Between 2011 and 2012, a team piloted an OpenMRS electronic medical record (EMR) system in 23 public healthcare facilities providing HIV care in Nasarawa State, Nigeria. They faced challenges with inconsistent electricity and internet access. While 73.9% of facilities switched to the EMR, it was primarily used for aggregate indicator reporting rather than real-time patient management. The implementation improved documentation and reporting standards but challenges remained around staff resistance, technology issues, and concerns about impacts to patient interactions. Continued efforts focus on training, mentoring clinical staff EMR use, and addressing infrastructure barriers.
Intelligent, Interoperable, Relevance and Value Enrichment in Universal, Ubiq...ijceronline
Electronic Health Records(EHR) are electronically maintained, linked, collections of allied, patientrelated healthcare information collected during past encounters. They incorporate patient demographic information, encounter details, laboratory reports, prescription notes, past medical records, and other medical data. EHR creation is designed to support the future diagnosis, treatment, and decision making in patient care. However, since EHR technology is a burgeoning science, many facets lie under-used or under-utilized.Current implementations are confined to national boundaries managed by individual National Health Systems (NHS). Consolidated, universally interoperable EHR schemes are still a thing for the future; a migratory patient may not have his national EHR available in distant territories. Further, the examination of operational factors unearthed more inadequacies. Interoperability-related issues include the limiting network bandwidth causing inordinate delays, diverse local storage schemes at the various NHS clusters, the related requirement for synchronous vocabulary-related translation mechanisms at the various NHScontrolled boundaries causing inordinate delays, and the related security and access issues. These issues arise from the requirement for synchronous, query-messaging nature of information access and exchange. This paper articulates a novel, sound, and secure methodology for achieving true International Interoperability and uniform efficiency in ubiquitous Electronic Health Record systems.Utilizing intelligent machine learning processes, required query-messaging information is meaningfully aggregated enhancing the relevancy, access speed, and value-derivation from the given data.Asynchronous learning excludes the need for high available network bandwidth, upload and download delays associated with current synchronous database/cloud systems.Indeed, this overarching solution ensures seamless synchronous operation and high-end international interoperability, and would work in any ubiquitous EHR environment.
Intelligent, Interoperable, Relevance and Value Enrichment in Universal, Ubiq...ijceronline
Electronic Health Records(EHR) are electronically maintained, linked, collections of allied, patientrelated healthcare information collected during past encounters. They incorporate patient demographic information, encounter details, laboratory reports, prescription notes, past medical records, and other medical data. EHR creation is designed to support the future diagnosis, treatment, and decision making in patient care. However, since EHR technology is a burgeoning science, many facets lie under-used or under-utilized.Current implementations are confined to national boundaries managed by individual National Health Systems (NHS). Consolidated, universally interoperable EHR schemes are still a thing for the future; a migratory patient may not have his national EHR available in distant territories. Further, the examination of operational factors unearthed more inadequacies. Interoperability-related issues include the limiting network bandwidth causing inordinate delays, diverse local storage schemes at the various NHS clusters, the related requirement for synchronous vocabulary-related translation mechanisms at the various NHScontrolled boundaries causing inordinate delays, and the related security and access issues. These issues arise from the requirement for synchronous, query-messaging nature of information access and exchange. This paper articulates a novel, sound, and secure methodology for achieving true International Interoperability and uniform efficiency in ubiquitous Electronic Health Record systems.Utilizing intelligent machine learning processes, required query-messaging information is meaningfully aggregated enhancing the relevancy, access speed, and value-derivation from the given data.Asynchronous learning excludes the need for high available network bandwidth, upload and download delays associated with current synchronous database/cloud systems.Indeed, this overarching solution ensures seamless synchronous operation and high-end international interoperability, and would work in any ubiquitous EHR environment.
FTC Spring Privacy Series: Consumer Generated and Controlled Health DataBrian Ahier
Increasingly, consumers are taking a more active role in managing and generating their own health data. For example, consumers are researching their health conditions and diagnosing themselves online. Consumers are also uploading their information into personal health records and apps that allow them to manage and analyze their data, and utilizing connected health and fitness devices that regularly collect information about them and transmit this information to other entities.
The movement of health data outside the traditional medical provider context has many potential benefits; however, it also raises potential privacy concerns. The seminar will address questions such as:
What types of websites, products, and services are consumers using to generate and control their health data, and how are consumers using them?
Who are the companies behind these websites, products, and services, what are their business models, and what does the current marketplace look like?
How can consumers benefit from these companies’ websites, products, and services?
