Electronic Health Records: A Novel Strategy for Healthcare Improvement
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AI Summary
This presentation discusses the implementation, benefits, challenges, and recommendations for Electronic Health Records (EHRs) in healthcare delivery. It also highlights the policy regulatory drivers for guidance and technology standards required for EHR usage.
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Electronic
Health Records
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Health Records
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Introduction
•Electronic Health Records
(EHR) utilize information
technology for the
documentation of patient
information (Miotto et al.,
2016)
•The National eHealth Program
has been implemented by the
Ministry of Health (MOH) of
Saudi Arabia for the purpose of
improving deliverance and
efficacy in healthcare (Kingdom
of Saudi Arabia, 2012).
•Electronic Health Records
(EHR) utilize information
technology for the
documentation of patient
information (Miotto et al.,
2016)
•The National eHealth Program
has been implemented by the
Ministry of Health (MOH) of
Saudi Arabia for the purpose of
improving deliverance and
efficacy in healthcare (Kingdom
of Saudi Arabia, 2012).
Healthcare Delivery
EHRs play key roles in
healthcare delivery by
(Bauchner, Berwick &
Fontanarosa, 2016):
•Providing accurate patient
information.
•Reducing time required for
information accessibility.
•Enhancing security of
information.
•Enabling accuracy in
diagnosis.
EHRs play key roles in
healthcare delivery by
(Bauchner, Berwick &
Fontanarosa, 2016):
•Providing accurate patient
information.
•Reducing time required for
information accessibility.
•Enhancing security of
information.
•Enabling accuracy in
diagnosis.
Effective Healthcare
EHRs increase the healthcare
effectiveness by (Erfannia,
Sadoughi & Sheikhtaheri,
2018):
•Enhancing hospital
departmental connectedness.
•Enhancing relaying of
information to all health
professionals .
•Providing cloud service for
improved accessibility.
•Enabling live monitoring of
emergency healthcare events.
EHRs increase the healthcare
effectiveness by (Erfannia,
Sadoughi & Sheikhtaheri,
2018):
•Enhancing hospital
departmental connectedness.
•Enhancing relaying of
information to all health
professionals .
•Providing cloud service for
improved accessibility.
•Enabling live monitoring of
emergency healthcare events.
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Raise Healthcare
Quality
EHRs raise healthcare
quality by (Campanella et
al., 2018).
•Reducing medical errors.
•Improving patient flow,
admission and screening.
•Enabling improved
delegation and response to
critical clinical events.
Quality
EHRs raise healthcare
quality by (Campanella et
al., 2018).
•Reducing medical errors.
•Improving patient flow,
admission and screening.
•Enabling improved
delegation and response to
critical clinical events.
Basic Requirements
The implementation of EHRs would require (Kingdom of Saudi
Arabia, 2012).
•Collaborative discussion between various healthcare committees.
•Reviewing with National and well as International health
professionals.
•Educational workshops.
•Obtaining organizational data.
•Meetings with healthcare organizations.
The implementation of EHRs would require (Kingdom of Saudi
Arabia, 2012).
•Collaborative discussion between various healthcare committees.
•Reviewing with National and well as International health
professionals.
•Educational workshops.
•Obtaining organizational data.
•Meetings with healthcare organizations.
Key Challenges and Issues
Some of the key challenges include (Goldstein et al.,
2017):
•Interoperability: Faulty interface of EHRs
•Usability: Lack of confidence and knowledge staff
on EHR usage
•Health Information Technology Safety: Hindrances
to patient privacy during security breaches.
Some of the key challenges include (Goldstein et al.,
2017):
•Interoperability: Faulty interface of EHRs
•Usability: Lack of confidence and knowledge staff
on EHR usage
•Health Information Technology Safety: Hindrances
to patient privacy during security breaches.
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Policy Regulatory
drivers for Guidance
The following standards and policies
are recognized by the MOH (Ministry
of Health, 2019).
•Patient Centric Approach
•Population Health Status and
Indicators of Patient Safety and
Health Outcomes
•Clinical and Business Processes
Application Systems
•Information Management,
Information Security and Privacy
Interoperability
•Physical and Technical
Infrastructure Network
drivers for Guidance
The following standards and policies
are recognized by the MOH (Ministry
of Health, 2019).
•Patient Centric Approach
•Population Health Status and
Indicators of Patient Safety and
Health Outcomes
•Clinical and Business Processes
Application Systems
•Information Management,
Information Security and Privacy
Interoperability
•Physical and Technical
Infrastructure Network
Standards and Policies for EHR implementation
Technology
Standards
The standards of
technology required for
the implementation of
EHR usage will be guided
by the Information and
Communications
Technology (ICT) sector of
Saudi Arabia (Kingdom of
Saudi Arabia, 2012).
Standards
The standards of
technology required for
the implementation of
EHR usage will be guided
by the Information and
Communications
Technology (ICT) sector of
Saudi Arabia (Kingdom of
Saudi Arabia, 2012).
