Evaluating Electronic Health Records Systems in Jordan Extending EUCS With Self-Efficacy

2020 ◽  
Vol 16 (2) ◽  
pp. 1-18
Author(s):  
Ali Odeh Aljaafreh
Keyword(s):  
Electronic Health Records ◽  
Self Efficacy ◽  
Information Quality ◽  
Public Hospitals ◽  
System Quality ◽  
End User ◽  
Ministry Of Health ◽  
Health Records ◽  
Proposed Model ◽  
Electronic Health

This study empirically examines the system satisfaction of employees from the Ministry of Health in Jordan toward the enhancement of the electronic health records (EHR) named HAKEEM. The proposed model has assimilated factors from the enriched end-user computer satisfaction (EUCS) model along with self-efficacy as a new predictor. The participants were 463 respondents distributed in public hospitals through all the country of Jordan. The data were collected by means of a self-administered survey and analyzed using SEM technique. The findings revealed that EUCS is significantly and positively affected by information quality, system quality, and self-efficacy. The study is also looking forward to providing empirical results and applicable recommendations for the Ministry of Health and HAKEEM provider in order to enhance and maximize the benefit of such EHR.

Impact of Electronic Health Records Interoperability on Telehealth Service Outcomes (Preprint)

2021 ◽  
Author(s):  
Xinyue Zhang
Keyword(s):  
Electronic Health Records ◽  
Information Quality ◽  
Financial Strain ◽  
System Quality ◽  
Health Records ◽  
Healthcare Facilities ◽  
Telehealth Service ◽  
Service Outcomes ◽  
Electronic Health ◽  
Critical Components

BACKGROUND A telehealth platform integrated with an interoperable electronic health records (EHR) system can contribute directly toward achieving the often-discussed “quadruple aim” – better health outcomes, improved patient experience, lower costs, and improved clinician experience. OBJECTIVE This paper develops a telehealth success model and discusses three critical components: 1) health information quality, 2) EHR system quality, and 3) telehealth service quality to ensure effective telehealth service delivery, reduce professional burnout, and enhance access to care. METHODS Policy analysis RESULTS Although telehealth paired with semantic/organizational interoperability facilitates value-based and team-based care, challenges remain to enhance user (both patients and clinicians) experience and satisfaction. The COVID-19 pandemic has caused significant financial strain on hospitals, and it is uncertain if the current reimbursement and payment model for telehealth service/devices and regulation flexibility for virtual consulting will continue after the pandemic is over. Most hospitals in the U.S. have installed an EHR system, however disparities in telehealth adoption and access still exist among rural and/or small acute healthcare facilities. CONCLUSIONS Further studies are needed to analyze the impacts of interoperable EHR features on telehealth service outcomes and on hospital workflow and physician practice, in order to support evidence-based health policymaking and system implementation.

Analysis of end-user satisfaction with electronic health records in college/university healthcare

2020 ◽  
pp. 1-7
Author(s):  
Pasquale G. Frisina ◽  
Esther N. Munene ◽  
Janet Finnie ◽  
Judith E. Oakley ◽  
Gayathri Ganesan
Keyword(s):  
Electronic Health Records ◽  
User Satisfaction ◽  
End User ◽  
Health Records ◽  
Electronic Health

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.

Impact of simulation training on self-efficacy of outpatient health care providers to use electronic health records

2015 ◽  
Vol 84 (6) ◽  
pp. 423-429 ◽  
Author(s):  
Jasna Vuk ◽  
Michael E. Anders ◽  
Cynthia C. Mercado ◽  
Robert L. Kennedy ◽  
Jessie Casella ◽  
...  
Keyword(s):  
Health Care ◽  
Electronic Health Records ◽  
Health Care Providers ◽  
Self Efficacy ◽  
Simulation Training ◽  
Care Providers ◽  
Health Records ◽  
Electronic Health

scholarly journals Factors Determining the Intention to Use Electronic Health Records: An Extension of the Technology Acceptance Model

2020 ◽  
pp. 119-133
Author(s):  
Oladotun O. Okediran ◽  
Wajeed B. Wahab ◽  
Mayowa O. Oyediran
Keyword(s):  
Electronic Health Records ◽  
Technology Acceptance ◽  
Technology Acceptance Model ◽  
Healthcare Professionals ◽  
Equation Modeling ◽  
Intention To Use ◽  
System Quality ◽  
Health Records ◽  
Electronic Health ◽  
Acceptance Model

This paper details an empirical investigation of the factors that determine the intention of adopting and using electronic health records (EHR). The paper’s goal is a study aimed at examining the possibilities and intents towards EHR amongst healthcare professionals in Nigeria. In this study, an extended Technology Acceptance Model (TAM) that incorporates Subjective norm, Social influence, Result demonstrability, Computer self-efficacy and System quality to the original TAM constructs was proposed. The proposed model was empirically tested using data collected from a sample of 126 healthcare professionals across 14 healthcare delivery institutions in Oyo State, Southwestern, Nigeria by applying structural equation modeling (SEM). These data were collected by administering a questionnaire containing 30 items. The results of the evaluation showed that all constructs have significant effect on healthcare professionals’ behavioural intention to use EHR.

scholarly journals The Adoption Level of Electronic Health Records in Turkish Hospitals and the Relation with Hospital Sizes

2019 ◽  
Author(s):  
Ilker Kose ◽  
John Rayner ◽  
Suayip Birinci ◽  
Mustafa Mahir Ulgu ◽  
Ismayil Yilmaz ◽  
...  
Keyword(s):  
Electronic Health Records ◽  
Medical Information ◽  
Clinical Care ◽  
Public Hospitals ◽  
Maturity Model ◽  
Health Records ◽  
Hospital Size ◽  
Electronic Health ◽  
Adoption Level ◽  
Better Than