What actions are these companies taking to protect consumers’ privacy and security?
What do consumers expect from these companies regarding privacy and security protections?
Do consumers differentiate between these companies and those that offer traditional medical products and services that are covered by HIPAA?
What restrictions, if any, do advertising networks and others impose on tracking of health data?
Sri Lanka is well known for its better health indices when compared with other countries in South Asia. However, the burdens of Non Communicable Diseases (NCD) have increased rapidly during last two decades. NCDs such as neoplasms, cardiovascular diseases, diabetes and chronic respiratory pathologies recorded were 10.2, 41.7, 13.3 (related deaths per 100,000 population) respectively during the year 1990. However by 2009, the same NCDs recorded 18.5, 60.6, and 21.9 (related deaths per 100,000 populations) respectively according to the Annual Health Bullatin released by the Medical Statistics Unit - Ministry of Healthcare & Nutrition [1]. Most communicable diseases have been controlled successfully (e.g. Malaria, Polio) several infective diseases, such as, Tuberculosis and Leprosy has been re-emerged due to various reasons. Dengue is also still remains a major crisis in Sri Lankan health sector.
Health Information Systems have been shown an integral role in health systems in facing double burden of disease, specially quantifying the cost of care. Also, Health Information Systems are one of WHO's 6 building blocks for health system strengthening. This work investigates the Sri Lankan scenario empirically based on selected electronic health information systems to evaluate the effect of reducing uncertainty and promoting coordination in the clinical care pathway.
These slides review problems with current electronic medical record (EMR) systems and makes suggestions for future improvements in design and usability. This work was sponsored by the Szollosi Healthcare Innovation Program (www.TheSHIPHome.org).
Delivered by Craig Brammer at CITIH 2011. Focus on discussion of regional and national initiatives and opportunities for regional partners to leverage them for driving healthcare improvements, public health and research.
This session will provide a broad perspective on the many initiatives related to HIT. Experts from the regional and national level will discuss data models, privacy concerns and adoption strategies from their different perspectives. Also addressed will be planning for NHIN direct adoption as a complimentary strategic to full HIEs.
2015 Edition Proposed RuleModifications to the ONC Health IT Certification ...Brian Ahier
Presentation to April 7, 2015 Health IT Policy Committee:
2015 Edition Proposed RuleModifications to the ONC Health IT Certification Program and 2015 Edition Health IT Certification Criteria
Guidelines for the technological development in the e-health application domainIvano Malavolta
Slides of the talk I gave the 18th of July 2014 about the activities I coordinates at the University of L'Aquila (Italy) in the context of the E-Health Technology industrial project.
This presentation is an introduction to telemedicine and telehealth. It explains common terminology and the different types of technology used. It concludes with findings from the American Medical Association on national physician use and links to additional resources.
FTC Spring Privacy Series: Consumer Generated and Controlled Health DataBrian Ahier
Increasingly, consumers are taking a more active role in managing and generating their own health data. For example, consumers are researching their health conditions and diagnosing themselves online. Consumers are also uploading their information into personal health records and apps that allow them to manage and analyze their data, and utilizing connected health and fitness devices that regularly collect information about them and transmit this information to other entities.
The movement of health data outside the traditional medical provider context has many potential benefits; however, it also raises potential privacy concerns. The seminar will address questions such as:
What types of websites, products, and services are consumers using to generate and control their health data, and how are consumers using them?
Who are the companies behind these websites, products, and services, what are their business models, and what does the current marketplace look like?
How can consumers benefit from these companies’ websites, products, and services?
What actions are these companies taking to protect consumers’ privacy and security?
What do consumers expect from these companies regarding privacy and security protections?
Do consumers differentiate between these companies and those that offer traditional medical products and services that are covered by HIPAA?
What restrictions, if any, do advertising networks and others impose on tracking of health data?
Sri Lanka is well known for its better health indices when compared with other countries in South Asia. However, the burdens of Non Communicable Diseases (NCD) have increased rapidly during last two decades. NCDs such as neoplasms, cardiovascular diseases, diabetes and chronic respiratory pathologies recorded were 10.2, 41.7, 13.3 (related deaths per 100,000 population) respectively during the year 1990. However by 2009, the same NCDs recorded 18.5, 60.6, and 21.9 (related deaths per 100,000 populations) respectively according to the Annual Health Bullatin released by the Medical Statistics Unit - Ministry of Healthcare & Nutrition [1]. Most communicable diseases have been controlled successfully (e.g. Malaria, Polio) several infective diseases, such as, Tuberculosis and Leprosy has been re-emerged due to various reasons. Dengue is also still remains a major crisis in Sri Lankan health sector.
