Week 8: Electronic Health Records: Issues and Challenges
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This document discusses the issues and challenges of implementing electronic health records (EHRs) in primary care settings. It notes that EHRs include all information in a traditional health record plus time-based information across multiple providers and episodes of care. Some challenges of EHR implementation in the Philippines include cost, stakeholder engagement, needs assessments, user training, and changes to management and workflows. Additional deployment challenges involve technical support, behavioral adaptation, policies, equipment ratios, ethical and legal issues, and environmental factors. Post-deployment, monitoring and evaluation are needed as well as promoting data use for decision-making, building data capacity, and overcoming barriers to sustained use.
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The document discusses the evolution of the definition of nursing informatics from 1980 to the present. It provides definitions from various nursing organizations over time that have defined nursing informatics as integrating nursing science, computer science, and information science to manage data and information to support nursing practice, administration, education, research, and expand nursing knowledge. The definitions focus on collecting, processing, and managing nursing data and information through technology to improve nursing care and outcomes.
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Week 8: Electronic Health Records: Issues and Challenges
- 1. Week 8: Electronic Health Records: Issues and Challenges What are the issues and challenges in implementing electronic health records in primary care?
- 2. HIS Sustainability – Week 4 What are the challenges of sustainability for health information systems in developing countries?
- 3. Electronic Health Records • The electronic health record includes all information contained in a traditional health record including a patient’s health profile, behavioural and environmental information. As well as content the EHR also includes the dimension of time, which allows for the inclusion of information across multiple episodes and providers, which will ultimately evolve into a lifetime record (Mon, 2004, Amatayakul, 2004).
- 4. Primary Health Care • In the Philippines’ Public Health, Primary Health Care are catered in Rural Health Centers and Baranggay Health Stations
- 5. Predeployment • What is EMR going to be used? – Does it follow standards? • Costing • Stakeholders – who are the members of the project management team? • Thorough needs assessment – Workflow analysis • Capacity of the end users to use the technology • Capacity Building – Concerns privacy and confidentiality • Development of policies for the use of the EMR for the whole organization
- 6. Deployment • Technical Support • Adaption and behavioral change on the end users • Management Change for management and mid management level position – Development of policies for the use of the EMR for each facility • Man and machine ratio • Ethical and Legal • Use of the EMR • Environment issues – flood, appropriate temperature for the machines to work, physical security of the machines, security of the database in any case
- 7. Post deployment M and E • UTAUT
- 8. Post deployment Data Demand and Use (USAID) • Awareness of the importance of data in decision making • Role of Leaders in promoting data use • Capacity of the team to demand and use data • Promotion and Sustaining the DDU through HIS (HER) • Plan to overcome data use