scholarly journals Recordkeeping Metadata Standardization for Electronic Health Records System Integration: a Preliminary Study

2018 ◽  
Vol 7 (3.7) ◽  
pp. 266
Author(s):  
Seri Intan Idayu Binti Shahrul Asari ◽  
Nurussobah Binti Hussin ◽  
Ahmad Zam Hariro Bin Samsudin ◽  
Mohd Nizam Bin Yunus
Keyword(s):  
Electronic Health Records ◽  
System Integration ◽  
Health Records ◽  
Metadata Standard ◽  
Information Technology Managers ◽  
Record Keeping ◽  
Recordkeeping System ◽  
Face To Face ◽  
Electronic Health ◽  
Technology Managers

Electronic Health Records (EHRs) are beneficial in improving patient care, promoting safe practice, as well as enhancing patients and multiple providers’ communication and risk error reduction. However, it seems that the adoption of EHR system is happening very slowly to become fully integrated in both primary care and within hospital settings. In Malaysia, the implemented system still has limited integration and interoperability for supporting clinical operations among other Ministry of Health Malaysia (MOHM) hospitals, health centres, and clinics. Therefore, the objective of this paper is to discuss about this scenario and strain the need for solution through the consideration towards metadata standard establishment in health records system integration. Method used in this study is literature review analysis and face-to-face interview. The paper begins with discussions from various literatures highlighting the need of metadata standard for recordkeeping system integration. Subsequently, the face-to-face interview is done to explore the real situation in Malaysia to encounter the scenario discuss in the literatures. The finding of this study reveals that there is significant need for further research on record keeping metadata standard development for realization of electronic health records system integration. This study is significant for records managers, information technology managers, system developers and record keeping audit.   

Examining Heterogeneous Patterns of Electronic Health Records Use

2012 ◽  
Vol 7 (2) ◽  
pp. 1-16 ◽  
Author(s):  
David D. Dobrzykowski
Keyword(s):  
Electronic Health Records ◽  
Healthcare Delivery ◽  
Teaching Hospitals ◽  
Structural Constraints ◽  
Health Records ◽  
Information Technology Managers ◽  
Hospital Executives ◽  
Major Teaching ◽  
Electronic Health ◽  
Technology Managers

The basic use of Electronic Health Records (EHR) and the progression toward advanced EHR applications are key concerns facing leaders interested in integrating the healthcare delivery supply chain. Currently, substantial heterogeneity exists among hospitals in terms of EHR use and the progression toward advanced EHR applications. Understanding this heterogeneity is important as hospitals face pressure to adopt and achieve meaningful use of the technology. Contingency theory is tested herein to suggest that a hospital’s structural constraints may explain the heterogeneity among hospitals in terms of their EHR use. Data collected from 297 acute care hospitals in 47 states reveals that critical access hospitals may be slow to use EHR, even in basic applications. Conversely, major teaching hospitals appear to be early adopters, achieving advanced EHR use. These findings are important for hospital executives, Health Information Technology managers, and policymakers concerned with directing resources with an aim toward EHR integration.

A Global Socio-economic-medico-legal Model for the Sustainability of Longitudinal Electronic Health Records

2006 ◽  
Vol 45 (03) ◽  
pp. 240-245 ◽  
Author(s):  
A. Shabo
Keyword(s):  
Electronic Health Records ◽  
Healthcare Providers ◽  
Financial Assets ◽  
Healthcare Organizations ◽  
Health Records ◽  
Record Keeping ◽  
Proposed Model ◽  
Legal Model ◽  
Electronic Health

Summary Objectives: This paper pursues the challenge of sustaining lifetime electronic health records (EHRs) based on a comprehensive socio-economic-medico-legal model. The notion of a lifetime EHR extends the emerging concept of a longitudinal and cross-institutional EHR and is invaluable information for increasing patient safety and quality of care. Methods: The challenge is how to compile and sustain a coherent EHR across the lifetime of an individual. Several existing and hypothetical models are described, analyzed and compared in an attempt to suggest a preferred approach. Results: The vision is that lifetime EHRs should be sustained by new players in the healthcare arena, who will function as independent health record banks (IHRBs). Multiple competing IHRBs would be established and regulated following preemptive legislation. They should be neither owned by healthcare providers nor by health insurer/payers or government agencies. The new legislation should also stipulate that the records located in these banks be considered the medico-legal copies of an individual’s records, and that healthcare providers no longer serve as the legal record keepers. Conclusions: The proposed model is not centered on any of the current players in the field; instead, it is focussed on the objective service of sustaining individual EHRs, much like financial banks maintain and manage financial assets. This revolutionary structure provides two main benefits: 1) Healthcare organizations will be able to cut the costs of long-term record keeping, and 2) healthcare providers will be able to provide better care based on the availability of a lifelong EHR of their new patients.