Health Information Systems have been shown an integral role in health systems in facing double burden of disease, specially quantifying the cost of care. Also, Health Information Systems are one of WHO's 6 building blocks for health system strengthening. This work investigates the Sri Lankan scenario empirically based on selected electronic health information systems to evaluate the effect of reducing uncertainty and promoting coordination in the clinical care pathway.
These slides review problems with current electronic medical record (EMR) systems and makes suggestions for future improvements in design and usability. This work was sponsored by the Szollosi Healthcare Innovation Program (www.TheSHIPHome.org).
Delivered by Craig Brammer at CITIH 2011. Focus on discussion of regional and national initiatives and opportunities for regional partners to leverage them for driving healthcare improvements, public health and research.
This session will provide a broad perspective on the many initiatives related to HIT. Experts from the regional and national level will discuss data models, privacy concerns and adoption strategies from their different perspectives. Also addressed will be planning for NHIN direct adoption as a complimentary strategic to full HIEs.
2015 Edition Proposed RuleModifications to the ONC Health IT Certification ...Brian Ahier
Presentation to April 7, 2015 Health IT Policy Committee:
2015 Edition Proposed RuleModifications to the ONC Health IT Certification Program and 2015 Edition Health IT Certification Criteria
Guidelines for the technological development in the e-health application domainIvano Malavolta
Slides of the talk I gave the 18th of July 2014 about the activities I coordinates at the University of L'Aquila (Italy) in the context of the E-Health Technology industrial project.
This presentation is an introduction to telemedicine and telehealth. It explains common terminology and the different types of technology used. It concludes with findings from the American Medical Association on national physician use and links to additional resources.
Strengthening the Health Management Information System: Pilot Assessment of D...HFG Project
The Government of India’s Ministry of Health and Family Welfare (MoHFW) places rigorous emphasis on evidence-based planning, monitoring, and supervision of public health services. Generation and use of reliable, quality health data is crucial for improving the quality of health services, especially to achieve the maternal and child health goals aimed for under the strategic reproductive, maternal, newborn, child, and adolescent health (RMNCH+A) initiative. The Health Management Information System (HMIS), envisioned as the “single window” for all public health data in the country, is thus a critical resource for the government. The MoHFW was supported by the USAID-funded Health Finance and Governance (HFG) project for third party assessment (TPA) of HMIS data quality to strengthen HMIS performance.
Running head INITIAL PLAN DEVELOPMENT1INITIAL PLAN DEVELOPM.docxjeanettehully
Running head: INITIAL PLAN DEVELOPMENT 1
INITIAL PLAN DEVELOPMENT 2
Initial Plan Development
Nicholas Calhoun
Foundations of Project Management
South University
January 28, 2020
Initial Plan Development
The statement of need: Write a brief description of the chosen organization and discuss the background information associated with the problems that need to be solved.
Due to the passing of the Affordable Care Act ten years ago, there has been an increased demand for medical services in the United States. This has led to medical institutions serving increased patient numbers. Consequently, physicians, clinical staff and healthcare providers have had difficulties in managing the medical records of patients manually. This created the need for organization in the process of documentation and retrieval of patient records. The Electronic Medical Record, EMR, system comes in and its implementation and acquisitions would facilitate the following. The retrieval, management and capturing of patient data such as medical history, lab results, and demographic data (Jawhari, Keenan, Zakus, Ludwick, Isaac, Saleh, Hayward, 2016). Research indicates that an effective EMR system can centralize and acquire crucial patient information efficiently leading to enhanced service delivery.
EMR offers the ability to incur improvements on patient safety through the provision of timely and consistent care to patients in performance and through compliance with clinical regulations and standards, and the avoidance of duplicates. It can also lead to lower health care costs and improved efficiencies by promoting single patient records entailing integrated information. This would ensure improved coordination and continuity of care by reducing redundant tests and waste.
The goals and objectives of the project: Identify project goals and the underlying objectives. Quantify the measurable performance expectations of the project plan to determine whether it meets the planned objectives. Performance should be defined in terms of:
· The product or process specification
An EMR is an electronic version of a paper-based record-keeping system. It is a computer-based system for retrieving, organizing and storing patient information and is expected to improve the safety and quality of healthcare tremendously. An EMR can entail information such as the following. Research and education that would be accessible from various departments of a hospital institution under confidentiality, patient privacy and the protection of security. A plan of care, vital signs, patient progress assessment, hospitalization, surgical and medical history, test and laboratory results, allergies, past and present medication history (Morris, Sheehan, Lamichahane, Zimbro, Morgan, Bharadwaj, 2019). Others include insurance information, person to be notified in case of an emergency, gender, date of birth, complete address and full names.
