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IMPACT OF ELECTRONIC HEALTH RECORDS IN A HOSPITAL SET UP IN KENYA

IMPACT OF ELECTRONIC HEALTH RECORDS IN A HOSPITAL SET UP IN KENYA. By Judy A. Ouma. Introduction.

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IMPACT OF ELECTRONIC HEALTH RECORDS IN A HOSPITAL SET UP IN KENYA

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  1. IMPACT OF ELECTRONIC HEALTH RECORDS IN A HOSPITAL SET UP IN KENYA By Judy A. Ouma

  2. Introduction • An electronic health record (EHR) (also electronic patient record (EPR) or computerized patient record) is an evolving concept defined as a systematic collection of electronic health information about individual patients or populations. • It is a record in digital format that is capable of being shared across different health care settings, by being embedded in network-connected enterprise-wide information systems. • Such records may include a whole range of data in comprehensive or summary form, including demographics, medical history, medication and allergies, immunization status, laboratory test results, radiology images, vital signs, personal stats like age and weight, and billing information.

  3. Statement of the problem • Most public hospitals in Kenya maintain manual health records. Data is entered manually and bound to human error. • There are cases of files being misplaced or lost altogether. Some patients may not remember their patient numbers and therefore tracing their files is an uphill task. • There are cases of multiple entries of case files for patients when files cannot be found. Tracing files is time consuming and leads to loses in working man hours. • Shortage of staff is also a major problem in Kenya. This implies care givers become more of administrative staff and offer less in health provision. • Reduced budgetary allocation to the Ministries by the Central government

  4. Literature Review • The EHR, allows physicians and staff members to document interactions with patients, view medical histories and insurance information, make referrals, order laboratory tests and view test results, send electronic prescription requests to pharmacies (reducing the risk that hard-to-read handwriting will lead to medical errors) and flag potentially harmful drug interactions. • It also provides physicians with "decision support" tools, such as clinical guidelines and checks for drug interactions; and generates printed post-visit summaries for patients, among other benefits. 2

  5. Literature Review cont.. • A study was done to evaluate the interest taken by the health care providers in the electronic medical file and its use within the quality improvement process by Boyer L et al 7 • It showed that sixty-seven percent of staff interviewed had a favorable opinion of the electronic medical file.

  6. Literature Review cont. • A study was done by Gill J M et al on the ‘Impact of EHR-based clinical decision support on adherence to guidelines for patients on nonsteroidal anti-inflammatory drugs (NSAIDs): a randomized controlled trial’6 • It concluded that there was only a small impact of EHR-based clinical decision support for high-risk patients on NSAIDs in primary care

  7. Methodology • The Ministry of Medical Services has begun the process of computerizing high volume hospitals. These hospitals will be evaluated to see the impact of introducing EHRs. Data will be collected from these hospitals and evaluated.

  8. Results of interventions • Increased availability of data that can be used for policy planning. • Reduced cases of lost or missing files. • Time taken to locate a file is much shorter now. • Improved revenue generation and collection • The uptake by clinicians is rather slow since they have not attended many training sessions. Time to learn the system is also limited due to the current workload. • Patient waiting time is reduced.

  9. References • http://en.wikipedia.org/wiki/Electronic_health_record • http://www.pamf.org/ehr/benefits/ • http://www.aameda.org/MemberServices/Exec/Articles/spg04/Gurley%20article.pdf • Arizona Republic: “Electronic Health Records: About $500 Million at stake in digital move.” Ken Alltucker. March 20, 2011Sfgs • Hoffman S, Podgurski, A (Fall 2008). "Finding a Cure; The Case for Regulation and Oversight of Electronic Health Record Systems" (PDF). Harvard Journal of Law & Technology22 (1): 10 • http://www.ncbi.nlm.nih.gov/pubmed/21242557 • http://www.ncbi.nlm.nih.gov/pubmed/19853719 • RWIF,GWUMC, and IHP Staff: "Health Information Technology in the United States: The Information Base for Progress", Robert Wood Johnson Foundation, George Washington University Medical Center, and Institute for Health Policy, 200

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