Readiness of Shiraz teaching hospitals to implement Electronic Medical Record (EMR)

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Abstract

Introduction: Due to the importance of Electronic Medical Record (EMR) in the quality of health care services, checking the readiness of hospitals to implement it is a vital step to define success or failure of the Electronic Medical Record in the first place. The aim of this study was to evaluate the readiness of Shiraz teaching hospitals to implement Electronic Medical Record.Method: This study was a cross-sectional descriptive study done in 2015. The study population included Health Information Management (HIM) staff of Shiraz teaching hospitals. Five hospitals from a total of 14 hospitals were selected as Single-stage cluster sampling with a population of 79 health information management staff. Data collection was performed by using a validated questionnaire. The questionnaire consisted of three main dimensions including technical, organizational and legal requirements. For data analysis, SPSS software version 16 and one way Analysis of Variance (ANOVA) for comparisons between five hospitals were used.Results:The results showed that Shiraz teaching hospitals have high readiness (3.66 out of 5) to implement Electronic Medical Record. Shiraz teaching hospitals are better prepared in terms of legal requirements. Also, a significant difference was not observed among the hospitals in any of the technical, organizational and legal aspects (P > 0.05).Conclusion: Due to the importance of the technical, organizational and legal aspects in the implementation of Electronic Medical Record, it is recommended that the authorities consider these aspects in implementation of Electronic Medical Record. Also, according to the high readiness of Shiraz teaching hospitals to implement Electronic Medical Record, it is recommended that authorities should take necessary measures, including financial support in order to run it.Keywords: Implementation, Electronic Medical Records (EMR), Hospital, Health Information Management

References

  1. Chaulagai CN, Moyo CM, Koot J, Moyo HB, Sambakunsi TC, Khunga FM, et al. Design and implementation of a health management information system in Malawi: issues, innovations and results. Health Policy Plan. 2005;20(6):375-84.
  2. Toyoda K. Standardization and security for the EMR. Int J Med Inform. 1998;48(1-3):57-60.
  3. Ludwick DA, Doucette J. Adopting electronic medical records in primary care: lessons learned from health information systems implementation experience in seven countries. International journal of medical informatics. 2009;78(1):22-31.
  4. Wager KA, Lee FW, Glaser JP, Burns Glaser J, Managing J. Health information systems: a practical approach for health care executives. Jossey-Bass; 2005.
  5. Carter Jerome H. Electronic medical records: a Guide for clinicians & administrators. Translated by Langarizadeh M, Mahmoodzadeh B & Khezri R Tehran: Institute of Dibagaran. 2005:185-201.
  6. Hillestad R, Bigelow J, Bower A, Girosi F, Meili R, Scoville R, et al. Can electronic medical record systems transform health care? Potential health benefits, savings, and costs. Health Aff (Millwood). 2005;24(5):1103-17.
  7. Mills TR, Vavroch J, Bahensky JA, Ward MM. Electronic medical record systems in critical access hospitals: leadership perspectives on anticipated and realized benefits. Perspect Health Inf Manag. 2010;7:1c.
  8. Wills MJ, El-Gayar O, Bennett D. Examining healthcare professionals’ acceptance of electronic medical records using UTAUT. Issues in Information Systems. 2008;9(2):396-401.
  9. Ahmadi Dehghotbodini M. [Structure combination between Davies information acceptances Model. New plans in educational sciences]. 2010;5(2):56-8.
  10. Follen M, Castaneda R, Mikelson M, Johnson D, Wilson A, Higuchi K. Implementing health information technology to improve the process of health care delivery: a case study. Dis Manag. 2007;10(4):208-15.
  11. Valdes I, Kibbe DC, Tolleson G, Kunik ME, Petersen LA. Barriers to proliferation of electronic medical records. Inform Prim Care. 2004;12(1):3-9.12.
  12. Gans D, Kralewski J, Hammons T, Dowd B. Medical groups’ adoption of electronic health records and information systems. Health Aff (Millwood). 2005;24(5):1323-33.
  13. Garavand A, editor. Nematollahi M. Monem H. The role of electronic medical records (EMR) in reducing Hospital costs. International Conference on Sustainable Reform in Health Systems; 2015.
  14. Gozali E, Langarizadeh M, Sadoughi F. A SURVEY OF THE POSSIBILITY OF ELECTRONIC MEDICAL RECORDS IMPLEMENTATION IN TEACHING HOSPITALS AFFLIATED TO URMIA UNIVERSITY OF MEDICAL SCIENCES. Journal of Urmia Nursing And Midwifery Faculty. 2013;11(5):0-.15.
  15. Holroyd-Leduc JM, Lorenzetti D, Straus SE, Sykes L, Quan H. The impact of the electronic medical record on structure, process, and outcomes within primary care: a systematic review of the evidence. Journal of the American Medical Informatics Association. 2011;18(6):732-7.
  16. Price A. A study of factors influencing physician adoption of electronic medical records technology. Grenoble Ecole de Management. 2010.
  17. Langarizade M, Gozali M, Sadoghi F. [Comparative evaluation Hospitals preparation for deployment Electronic Medical Records in Urmia]. Journal of Faculty of Tehran University of Medical Sciences (Pyavrd salamat). 2013;7:312-24.
  18. Najafi N. [Effective factors for adoption of Electronic patient record between physicion usingn the unified theory of acceptance and use of technology (UTAUT)]: Shiraz: Shiraz Payame Noor University; 2010.
  19. Jebraeily M, Ahmadi M, Hajavi A, Gohari M, Sedghi Jahromi M, Zareh Z. Electronic Health Records: Personnel Readiness Assessment. Journal of Health Administration. 2010;13(39):17-24.
  20. Torabi M, Safdari R. [Electronic Health Record]. tehran: jafari publication; 2009.
  21. Hostgaard AM, Nohr C. Dealing with organizational change when implementing EHR systems. Stud Health Technol Inform. 2004;107(Pt 1):631-4.
  22. Amatayakul M. EHR? Assess readiness first: there’s no denying interest in electronic health records is increasing. Healthcare Financial Management. 2005;59(5):112-4.
  23. Miller RH, Sim I. Physicians’ use of electronic medical records: barriers and solutions. Health Aff (Millwood). 2004;23(2):116-26.

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