· The total budget at completion of the plan
The budget for ...
An IT Approach to Improve the Compilation of Clinical Access Indicators and D...Editor IJCATR
The proportion of persons visiting a health facility reflects the level of access of that centre to its catchment area in terms of
Out-Patient Department (OPD) per capita. These attendances come with diagnoses which give an indication of the diseases pattern and
prevalence within the catchment area as well as patients who are insured and not insured. Though data of this nature are undisputedly crucial
to public health processes, morbidity returns from most health facilities, particularly public health facilities are generated manually making
it cumbersome and stressful. In addition, this method is error-prone and as such poses a strong threat to disease prevention, control and
information management. This research therefore uses an Information Technology approach to improve the process achieving over 90% time
gain. The Gambaga Health Centre in the East Mamprusi District was selected for the simulation
Proposed Framework For Electronic Clinical Record Information Systemijcsa
This research paper is drawn from an ongoing, large-scale project of implementing Electronic Clinical Record (ECR). The overall aim in this study is to develop a deeper understanding of the socio-technical aspects of the complexities and challenges emerging from the implementation of the ECR, and in particular to study how to manage a gradual transition to digital record. We have proposed ECR conceptual mode. The end result of our research was a collection of ideas / surveys, and field work that clinical institutions and medical informatics must consider to ensure that patients and clinics do not lose long-term access to ECR and technology continually progress. Results of our study identified the need for more research in this particular area as no definitive solution to long-term access to electronic clinical records was revealed. Additionally, the research findings highlighted the fact that a few medical institutions may actually be concerned about long-term access to electronic records.
I did a visit to new zealand in 2003 and did a number of talks from 2003 to 2005 on the transformation taking place in new zealand. back in NZ in 2014 so looked at those early slide so impressed with the leadership and the robust primary care
Empowering Healthcare Transformation: Unleashing the Potential of Digital Sol...TEWMAGAZINE
Digital Solutions Driving Healthcare Transformation: 1. Electronic Health Records (EHRs) 2. Telemedicine and remote patient monitoring 3. Artificial Intelligence (AI) and Machine Learning (ML) applications 4. Internet of Things (IoT) in healthcare
The Future of Patient Intake_ Leveraging Technology for Improved Healthcare O...John David
In this document we delve into the critical process of patient intake and how innovative solutions are reshaping this initial point of contact between healthcare providers and patients.
Showcases digital health implementation in Ontario
hospitals.
Each story is focused around a key challenge,
an explanation of the process taken to address it, and
a reflection on the impact
A radiology report serves as an intermediary between a radiologist and referring clinician for suggesting appropriate treatment to the patients, aimed at better healthcare anagement. It is essentially a tool that assists radiologists in conveying their input to the patients and clinicians regarding positive or negative findings on a case. The objective of this paper is to discuss and propose Radiology Information & Reporting System (RIRS), highlight challenges governing its implementation and suggest way forwards towards its effective implementation across the public sector tertiary care institutions of Pakistan. In the end, it is concluded that the proposed RIRS would potentially offer enormous benefits in terms of cost
savings, reporting accuracy, faster processing and operational efficiency as opposed to the conventionally available manual radiology reporting procedures and systems.
The Evolution and Impact of Electronic Medical Records.docxdoctorsbackoffice4
In today's digital age, the healthcare industry is undergoing a significant transformation, propelled by technological advancements. One of the most notable innovations revolutionizing patient care and administrative processes is the adoption of Electronic Medical Records (EMRs) or Electronic Health Records (EHRs). These electronic systems have streamlined healthcare delivery, improved patient outcomes, and reshaped the landscape of medical practice. Let's delve deeper into the evolution, benefits, and challenges of electronic health records.
