
functionality
 Module
completeness
Technical
topics
Key
areas*

13. 13
Our user interface assessment will focus on system usability
Assessment framework
Assessment framework
1
2
3
4
Implementation
& support
Technical
architecture
& design
Functional
richness
User
interface
Topics
Usability
1

14. 14
User interface key areas
Assessment framework
Usability
1
 Clarity
 Flexibility
 Consistency
 Intuitiveness
 Logic grouping
 Personalization
 Visual
hierarchy
User interface
topics
Key
areas*

15. 15
Implementation & support assessment will focus on three main
topics
Assessment framework
Assessment framework
1
2
3
4
Implementation
& support
Technical
architecture
& design
Functional
richness
User
interface
Topics
People Process Technology
1 2 3

16. 16
Implementation & support analysis key areas
Assessment framework
Process
2
 Documentation
 Process maps/
Use cases
 Knowledge
transfer
methodology
 Service level
agreements
People
1
 Seniority
 Techno-
functional
skillset of staff
 Call center
support staff
Technology
 Customization
gaps
 Configuration
gaps
 Call center
systems
 Testing
systems
 Future
extension/
add-on
capability
3Implementation
& support
topics
Key
areas*

17. Thanks!
Contact:
sales@taurusglocal.net
drgupta@taurusglocal.com
Website:
www.taurusglocal.com