Tools Used by Hospital Management to Reinforce Change and Sustain Results in the Implementation of EHR System in Public and Private Hospitals

Hospitals are complex to operate, particularly in the implementation of electronic health records systems. The implementation and use of electronic health records (EHR) management in hospitals requires management to reinforce change and sustain results for good end results. The purpose of this chapter is to unveil tools used by public and private hospital management to reinforce change and sustain results in the implementation of electronic health records systems. Both public and private hospital are based in the eThekwini Municipality. The conceptual framework based on Kotter Leading Change Model was comprehensively discussed. The findings of the study revealed that there are no standard guidelines for both public and private hospitals in the implementation of EHR system in hospitals. Clarity regarding change management policies and procedures in the implementation of EHR system in both public and private hospitals is required. The study recommends that both public and private hospitals tools to reinforce change and sustain results in the implementation of electronic health records management need to be developed and officially documented.

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An authentication and authorization mechanism for long-term electronic health records management

Procedia Computer Science ◽

10.1016/j.procs.2017.06.021 ◽

2017 ◽

Vol 111 ◽

pp. 145-153 ◽

Cited By ~ 3

Author(s):

Nai-Wei Lo ◽

Chia-Yi Wu ◽

Yo-Hsuan Chuang

Keyword(s):

Electronic Health Records ◽

Records Management ◽

Health Records ◽

Authentication And Authorization ◽

Electronic Health

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An Integrated Model to Share Patient Health Records in Public and Private Hospitals in South Africa

Studies on Ethno-Medicine ◽

10.1080/09735070.2013.11886448 ◽

2013 ◽

Vol 7 (2) ◽

pp. 87-93 ◽

Cited By ~ 2

Author(s):

Alfred Coleman

Keyword(s):

South Africa ◽

Integrated Model ◽

Private Hospitals ◽

Health Records ◽

Public And Private ◽

Patient Health ◽

Public And Private Hospitals

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Measuring quality performance between public and private hospitals in Malaysia

International Journal of Quality and Service Sciences ◽

10.1108/ijqss-02-2017-0015 ◽

2017 ◽

Vol 9 (2) ◽

pp. 218-228 ◽

Cited By ~ 1

Author(s):

Selim Ahmed ◽

Noor Hazilah Abd Manaf ◽

Rafikul Islam

Keyword(s):

Patient Satisfaction ◽

Public Hospital ◽

Private Hospital ◽

Hospital Staff ◽

Quality Performance ◽

Private Hospitals ◽

Public And Private ◽

Content Type ◽

The Past ◽

Public And Private Hospitals

Purpose This study aims to measure quality performance of the Malaysian hospitals based on eight items, namely, progress of quality management, medical service cost, reduce errors in medical services, patient waiting time, reduce waste in processes, patient complaint, employee job satisfaction and patient satisfaction. Mainly, it identifies difference or conformance between public and private hospitals on quality performance. Design/methodology/approach This study distributed 1,007 self-administered survey questionnaires to the hospital staff (i.e. doctors, nurses, pharmacists and medical laboratory technologists), resulting in 438 useful responses (43.5 per cent response rate). Research data were analysed based on descriptive analysis and independent samples’ t-tests using SPSS version 23. Findings The findings of this study indicate that there are significant differences between public and private hospital staff on progress of quality improvement process, patient satisfaction and cost of the medical services. Private hospital staff believed that their hospital’s quality management process and patient satisfaction has been improved over the past years compared to public hospital. However, private hospital staff does not perceive their medical service cost has been reduced over the past years compared to public hospital. Research limitations/implications This research focused solely on quality performance of the Malaysian health sector and, thus, the results might not be applicable to other countries. Originality/value Present research findings provide guidelines for enhancing quality performance in Malaysian public and private healthcare sectors and other countries.

