Driving question: What are the issues and challenges in implementing electronic medical record in primary health care

1. Issues and Challenges in
Implementing
Electronic Medical Record

2. acceptability
Security

3. • Status of the existing medical record
• Acceptability
• Financial capability/ Investment
• Heterogeneity of users
• Functionality of EMR
• Security and Confidentiality

4. Status of the existing medical record
• Evaluate existing medical record/ system
• How far it is from the EMR you like to use?
• What are the factors you want to include in
the EMR?
• By knowing the existing medical record, one
will know how complicated or how simple the
EMR to developed

5. Acceptability
• Healthcare providers and end users = health
information collectors
• Issues with acceptability
– Resistance from health information providers
• Make the numerous benefits of EMR known to them
– Lack of technology literacy
• Training/ workshop to increase literacy
• “Help” function and easy troubleshooting

6. Financial capability/ Investment
• Initial investment may be huge but the
possible return is even higher
• Efficient EMR = efficient healthcare service =
higher profit
• Possible points for expenses
– System and database design and development
– Infrastructure (software and hardware and
connectivity)
– Human resource training

7. Heterogeneity of users
– Integration of end users into one EMR is a major
concern
• EMR end users
– Doctors (include different specialties)
– Nurses and paramedics
– Pharmacy
– Billing
– Admissions and Discharges
– Laboratory and radiology

8. Functionality of EMR
• Multiple end users = multiple functionalities
• Every aspect of the system must be included
in EMR
• Medical, Nursing and paramedical
• Billing
• Admission and Discharges
• Laboratory and Radiology
• Pharmacy

9. Security and Confidentiality
• Limited technology literacy = feeling of
possible data breach
• Ideal EMR must have multiple layers of
security without compromising free
movement of data to and from concerned
healthcare providers