Call Girls in Hyderabad Lavanya 9907093804 Independent Escort Service Hyderabad
Issues and Challenges in Implementing Electronic Health Record in Primary Care
1. What are the issues and challenges
in implementing electronic health
records in primary care?
2. Clinical Data Entry Issues
Reliability of Data source
Lack of standard terminology
3. Resistance to Computer Technology and
Lack of Computer
Literacy
prefer to write by hand, finding it difficult or
uncomfortable using electronic media.
Lack of computer literacy in medical, nursing and other
health personnel.
Difficult or non-user friendly interface.
4. High Cost of Computers and Computer
Systems and Funding Issues
Perceived high costs of computers and computer systems
and lack of funds for healthcare.
Different funds = different EHR system
5. Concerns raised by providers, patients and
the general community about the privacy,
confidentiality and quality of information
generated
Everyone involved, including the patient, healthcare
professional and the general population, needs reassurance
that all data generated is maintained in a secure environment.
Local laws to cover electronic health records which address
such concerns must be up-to-date and in place.
6. Quality of electronic healthcare
information and accuracy of data entries
Accuracy and validity of theoriginal sourcedata; Electronic Health
records
Reliability – data is consistent and information generated is understandable
Completeness – all required data is present
Legibility – data is readable;
Currency and timeliness – data is recorded at thepoint of care; and
Accessibility – data is available to authorized persons when and where
needed.
7. Manpower issues – lack of staff with
adequate skills
Lack of staff with adequate knowledge of disease classification
system.
Availability of a well-trained workforce
Coding training programs isextremely limited.
8. Environmental issues
Available and reliable supply of electricity
within the healthcare facility.
Amount and quality of available space needed for
computers and other equipment.
9. Involvement of clinicians and hospital
administrators
Willingness byhealthcare providers to collaborate and share data
with other providers.
Patients willingness to collaborate with health care provide and to
provide his/her own health data
10. Safeguards which may also need to be
addressed
Data back-up as in any computer system, there must be an efficient back-up system
available.
Contingency plans for disaster recovery also need to be in place in the case of an
electrical breakdown or other emergency
Securing workstations and requirement of passwords for all users. The passwords should be
changed regularly to maintain security
Access control to ensure health records are available when needed for patient care and
other official purposes but may not be accessed by unauthorized persons
Audit controls where access may be monitored to ensure only authorized persons usethe
system and to identify when changes are made in the record