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Propuesta metodológica de intercambio electrónico de información clínica basada en estándares de telemedicina/Methodological proposal of electronic data interchange and clinical information based on telemedicine standards

KnE Engineering ◽

10.18502/keg.v5i2.6237 ◽

2020 ◽

Author(s):

P. Moreno ◽

G. Bastidas ◽

P. Moreno

Keyword(s):

Electronic Health Records ◽

Information And Communication Technologies ◽

Web Application ◽

Medical Information ◽

Reference Model ◽

Clinical Information ◽

Electronic Data Interchange ◽

Records Management ◽

Health Records ◽

Electronic Health

El avance de las tecnologías de la información ha permitido un cambio sustancial en el desarrollo de la Salud, por lo que el uso de estándares de telemedicina como el HL7 y CEN TC 251-13606 permiten que los sistemas de información médica se comuniquen vía mensajes estandarizados facilitando el uso de los mismos. El propósito de este estudio es crear una guía metodológica de intercambio electrónico de información clínica basada en el análisis de los estándares de telemedicina HL7 y CEN TC 251- 13606 para mejorar la eficiencia de la gestión de Historias Clínicas de los pacientes. La metodología consta de 2 fases, la primera plantea el diseño e implementación del modelo de referencia de la Historia Clínica Electrónica, el mismo que define entidades necesarias en la construcción de una Historia Clínica Electrónica, en la fase 2 se define la arquitectura de la historia clínica especificando la estructura y semántica del documento mediante el lenguaje XML, el cual se utiliza en los procesos de gestión de las historias clínicas electrónicas dentro del sistema médico desarrollado. Este sistema permite control clínico a distancia facilitando la interacción médico-paciente. El sistema posee una aplicación web, una aplicación de escritorio y una plataforma hardware e- Salud. La aplicación de la metodología planteada mejora la eficiencia de la gestión de historias clínicas, puesto que el 83.32% de los médicos de la clínica consideran que se agiliza el proceso de acceso, creación e ingreso de historias clínicas y reduce recursos en el proceso de control de pacientes domiciliarios. The advance of Information and Communication Technologies has improved Health Care in last years; by providing new ways of accessing medical information. In particular, the use of telemedicine standards such as HL7 and CENTC 251-13606 allows standard communication, integration, and retrieval of electronic health records among medical systems. This article aims to create a methodological guide for the electronic exchange of clinical information based on telemedicine standards in order to improve the efficiency of electronic health records management. The proposed methodology consists of two phases: The first one states the design and implementation of the reference model of an electronic health records, which defines entities of the electronic health record. In phase 2, this methodology describes electronic health records architecture. The architecture is defined by the structure and semantics of the document using XML. In order to test the proposed methodology, a medical system was implemented that consists of a web application, desktop application, and hardware platform e- Health. This system allows the electronic exchange of clinical information to ease patient-doctor interaction. The results show 83,32% of doctors at the clinic where the system was tested agree the proposed methodology for electronic exchange improves the efficiency of electronic health records management since it speeds up the process of creation and retrieval of an electronic health records. Moreover, the system reduces resources in the control of home patients. Palabras clave: Telemedicina, HCE, HL7, CENTC 251-13606, e-Salud. Keywords: Telemedicine, EHR, HL7, CENTC 251-13606, e-Health.

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Leveraging Electronic Health Records to Improve Management of Noncommunicable Diseases at Primary Healthcare Centres in Saudi Arabia: A Qualitative Study

10.21203/rs.3.rs-109410/v1 ◽

2020 ◽

Author(s):

Ahmed Hazazi ◽

Andrew Wilson

Keyword(s):