Abstract Background Considering the benefits of using electronic health records (EHR) for maintaining the overall quality of clinical care, the nationwide adoption of EHR in hospitals has become a policy priority. The electronic medical record maturity model (EMRAM) is one of the most popular survey tools developed by the Healthcare Information and Management Systems Society (HIMSS) that measures the level of adoption for EHR functions in a hospital or a secondary care setting. This study aims to measure the digital capacity of public hospitals in Turkey and criticize the relation between adoption and hospital size. Methods EMRAM surveys were completed by 600 (68.9%) public hospitals of Turkey between 2014 and 2017. The availability and prevalence of medical information systems and EHR functions were measured. The association between hospital size and the availability/prevalence of EHR functions was also calculated.Results We found that 63.1% of all hospitals in Turkey have at least basic EHR functions, and 36% have comprehensive EHR functions, which is better than the results of Korean hospitals of 2017 but still lower than the USA hospitals of 2015 (1)[1]and 2017. Our findings suggest that small hospitals are better than larger hospitals at adopting certain EHR functions. Conclusion Measuring the overall adoption level of EHR functions is an emerging approach and a beneficial tool for the strategic management of countries. This study is the first one covering all public hospitals in a country by using EMRAM. The results are used by MoH of Turkey to disseminate the benefits of EHR functions overall in the country.

scholarly journals Towards an Adoption Framework for Patient Access to Electronic Health Records: Systematic Literature Mapping Study

10.2196/15150 ◽  
2020 ◽  
Vol 8 (3) ◽  
pp. e15150
Author(s):  
Hugo J T van Mens ◽  
Ruben D Duijm ◽  
Remko Nienhuis ◽  
Nicolette F de Keizer ◽  
Ronald Cornet
Keyword(s):  
Electronic Health Records ◽  
Interrater Reliability ◽  
Health Care Quality ◽  
Care Quality ◽  
Patient Access ◽  
System Quality ◽  
Patient Portals ◽  
Health Records ◽  
System Use ◽  
Electronic Health

Background Patient access to electronic health records (EHRs) is associated with increased patient engagement and health care quality outcomes. However, the adoption of patient portals and personal health records (PHRs) that facilitate this access is impeded by barriers. The Clinical Adoption Framework (CAF) has been developed to analyze EHR adoption, but this framework does not consider the patient as an end-user. Objective We aim to extend the scope of the CAF to patient access to EHRs, develop guidance documentation for the application of the CAF, and assess the interrater reliability. Methods We systematically reviewed existing systematic reviews on patients' access to EHRs and PHRs. Results of each review were mapped to one of the 43 CAF categories. Categories were iteratively adapted when needed. We measured the interrater reliability with Cohen’s unweighted kappa and statistics regarding the agreement among reviewers on mapping quotes of the reviews to different CAF categories. Results We further defined the framework’s inclusion and exclusion criteria for 33 of the 43 CAF categories and achieved a moderate agreement among the raters, which varied between categories. Conclusions In the reviews, categories about people, organization, system quality, system use, and the net benefits of system use were addressed more often than those about international and regional information and communication technology infrastructures, standards, politics, incentive programs, and social trends. Categories that were addressed less might have been underdefined in this study. The guidance documentation we developed can be applied to systematic literature reviews and implementation studies, patient and informal caregiver access to EHRs, and the adoption of PHRs.

scholarly journals Electronic Health Records Functionalities in Saudi Arabia: Obstacles and Major Challenges

2018 ◽  
Vol 10 (4) ◽  
pp. 50 ◽  
Author(s):  
A. Karim Jabali ◽  
Mu'taman Jarrar
Keyword(s):  
Saudi Arabia ◽  
Electronic Health Records ◽  
Resistance To Change ◽  
Public Hospitals ◽  
Current Status ◽  
Innovative Technology ◽  
Health Records ◽  
Large Size ◽  
Comprehensive Survey ◽  
Electronic Health

BACKGROUND & OBJECTIVES: Despite the innovative technology availability, however, the functionalities of usefulness are limited and not been explored in Saudi Arabian hospitals. This study aims to determine the extent and diffusion of Electronic Health Records (EHR) in public hospitals in Saudi Arabia and to explore the main obstacles, and problems of adopting EHR in these hospitals.METHODS: A comprehensive survey was developed and sent to the medium and large size hospital stakeholders to collect their opinions on the current status of the adoption and usage of EHR. Cluster random sampling has been used. The study has been conducted in the eastern province.RESULTS: Based on the 15 hospitals surveyed in the Eastern Province (EP), Saudi Arabia, a total of seven hospitals (46.6%) had an EHR system and the implementation is running. EHR is mostly used for order entry (51.11%) and char review (41.11%) in the EP in Saudi Arabia with obstacles to be used for decision support, documentation functions, communication tools. Despite the “secured” EHR system, the results shows that security mechanism did not cover all threats.CONCLUSION: The results suggest that more public hospitals are required to adopting more and more EHR and EHR functionalities. A periodic assessment of EHR status should be performed in addition to or part of an encouraging/ enforcing policies that can significantly increase the rate of adoption of EHR systems. Managers and policymakers can benefit from the study by facing obstacles and general challenges of problems like resistance to change from the medical staff in using the information technology, low and weak financing, and train technical supporting staff for adopting EHR.

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