Assessment of the Readiness of the Hospitals Affiliated to Shiraz University of Medical Sciences for Implementation of Electronic Health Record Based on the California Academy of Family Physicians Tool: A case study in Iran

Document Type : Original Article

Authors

1 MSc in Health Information Technology, Student Research Committee, School of Health Management and Information Sciences, Health Human Resources Research Center, Shiraz University of Medical Sciences, Shiraz, Iran

2 Department of Health Information Technology, Abadan Faculty of Medical Science, Abadan, Iran

3 Department of English, Shiraz University of Medical Sciences, Shiraz, Iran

4 Department of Health Information Management, School of Health Management and Information Sciences, Health Human Resources Research Center, Shiraz University of Medical Sciences, Shiraz, Iran

Abstract

Introduction: A correct understanding of the level of readiness is the key to success in
implementing an electronic health record. The aim of this study was to assess the readiness of
the hospitals affiliated to Shiraz University of Medical Sciences for implementing electronic
health records based on the tools of the California Academy of Family Physicians tool.
Methods: This descriptive-applied study was performed in 2021 in six hospitals of Shiraz
University of Medical Sciences equipped with hospital information system in Iran. Data were
collected through interviews with managers, information technology experts, and hospital
information system experts through checklists in 5 areas of management, finance and budget,
operational, technology, and organizational alignment.
Results: The results showed that in the assessment of general readiness, Nemazi hospital with
38% and Amir hospital with 37% readiness were more suitable and moderately prepared
than other hospitals in moving towards the implementation of electronic health records, and
the rest of the hospitals did not have the necessary readiness. In management, finance and
budget, and operational capacity, most hospitals were in a weak position between 10% -30%
and were not ready at all.
Conclusion: According to the results, it is recommended that measures such as leadership
measures, participation and support of managers, recruitment of information technology
specialists, budget allocation, justification of return investment, continuing education
programs, user participation, and process support should be taken to increase the mentioned
capabilities and readiness of hospitals in the implementation of electronic health records.