Chronic Disease ◽

Electronic Health Records ◽

Primary Healthcare ◽

Noncommunicable Diseases ◽

Patient Portal ◽

Structured Interviews ◽

Health Records ◽

Public And Private ◽

Patient Documentation ◽

Electronic Health

Abstract Background: Electronic Health Records (EHRs) can contribute to the earlier detection and better treatment of chronic diseases by improving accuracy and accessibility of patient data. The Saudi Ministry of Health implemented an EHR system in all primary health care clinics (PHCs) as part of measures to improve their performance in managing chronic disease. This study examined the perspective of physicians on the current scope and content of NCDs management at PHCs including the contribution of the EHR system. Methods: Semi-structured interviews were conducted with 22 physicians working in chronic disease clinics at PHCs covering a range of locations and clinic sizes. The participants were selected based on their expertise using a combination of purposive and convenience sampling. The interviews were transcribed, analyzed and coded into the key themes. Results: Physicians indicated that the availability of the EHR helped organise their work and positively influenced NCDs patient encounters in their PHCs. They emphasised the multiple benefits of EHR in terms of efficiency, including the accuracy of patient documentation and the availability of patient information. Shortcomings identified included the lack of a patient portal to allow patients to access information about their health and lack of capacity to facilitate multi-disciplinary care for example through referral to allied health services. Access to the EHR was limited to MOH primary healthcare centres and clinicians noted that patients also received care in private clinics and hospitals. Conclusion: While well regarded by clinicians, the EHR system impact on patient care at chronic disease clinics is not being fully realised. Enabling patient access to their EHR would be help promote self-management, a core attribute of effective NCD management. Co-ordination of care is another core attribute and in the Saudi health system with multiple public and private providers, this may be substantially improved if the patients EHR was accessible wherever care was provided. There is also a need for enhanced capacity to support improving patient’s nutrition and physical activity.

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Nurse burnout: comparing public and private hospitals in Indonesia

British Journal of Healthcare Management ◽

10.12968/bjhc.2019.0090 ◽

2021 ◽

Vol 27 (2) ◽

pp. 1-7

Author(s):

Diwa Agus Sudrajat ◽

Tri Oktavia Indrianti ◽

Eva Supriatin ◽

Suci Noor Hayati ◽

Linlin Lindayani

Keyword(s):

Intensive Care ◽

Intensive Care Units ◽

Public Hospital ◽

Private Hospital ◽

Hospital Nurses ◽

Private Hospitals ◽

Public And Private ◽

Nurse Burnout ◽

Private And Public ◽

Public And Private Hospitals

Background/Aims Nurse burnout is a major issue among nursing staff and can affect the quality of nursing care. Little is known about burnout among nurses working in intensive care units in developing countries, such as Indonesia. This study was conducted to investigate and compare the prevalence of nurse burnout in private and public hospitals in Bandung, Indonesia. Methods A cross-sectional approach was used in the intensive care units of one private and one public hospital in Bandung, Indonesia, from June to July 2019. The Maslach Burnout Inventory was used to measure burnout levels among nurses. Univariate and bivariate data analysis was used to interpret the results. Results A total of 52 public hospital nurses and 66 private hospital nurses were included in this study. Burnout levels varied significantly between these groups, with private hospital nurses experiencing higher levels of emotional exhaustion (32.43±12.67 vs 29.35±9.78) and depersonalisation (10.23±6.58 vs 7.89±3.67) than public hospital nurses. Conclusions Over one third of both private and public hospital nurses experienced high levels of burnout syndrome, with nurses in the private sector being particularly affected. It is crucial for both public and private hospitals in Indonesia to adapt their working environments to protect the wellbeing of staff and the safety of patients by reducing the risk of nurse burnout.

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Shared Electronic Health Records as Innovation

Data Analytics in Medicine ◽

10.4018/978-1-7998-1204-3.ch071 ◽

2020 ◽

pp. 1416-1449

Author(s):

Troy Pullen ◽

Latif Al-Hakim

Keyword(s):

Electronic Health Records ◽

Diffusion Of Innovation ◽

Research Question ◽

Care Providers ◽

Innovation Theory ◽

Health Records ◽

Public And Private ◽

Diffusion Of Innovation Theory ◽

Willingness To Adopt ◽

Electronic Health

Based on the Diffusion of Innovation theory, this chapter addresses the following research question: Whether factors of diffusion of innovation theory influence care providers' willingness to adopt Shared Electronic Health Records (SEHRs). Data was collected through a self-administered questionnaire distributed to over 5000 active members of the Australian Medical Association Queensland. A total of 588 valid responses were received from currently active care providers in Queensland. Multiple regression analysis and Chi-Square analysis were conducted to test the research hypotheses and answer the research question. The data revealed that while 72% of those surveyed were willing to adopt SEHRs, significant differences existed between public and private sector care providers and across the various tiers of the health system. In relation to the factors influencing future willingness to adopt, the variables comprising relative advantage were shown to have a significant impact upon future willingness to adopt shared electronic health records. The findings from this chapter will benefit those responsible for the future introduction of SEHRs, specifically by allowing policy makers to target the factors that influence care providers' willingness to adopt.

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