scholarly journals Towards Semantic Interoperability for Electronic Health Records

2007 ◽  
Vol 46 (03) ◽  
pp. 332-343 ◽  
Author(s):  
P. Knaup ◽  
E. J. S. Hovenga ◽  
S. Heard ◽  
S. Garde
Keyword(s):  
Electronic Health Records ◽  
Domain Knowledge ◽  
Semantic Interoperability ◽  
Health Records ◽  
Face To Face ◽  
Telephone Interviews ◽  
Development Organisation ◽  
Knowledge Governance ◽  
Electronic Health ◽  
Definition Of

Summary Objectives: In the field of open electronic health records (EHRs), openEHR as an archetype-based approach is being increasingly recognised. It is the objective of this paper to shortly describe this approach, and to analyse how openEHR archetypes impact on health professionals and semantic interoperability. Methods: Analysis of current approaches to EHR systems, terminology and standards developments. In addition to literature reviews, we organised face-to-face and additional telephone interviews and tele-conferences with members of relevant organisations and committees. Results: The openEHR archetypes approach enables syntactic interoperability and semantic interpretability – both important prerequisites for semantic interoperability. Archetypes enable the formal definition of clinical content by clinicians. To enable comprehensive semantic interoperability, the development and maintenance of archetypes needs to be coordinated internationally and across health professions. Domain knowledge governance comprises a set of processes that enable the creation, development, organisation, sharing, dissemination, use and continuous maintenance of archetypes. It needs to be supported by information technology. Conclusions: To enable EHRs, semantic interoperability is essential. The openEHR archetypes approach enables syntactic interoperability and semantic interpretability. However, without coordinated archetype development and maintenance, ‘rank growth’ of archetypes would jeopardize semantic interoperability. We therefore believe that openEHR archetypes and domain knowledge governance together create the knowledge environment required to adopt EHRs.

Informatics and Health Services

2017 ◽  
pp. 215-241
Author(s):  
Nelson Ravka
Keyword(s):  
Health Care ◽  
Electronic Health Records ◽  
Health Care Providers ◽  
Health Care Services ◽  
Electronic Record ◽  
Inappropriate Drug ◽  
Health Records ◽  
Record Keeping ◽  
Care Services ◽  
Electronic Health

Personal electronic health records are seen as a key component to improved health care for patients, empowering motivated patients by giving them access to their own records resulting in increased self-care, shared decision making, and better clinical outcomes. Benefits through electronic record keeping would also accrue to health care providers through the availability and retrievability of data, reduced duplication of medical tests, more effective physician diagnosis and treatment, reduced incidence of prescription errors, and flagging inappropriate drug combinations. Utilizing information technology could also moderate the cost of health care services. Electronic health records would also improve clinical research through access to a large database of patient electronic records for research and determining best practices. Although potential benefits are considerable, many challenges to implementation must be addressed and resolved before this potential of improved health care provision and cost efficiency can be realized.

Informatics and Health Services

2017 ◽  
pp. 543-569
Author(s):  
Nelson Ravka
Keyword(s):  
Health Care ◽  
Electronic Health Records ◽  
Health Care Providers ◽  
Health Care Services ◽  
Electronic Record ◽  
Inappropriate Drug ◽  
Health Records ◽  
Record Keeping ◽  
Care Services ◽  
Electronic Health

Personal electronic health records are seen as a key component to improved health care for patients, empowering motivated patients by giving them access to their own records resulting in increased self-care, shared decision making, and better clinical outcomes. Benefits through electronic record keeping would also accrue to health care providers through the availability and retrievability of data, reduced duplication of medical tests, more effective physician diagnosis and treatment, reduced incidence of prescription errors, and flagging inappropriate drug combinations. Utilizing information technology could also moderate the cost of health care services. Electronic health records would also improve clinical research through access to a large database of patient electronic records for research and determining best practices. Although potential benefits are considerable, many challenges to implementation must be addressed and resolved before this potential of improved health care provision and cost efficiency can be realized.