Hospital patients' emotions are influenced by their experiences. Examining the possible impacts of a queue management system on patient satisfaction in emergency hospital waiting areas was the aim of the current study. Process engineering or plain queue management techniques like demand control, queue prioritization, or staffing the emergency department are generally used to address the problem of emergency room congestion (ED). Standing in line is a necessary and inevitable part of daily life. But you can do something pleasurable with the time you waste standing in lines. E-queue aspires to reinvent the experience of standing in line by offering a practical, thorough, and pleasurable replacement. A thorough queue management system that tracks people in lines and provides real-time data on the amount of time patients must wait to see their doctors or nurses is one method of resolving this issue. Thus, patients can make better use of the time they would otherwise squander waiting in line by using e-Queue. Numerous queuing-related concerns were taken into consideration while analyzing the current queuing systems. In order to give patients important queuing information, E-Queue combines the usage of a Smartphone application, a cloud-based database, and information sharing over the internet. In addition, it offers hospitals the chance to effectively control their wait times.
Electronic Information Management System to Improve Recording and Reporting f...
EMR_Open MRS Abstract_March 22_Final (2)
1. Project Purpose
Design
Outcomes Going Forward
Funding and Acknowledgements
Between May 2011 and December 2012, a 5-
member core team of engineers and
programming staff piloted the OpenMRS EMR
in 23 of 629 public HCFs in Nasarawa State.
We selected 13 Primary Healthcare Centers
(PHCs), 8 secondary and 2 tertiary HCFs
according to results of baseline assessments
for telecommunications & electricity coverage
and Human Resource capacity. HCFs with
≥500 HIV-positive clients enrolled were
prioritized. Agreements were signed with
facility management and ART Coordinators .
Heads of Medical Records were designated
EMR Focal Persons. Computers, Local Area
Networks and internet modems were provided,
and site-level pre-implementation training was
conducted for each HCF.
Inconsistent internet and electricity
supply were major implementation
barriers, in addition to HCF staff
resistance, stemming largely from low
IT capacity and EMR inexperience.
Scale-up phase adjustments include
facility-organized stepdown trainings
and provision of prepaid internet
modems. Medical records staff are
prioritized to use the EMR for reporting
while clinical staff are mentored to
expand EMR use and to consider its
impact on quality of care. Regional
implementation staff oversee grouped
facilities and make quarterly
supervisory visits. Continued
dependence on paper-based charts
and slow EMR uptake for clinical use is
an ongoing challenge.
Robust stakeholder engagement and
change management is required when
introducing EMR to naïve settings.
First-phase implementation of public
health-oriented EMRs should aim to
meet data reporting requirements prior
to use as a real-time client
management tool.
#01ITIS023
254 HCF staff were trained on basic
computer use, EMR and minimal
maintenance.
The majority (94%) of HCF staff had
never used an EMR. Only 1 HCF lacked
telecommunications coverage; 10
(43.5%) HCFs met criteria for ≥180
minutes of daily power supply- only 2
(20%) were PHCs. At the end of the 21-
month pilot phase, 17 (73.9%) HCFs
switched to EMR, but for aggregate
indicator data reporting only.
Nigeria's HIV treatment scale-up has stressed
pre-existing inadequacies in the paper-based
health information system (HIS). A 2013
nationwide Quality-of-Care exercise reported a
21% completion rate for HIV clients’ medical
charts. Poor documentation limits the integrity
and impact of clinical decision-making, and
compromises the quality of services delivered.
The Institute of Human Virology Nigeria is a
large local NGO that supports healthcare
facilities (HCFs) to provide HIV services. We
piloted an Electronic Medical Record (EMR)
system at public HCFs in North-Central Nigeria
to improve documentation, data reporting and
ultimately, patient care.
These HCFs reported elimination of
missing/incomplete client records, and
also met HIS reporting standards for
timeliness and completeness. EMR
implementation in this resource-limited
setting was successful in terms of data
storage/reporting.
Challenges included inconsistent
internet coverage, HCF staff resistance
(citing increased workload and turf
intrusion), distrust of technology and
concerns about impersonal provider-
client interactions.
Implementation of an Electronic Medical Record for HIV Programs
in Resource-Limited Settings: A Nigerian Case Study
Iboro E. Nta1; Genevieve Eke1; Nadia Sam-Agudu1,2; Gibril Gomez1; Joseph Aghatise1;
Nwanneka Okere1; Kennedy Smart1; Aaron Onah1; Patrick Dakum1,2.
1Institute of Human Virology Nigeria, Abuja, Nigeria; 2 Institute of Human Virology, University of Maryland School of Medicine, Baltimore, USA.
This research has been supported by the President’s Emergency Plan for AIDS Relief
(PEPFAR) through the Centers for Disease Control and Prevention (CDC). The findings
and conclusions in this report are those of the authors and do not necessarily represent
the official position of the CDC.
Presented at the 6th Annual CUGH Conference, Boston, USA, March 26 to 28, 2015.