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Recommendations
EHR usage can be
improved by (Gellert,
Ramirez & Webster, 2015):
•Feedback and evaluation
•Nursing curriculum
modification
•Increased staff training
•Integration of clinical and
IT departments
EHR usage can be
improved by (Gellert,
Ramirez & Webster, 2015):
•Feedback and evaluation
•Nursing curriculum
modification
•Increased staff training
•Integration of clinical and
IT departments
Conclusion
Hence to conclude, EHRs pose to
be a novel strategy for
improvement of patient safety
and healthcare deliverance.
However, existing EHR
implementation consists of
several limitations in terms of
safety, usability and
interoperability. Increased
training, communication,
education and feedback are key
recommendations to combat
these limitations.
Hence to conclude, EHRs pose to
be a novel strategy for
improvement of patient safety
and healthcare deliverance.
However, existing EHR
implementation consists of
several limitations in terms of
safety, usability and
interoperability. Increased
training, communication,
education and feedback are key
recommendations to combat
these limitations.
References
Bauchner, H., Berwick, D., & Fontanarosa, P. B. (2016). Innovations in health care delivery and
the future of medicine. Jama, 315(1), 30-31.
Campanella, P., Lovato, E., Marone, C., Fallacara, L., Mancuso, A., Ricciardi, W., & Specchia, M. L.
(2015). The impact of electronic health records on healthcare quality: a
systematic review and meta-analysis. The European Journal of Public Health, 26(1), 60-
64.
Erfannia, L., Sadoughi, F., & Sheikhtaheri, A. (2018). The Advantages of Implementing Cloud
Computing in the Health Industry of Iran: A Qualitative Study. IJCSNS, 18(1), 198.
Gellert, G. A., Ramirez, R., & Webster, S. L. (2015). The rise of the medical scribe industry:
implications for the advancement of electronic health records. Jama, 313(13), 1315-
1316.
Goldstein, B. A., Navar, A. M., Pencina, M. J., & Ioannidis, J. (2017). Opportunities and challenges
in developing risk prediction models with electronic health records data: a
systematic review. Journal of the American Medical Informatics
Association, 24(1), 198-208.
Kingdom of Saudi Arabia. (2012). National eHealth Development Program. Retrieved from
https://www.itu.int/ITU- D/cyb/events/2012/e-
health/Nat_eH_Dev/Session%204/KSA-MOH-Presentation-SaudiArabia%20FINAL.pdf
Ministry of Health. (2019). National E- Health Strategy - Standards and Policies. Retrieved from
https://www.moh.gov.sa/en/Ministry/nehs/Pages/Standards-and-Policies.aspx
Miotto, R., Li, L., Kidd, B. A., & Dudley, J. T. (2016). Deep patient: an unsupervised representation
to predict the future of patients from the electronic health records. Scientific
reports, 6, 26094.
Murphy, D. R., Meyer, A. N., Russo, E., Sittig, D. F., Wei, L., & Singh, H. (2016). The burden of inbox
notifications in commercial electronic health records. JAMA internal
medicine, 176(4), 559-560.
Bauchner, H., Berwick, D., & Fontanarosa, P. B. (2016). Innovations in health care delivery and
the future of medicine. Jama, 315(1), 30-31.
Campanella, P., Lovato, E., Marone, C., Fallacara, L., Mancuso, A., Ricciardi, W., & Specchia, M. L.
(2015). The impact of electronic health records on healthcare quality: a
systematic review and meta-analysis. The European Journal of Public Health, 26(1), 60-
64.
Erfannia, L., Sadoughi, F., & Sheikhtaheri, A. (2018). The Advantages of Implementing Cloud
Computing in the Health Industry of Iran: A Qualitative Study. IJCSNS, 18(1), 198.
Gellert, G. A., Ramirez, R., & Webster, S. L. (2015). The rise of the medical scribe industry:
implications for the advancement of electronic health records. Jama, 313(13), 1315-
1316.
Goldstein, B. A., Navar, A. M., Pencina, M. J., & Ioannidis, J. (2017). Opportunities and challenges
in developing risk prediction models with electronic health records data: a
systematic review. Journal of the American Medical Informatics
Association, 24(1), 198-208.
Kingdom of Saudi Arabia. (2012). National eHealth Development Program. Retrieved from
https://www.itu.int/ITU- D/cyb/events/2012/e-
health/Nat_eH_Dev/Session%204/KSA-MOH-Presentation-SaudiArabia%20FINAL.pdf
Ministry of Health. (2019). National E- Health Strategy - Standards and Policies. Retrieved from
https://www.moh.gov.sa/en/Ministry/nehs/Pages/Standards-and-Policies.aspx
Miotto, R., Li, L., Kidd, B. A., & Dudley, J. T. (2016). Deep patient: an unsupervised representation
to predict the future of patients from the electronic health records. Scientific
reports, 6, 26094.
Murphy, D. R., Meyer, A. N., Russo, E., Sittig, D. F., Wei, L., & Singh, H. (2016). The burden of inbox
notifications in commercial electronic health records. JAMA internal
medicine, 176(4), 559-560.
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