A Global Socio-economic-medico-legal Model for the Sustainability of Longitudinal Electronic Health Records

2006 ◽  
Vol 45 (05) ◽  
pp. 498-505 ◽  
Author(s):  
A. Shabo
Keyword(s):  
Electronic Health Records ◽  
Healthcare Providers ◽  
Financial Assets ◽  
Healthcare Organizations ◽  
Health Records ◽  
Record Keeping ◽  
Proposed Model ◽  
Legal Model ◽  
Electronic Health

Summary Objectives: This paper pursues the challenge of sustaining lifetime electronic health records (EHRs) based on a comprehensive socio-economic-medico-legal model. The notion of a lifetime EHR extends the emerging concept of a longitudinal and cross-institutional EHR and is invaluable information for increasing patient safety and quality of care. Methods: The challenge is how to compile and sustain a coherent EHR across the lifetime of an individual. Several existing and hypothetical models are described, analyzed and compared in an attempt to suggest a preferred approach. Results: The vision is that lifetime EHRs should be sustained by new players in the healthcare arena, who will function as independent health record banks (IHRBs). Multiple competing IHRBs would be established and regulated following preemptive legislation. They should be neither owned by healthcare providers nor by health insurer/payers or government agencies. The new legislation should also stipulate that the records located in these banks be considered the medico-legal copies of an individual’s records, and that healthcare providers no longer serve as the legal record keepers. Conclusions: The proposed model is not centered on any of the current players in the field; instead, it is focussed on the objective service of sustaining individual EHRs, much like financial banks maintain and manage financial assets. This revolutionary structure provides two main benefits: 1) Healthcare organizations will be able to cut the costs of long-term record keeping, and 2) healthcare providers will be able to provide better care based on the availability of a lifelong EHR of their new patients.

scholarly journals Barriers for Using Electronic Health Records (EHRs) by Nurses in Qatar: A Cross Sectional Study

2021 ◽  
Vol 2 (3) ◽  
pp. 89-105
Author(s):  
Kim Pugal ◽  
Ralph Villar ◽  
Abdulqadir J. Nashwan
Keyword(s):  
Electronic Health Records ◽  
Health Care Professionals ◽  
System Integration ◽  
Cross Sectional Study ◽  
Length Of Service ◽  
Cross Sectional ◽  
Health Records ◽  
Great Opportunity ◽  
Highly Educated ◽  
Electronic Health

Introduction: Electronic Health Records (EHR) have been implemented by multiple hospitals all around the world. EHR initiatives tend to be driven by the promise of availability of patient data and enhanced system integration by the need to improve efficiency and cost-effectiveness and by a changing doctor-patient relationship towards where care is divided among a multidisciplinary members of health care professionals and/or by the need to deal with a more complex and rapidly changing environment. The aim of this research is to determine the barriers faced by nurses in Qatar in using EHRs in terms of knowledge, skills, and attitude (KSA). Methods: A survey was sent to approximately 12,000 nurses from different hospitals under Hamad Medical Corporation in Qatar through the corporation's official e-mail from January 1, 2021 to May 31, 2021. The questionnaire was developed and validated by the researcher of the study (α=0.877). The Statistical Package for the Social Sciences (SPSS) version 25.0 was used to analyze the data. Results: A total of 262 nurses participated in the study. Majority of the nurses who participated are females (69%) and ages 31-35 years old (50.4%). Among the respondents 98.5% are staff nurses with various educational levels: bachelor’s degree in Nursing (43.5 %), diploma in Nursing (27%), and Master of Arts in nursing (3.8%). Only 23.3% of the respondents have a length of service of less than 4 years; 76.7% have been with their institution more than 4 years. The majority of respondents came from the inpatient areas (37%), followed by the outpatient nurses (15.3%), and operating room nurses (14.1%). Around 91% of the respondents claimed to have a 0-3 number of trainings in the past 3 years. A significant correlation was found between age (r=-0.124, p=0.045), length of service (r=0.193, p=0.002), and area assignment (r=0.129, p=0.037) with the skill on EHR. Conclusion: Results of the study showed that the dimension of knowledge, skills, and attitude towards the use of EHR is a barrier, but only to a moderate extent. The nurses in Qatar are highly educated, well experienced and are mostly millennials. This opens a great opportunity of acceptance and amplification of EHR in Qatar with the proper training and support to nurses.

Informatics and Health Services

2013 ◽  
pp. 89-114 ◽  
Author(s):  
Nelson Ravka
Keyword(s):  
Health Care ◽  
Electronic Health Records ◽  
Health Care Providers ◽  
Health Care Services ◽  
Electronic Record ◽  
Inappropriate Drug ◽  
Health Records ◽  
Record Keeping ◽  
Care Services ◽  
Electronic Health

Personal electronic health records are seen as a key component to improved health care for patients, empowering motivated patients by giving them access to their own records resulting in increased self-care, shared decision making, and better clinical outcomes. Benefits through electronic record keeping would also accrue to health care providers through the availability and retrievability of data, reduced duplication of medical tests, more effective physician diagnosis and treatment, reduced incidence of prescription errors, and flagging inappropriate drug combinations. Utilizing information technology could also moderate the cost of health care services. Electronic health records would also improve clinical research through access to a large database of patient electronic records for research and determining best practices. Although potential benefits are considerable, many challenges to implementation must be addressed and resolved before this potential of improved health care provision and cost efficiency can be realized.

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