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Electronic Health Records in
Primary Care:
Challenges in Implementation
Blesile S. Mantaring MD
What are Electronic Health Records ?
Contains all personal health information belonging
to an individual
Entered and accessed electronically by healthcare
providers over the person’s lifetime
Includes data from multiple providers from a
variety of healthcare settings
Challenges in Implementation
Decentralisation of health structure
➡ local government units granted autonomy and
responsibility for their own health services
➡created fragmentation in overall management of
system
➡health services subject to local political influence
- local budgetary control
Challenges in Implementation
Transferring paper based information into
electronic format
➡ health related data are collected using a variety of
manual paper-based methods data prone to
error, destruction and alteration
➡ use of unique personal identifier
-strongly opposed by activists and political parties
Challenges in Implementation
Attitude towards IT adoption particularly
end users
➡ must be customised to serve local needs
➡ provide support for investigators
➡ user satisfaction with electronic medical records
- educate users about benefits of EHR
Lack of collaboration among academic, public
and private stakeholders
Challenges in Implementation
Lack of a robust healthcare infrastructure
(hardware, software, connectivity)
➡ lack of infrastructure
-inadequate budget
-insufficient equipment
➡ employing the right team
-need for training of IT support staff, data managers
and end-users
-attracting and retaining staff in under-served areas
Challenges in Implementation
Security and privacy issues
➡non uniform adoption and application of privacy
policies of internet providers
➡larger audience who may access to patient
information
➡lack of security measures in information systems
➡no standard health information privacy policy in the
Philippines
➡culture of “tsismis” in the Philippines
Sources
1. Antonio , Marcelo. Health Information Privacy in the Philippines.
http://aehin.hingx.org/Share/Details/2044
2. Romualdez, AG, et al The Philippines Health System Review.
http://www.wpro.who.int/philippines/areas/health_systems/financing/philip
pines_health_system_review.pdf
3. Herrera, Ma Elena et al. Overview of Health Sector Reform in the
Philippines and Possible Opportunities for Public-Private Partnerships
www.aim.edu/files/download/131
4. Sood, Sanjay Prakash, et al. "Electronic medical records: a review comparing
the challenges in developed and developing countries." Hawaii International
Conference on System Sciences, Proceedings of the 41st Annual. IEEE,
2008
5. Tierney, William M., et al. "Experience implementing electronic health
records in three East African countries." Stud Health Technol Inform
160.Pt 1 (2010): 371-5.

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Challenges in Implementation of Elecronic Health Records

  • 1. Electronic Health Records in Primary Care: Challenges in Implementation Blesile S. Mantaring MD
  • 2. What are Electronic Health Records ? Contains all personal health information belonging to an individual Entered and accessed electronically by healthcare providers over the person’s lifetime Includes data from multiple providers from a variety of healthcare settings
  • 3.
  • 4. Challenges in Implementation Decentralisation of health structure ➡ local government units granted autonomy and responsibility for their own health services ➡created fragmentation in overall management of system ➡health services subject to local political influence - local budgetary control
  • 5. Challenges in Implementation Transferring paper based information into electronic format ➡ health related data are collected using a variety of manual paper-based methods data prone to error, destruction and alteration ➡ use of unique personal identifier -strongly opposed by activists and political parties
  • 6. Challenges in Implementation Attitude towards IT adoption particularly end users ➡ must be customised to serve local needs ➡ provide support for investigators ➡ user satisfaction with electronic medical records - educate users about benefits of EHR Lack of collaboration among academic, public and private stakeholders
  • 7. Challenges in Implementation Lack of a robust healthcare infrastructure (hardware, software, connectivity) ➡ lack of infrastructure -inadequate budget -insufficient equipment ➡ employing the right team -need for training of IT support staff, data managers and end-users -attracting and retaining staff in under-served areas
  • 8. Challenges in Implementation Security and privacy issues ➡non uniform adoption and application of privacy policies of internet providers ➡larger audience who may access to patient information ➡lack of security measures in information systems ➡no standard health information privacy policy in the Philippines ➡culture of “tsismis” in the Philippines
  • 9. Sources 1. Antonio , Marcelo. Health Information Privacy in the Philippines. http://aehin.hingx.org/Share/Details/2044 2. Romualdez, AG, et al The Philippines Health System Review. http://www.wpro.who.int/philippines/areas/health_systems/financing/philip pines_health_system_review.pdf 3. Herrera, Ma Elena et al. Overview of Health Sector Reform in the Philippines and Possible Opportunities for Public-Private Partnerships www.aim.edu/files/download/131 4. Sood, Sanjay Prakash, et al. "Electronic medical records: a review comparing the challenges in developed and developing countries." Hawaii International Conference on System Sciences, Proceedings of the 41st Annual. IEEE, 2008 5. Tierney, William M., et al. "Experience implementing electronic health records in three East African countries." Stud Health Technol Inform 160.Pt 1 (2010): 371-5.

Editor's Notes

  1. http://www.compassphs.com/wp-content/uploads/2015/06/ehr-clipart.gif
  2. http://cpmire.ie/wp-content/uploads/2015/03/SIIB.jpg http://www.cliparthut.com/clip-arts/729/electronic-health-records-clip-art-729736.jpg