Overcoming barriers to electronic medical record (EMR) implementation in the US healthcare system: A comparative study

2010 ◽  
Vol 16 (4) ◽  
pp. 306-318 ◽  
Author(s):  
Sameer Kumar ◽  
Krista Aldrich
Author(s):  
Rocco Reina ◽  
Teresa Cetani ◽  
Assunta Lacroce ◽  
Marzia Ventura

The paper aims at analysing the complex relations between knowledge management and project management on an empirical case in healthcare system represented by Electronic Medical Record (EMR); the effective goal is to underline the approach and the practical methods used by the project teams to maximize the level of knowledge plugged in EMR in two selected Italian hospitals. First, the research analyzes the main references about knowledge management and project management; then, it shows the job research, based on interviews and questionnaires given to the key professionals involved in the project.


BMJ Open ◽  
2020 ◽  
Vol 10 (7) ◽  
pp. e035430 ◽  
Author(s):  
Qi Zhao ◽  
Bo Chen ◽  
Ruiping Wang ◽  
Meiying Zhu ◽  
Yueqin Shao ◽  
...  

PurposeThe Shanghai Suburban Adult Cohort and Biobank (SSACB) was established to identify environmental, lifestyle and genetic risk factors for non-communicable chronic diseases (NCDs) in adults (20–74 years old) living in a suburban area of Shanghai with rapid urbanisation.ParticipantsTwo of eight suburban district were purposely selected according to participant willingness, health service facilities, population, geographic region and electronic medical record system. From these suburban districts, four communities were selected based on economic level and population size. At stage three, one-third of the committees/villages were randomly selected from each community. All residents aged 20–74 years old were invited as study participants.Findings to dateThe baseline data on demographics, lifestyle and physical health-related factors were collected using a face-to-face questionnaire interview. All participants completed physical examinations and had blood and urine tests. Blood and urine samples from these tests were stored in a biobank. From 6 April 2016 through 31 October 2017, we conducted face-to-face interviews and clinical examinations in 44 887 participants: 35 727 from Songjiang District and 9160 from Jiading District. The average age of participants was 56.4±11.2 years in Songjiang and 56.6±10.5 years in Jiading. The prevalence of hypertension, diabetes and dyslipidaemia was 34.0%, 8.2% and 11.1%, respectively.Future plansIn-person surveys will be conducted every 5 years. For annual tracking, baseline data was linked to the local health information system, which was composed of an electronic medical record system, a chronic disease management system, a cancer registry system, an infectious disease report system and a death registry system. The data of the SSACB cohort is located in the School of Public Health, Fudan University. International and domestic collaborative research projects are encouraged and inherent in the project.


Kanzo ◽  
2016 ◽  
Vol 57 (1) ◽  
pp. 7-16 ◽  
Author(s):  
Sawako Uchida-Kobayashi ◽  
Masaru Enomoto ◽  
Hideki Fujii ◽  
Ayako Iida-Ueno ◽  
Hiroyuki Motoyama ◽  
...  

2017 ◽  
Vol 24 (4) ◽  
pp. 317 ◽  
Author(s):  
Mary Paterson ◽  
Alison McAulay ◽  
Brian McKinstry

Background: The implementation of telemonitoring at scale has been less successful than anticipated, often hindered by clinicians’ perceived increase in workload. One important factor has been the lack of integration of patient generated data (PGD) with the electronic medical record (EMR). Clinicians have had problems accessing PGD on telehealth systems especially in patient consultations in primary care.Objective: To design a method to produce a report of PGD that is available to clinicians through their routine EMR system.Method: We modelled a system with a use case approach using Unified Modelling Language to enable us to design a method of producing the required report. Anonymised PGD are downloaded from a third-party telehealth system to National Health Service (NHS) systems and linked to the patient record available in the hospital recording system using the patient NHS ID through an interface accessed by healthcare professionals. The telehealth data are then processed into a report using the patient record. This report summarises the readings in graphical and tabular form with an average calculated and with a recommended follow-up suggested if required. The report is then disseminated to general practitioner practices through routine document distribution pathways.Results: This addition to the telehealth system is viewed positively by clinicians. It has helped to greatly increase the number of general practices using telemonitoring to manage blood pressure in NHS Lothian.


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