Keywords

References

1. Ajami S, Ketabi S, Saghaeiannejad S, Heidari A. Requirements and areas associated with readiness assessment of electronic health records implementation. Journal of Health Administration. 2011;14(46).
2. Motlagh ME, Shirvani SDN, Maleki MR, Tofighi S, Kabir MJ, Jafari N. Access to infrastructures of information technology by the managers and executive experts in the vice-chancellery for health of Iranian universities of medical sciences. Director General. 2012;9(2):273-83. Persian.
3. Shahmoradi L, Darrudi A, Shamsi F, Norouzinejad-Dastenayi A, Nasrolahbeigi F. Strategy Formulation of Electronic Health Record Implementation Using SWOT Analysis. Health Information Management. 2017;14(1):9-15.
4. Aziz K, Yusof MM. Measuring organizational readiness in information systems adoption. Americas Conference on Information Systems. 2012;4:2742-9.
5. Babalhavaeji F, Emami Z, Shahrokhi Farid R. Information needs study on electronic health records of diabetic patients from endocrinologist perspective. Journal of Healthcare Management (Journal of Health System). 2014;5(2):13-24.
6. Jebraeili M, Ahmadi M, Hajavi A, Gouhari Mr, Sedghi Jahromi M, Zare Fazl Elahi Z. Electronic health records: personnel readiness assessment. Journal of Health Administration. 2010;13(39):17-24.
7. Ameri A, Khajouei R, Ghasemi Nejad P. Barriers to implementing electronic health records from the perspective of IT administrators and hospital managers in Kerman. Journal of Health Administration. 2017;20(69):19-30.
8. Farzandipour M, Ahmady M, Sadoughi F, Karimi I. Designing a model for security requirements of electronic health records in Iran. Journal of Inflammatory Diseases. 2009;13(1):79-86.
9. Negro-Calduch E, Azzopardi-Muscat N, Krishnamurthy RS, Novillo-Ortiz D. Technological progress in electronic health record system optimization: Systematic review of systematic literature reviews. Int J Med Inform. 2021;152:104507. doi: 10.1016/j.ijmedinf.2021.104507.
10. Sadoughi F, Delgoshaei B, Foozonkhah S, Tofighi S, Khalesi N. Designing an object-oriented model for some key messages to support the electronic health record. Journal of Health Administration. 2006;9(25):21-30.
11. Habibi-Koolaee M, Mirkarimi A, Behnampour N, Kabir MJ. Factors influencing nurses’ readiness for the implementation of electronic health records. Journal of Modern Medical Information Sciences. 2015;1(1):51-6.
12. Shahbahrami A, Moayed Rezaie S, Hafezi M. Effective factors in acceptance of electronic health record from employees point of view. Journal of Guilan University of Medical Sciences. 2016;24(96):50-60.
13. Aguirre RR, Suarez O, Fuentes M, Sanchez-Gonzalez MA. Electronic health record implementation: a review of resources and tools. Cureus. 2019;11(9):e5649. doi: 10.7759/cureus.5649.
14. Lander L, Baxter SL, Cochran GL, Gali HE, Cook K, Hatch T, et al. Self-Perceptions of Readiness to Use Electronic Health Records Among Medical Students: Survey Study. JMIR Med Educ. 2020;6(1):e17585. doi: 10.2196/17585.
15. Boonstra A, Jonker TL, van Offenbeek MAG, Vos JFJ. Persisting workarounds in Electronic Health Record System use: types, risks and benefits. BMC Med Inform Decis Mak. 2021;21(1):183. doi: 10.1186/s12911-021-01548-0.
16. Abdekhoda M, Ahmadi M, Gohari M, Noruzi A. Effects of Organizational Contextual Factors on Physicians’ Attitude Toward Adoption of Electronic Medical Records, Based on Technology Acceptance Model. Payavard-Salamat. 2016;10(2):181-93.
17. Deutsch E, Duftschmid G, Dorda W. Critical areas of national electronic health record programs-is our focus correct? Int J Med Inform. 2010;79(3):211-22. doi: 10.1016/j.ijmedinf.2009.12.002.
18. Joshua O. Electronic Health Record Implementation In Developing Countries: A Systematic Review. ResearchGate. 2021.
19. Jebraeily M, Piri Z, Rahimi B. Barriers of Electronic Health Records Implementation, A Comparative Study. J Health Administration. 2012;8(6):743.
20. Jennett P, Jackson A, Healy T, Ho K, Kazanjian A, Woollard R, et al. A study of a rural community’s readiness for telehealth. J Telemed Telecare. 2003;9(5):259-63. doi: 10.1258/135763303769211265.
21. Kabukye JK, de Keizer N, Cornet R. Assessment of organizational readiness to implement an electronic health record system in a low-resource settings cancer hospital: A cross-sectional survey. PLoS One. 2020;15(6):e0234711. doi: 10.1371/journal.pone.0234711.
22. Mirabootalebi N, Mobaraki H, Dehghan R, Mohebbi NM. A study of physicians’ expected factors resulted from implementation of electronic health records project in Hormozgan university of medical sciences, 2012. Health Information Management. 2013;10(5):665-74.
23. Tavakoli N, Saghaeianejad-Isfahani S, Piri Z, Mirzaeian R, Amini A. A comparative study on laws, policies and procedures of patient access to electronic health record in selected countries. Journal of Shahrekord University of Medical
Sciences. 2014;15(6):1-11. Persian.
24. Lorenzi NM, Kouroubali A, Detmer DE, Bloomrosen M. How to successfully select and implement electronic health records (EHR) in small ambulatory practice settings. BMC Med Inform Decis Mak. 2009;9:15. doi: 10.1186/1472-6947-9-15.
25. Alsadi M, Saleh A. Electronic health records implementation readiness: an integrative review. Open journal of Nursing. 2019;9(02):152-62. doi: 10.4236/ojn.2019.92014.
26. Ghazisaeidi M, Ahmadi M, Sadoughi F, Safdari R. An assessment of readiness for preimplementation
of electronic health record in Iran: a practical approach to implementation in general and teaching hospitals. Acta Med Iran. 2014;52(7):532-44.
27. BArati O, Kamerrneya M, Sadeki A, Seyavosi E. Skills, capabilities, and requirements of hospital managers: A qualitative study. Journal of Qualitative Research in Health Sciences. 2020;5(1):17-28.
28. Mahfoozpour S, Marzban S, Nazari-Shirkouhi S. Selection criteria of public hospital managers in Iran health system. Journal of Health Administration. 2019;22(2):86-98.
29. Tabrizi S. Health system professionals, attitude towards necessary criteria for hospitals managers, performance assessment. Yafteh. 2012;14(3):91-101.
30. Mosadeghrad A, Jaafaripooyan E. Evaluation of hospital managers’ performance in Sari. Journal of Hospital. 2018;17(1):29-44.
31. Mirani N, Ayatollahi H, Haghani H. A survey on barriers to the development and adoption of electronic health records in Iran. Journal of Health Administration (JHA). 2013;15(50):65-75.
32. Yusof MM, Aziz K. Evaluation of organizational readiness in information systems adoption: A case study. Asia-Pacific Journal of Information Technology and Multimedia. 2015;4(2):69-86. doi: 10.17576/apjitm-2015-0402-06.
33. Jebraeily M, Piri Z, Rahimi B, Ghasemzade N, Ghasemirad M, Mahmodi A. Barriers of electronic health records implementation. Director General. 2012;8(6):807-14. Persian.
34. Thakkar M, Davis DC. Risks, barriers, and benefits of EHR systems: a comparative study based on size of hospital. Perspect Health Inf Manag. 2006;3:5.
35. Scott JT, Rundall TG, Vogt TM, Hsu J. Kaiser Permanente’s experience of implementing an electronic medical record: a  qualitative study. BMJ. 2005;331:1313-6. doi: 10.1136/bmj.38638.497477.68. PubMed PMID: 16269467;PubMed Central PMCID: PMCPMC1298854.
36. Zare Fazlollahi Z, Lotfnezhad Afshar H, Jabraili M, Maleki M. An evaluation of hospital information system implementation in Imam Hospital in Urmia. Health Information Management. 2012;8(5):731-7. Persian.
37. Gesulga JM, Berjame A, Moquiala KS, Galido A. Barriers to electronic health record system implementation and information systems resources: a structured review. Procedia Computer Science. 2017;124:544-51. doi: 10.1016/j.procs.2017.12.188.
38. Asadi F, Mastaneh Z. Challenges of Using Information Technology in Hospitals Affiliated to Shaheed Beheshti University of Medical Sciences, 2009. Iranian Journal of Surgery. 2012;20(1).
39. Joshua O. Electronic Health Record Implementation In Developing Countries: A Systematic Review. ResearchGate. 2021.
40. Haji Pour Talebi A, Sadeghi M, Mehrabi N, Gholamhoseini L, Gol Mohammadi M. Explaining the Challenges and Solutions for Implementing Smart Systems in the Health System. Paramedical Sciences and Military Health. 2019;14(1):69-74.
 
Health Management & Information Science
Volume 9, Issue 1
March 2022
Pages 45-52

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