benefits and challenges to the adoption of electronic medical records

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BENEFITS AND CHALLENGES TO THE ADOPTION OF ELECTRONIC MEDICAL RECORDS USMAN MAARUF YAKUBU MIDDLESEX UNIVERSITY [email protected]

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Page 1: BENEFITS AND CHALLENGES TO THE ADOPTION OF ELECTRONIC MEDICAL RECORDS

BENEFITS AND CHALLENGES TO THE ADOPTION OF ELECTRONIC

MEDICAL RECORDS

USMAN MAARUF YAKUBU

MIDDLESEX UNIVERSITY

[email protected]

Page 2: BENEFITS AND CHALLENGES TO THE ADOPTION OF ELECTRONIC MEDICAL RECORDS

Agenda

Why do we need EMR? E-Health and Electronic

Medical Records. What are the benefits and

challenges from the literature?

Methodology of the research Results from the data. Discussion. Conclusion.

Page 3: BENEFITS AND CHALLENGES TO THE ADOPTION OF ELECTRONIC MEDICAL RECORDS

Why do we need EMR?

Healthcare is a billion dollar industry (Caldeira, et al. 2012).

Adults only receive only 50% of recommended preventive care (Shih, et al. 2011).

Medication errors Paper records lost or

destroyed Emergency Aging global population Chronic diseases

Page 4: BENEFITS AND CHALLENGES TO THE ADOPTION OF ELECTRONIC MEDICAL RECORDS

E-health and Electronic Medical Records

(EMR) E-health uses information and

communication technology to provide quality healthcare. It can serve in the delivery or enhance of current methods of delivery (Eysenbach, 2001).

Electronic Medical Record is a digital record of all information related to the patient to be viewed by authorized personnel (Leonidas, 2009).

Page 5: BENEFITS AND CHALLENGES TO THE ADOPTION OF ELECTRONIC MEDICAL RECORDS

Benefits of EMR from Literature

Eliminates medication error

Process times and waiting time for cues all get

shorter

Clinical guidelines support and improve outcomes

Enhance efficiency, workflow, management and

decisions making

Also it lowers cost, storage space and staff

requirements

Decision making and analytics

Page 6: BENEFITS AND CHALLENGES TO THE ADOPTION OF ELECTRONIC MEDICAL RECORDS

Challenges to EMR Adoptionfrom Literature

Privacy and security concerns

 High Cost of Enterprise systems

Time to plan, develop and implement the system

Resistance to change and lack of support by healthcare staff

Difficulty with data entry

Integration/interoperability of medical devices

Consolidating records spread across hospitals

Page 7: BENEFITS AND CHALLENGES TO THE ADOPTION OF ELECTRONIC MEDICAL RECORDS

Research Methodology The research gathered

qualitative data with interviews from Healthcare authorities Healthcare administrator Medical device

Vendor/implementer of healthcare solutions.

Data from the research was validated from literature

Analysis, discussion and conclusion were made from the data.

Page 8: BENEFITS AND CHALLENGES TO THE ADOPTION OF ELECTRONIC MEDICAL RECORDS

Benefits of Electronic Medical Records from data collected

Page 9: BENEFITS AND CHALLENGES TO THE ADOPTION OF ELECTRONIC MEDICAL RECORDS

Challenges to the Adoption of EMR from data collected

Page 10: BENEFITS AND CHALLENGES TO THE ADOPTION OF ELECTRONIC MEDICAL RECORDS

Proposed solutions

Page 11: BENEFITS AND CHALLENGES TO THE ADOPTION OF ELECTRONIC MEDICAL RECORDS

Conclusion Research was aimed at evaluating the benefits and challenges

to the adoption of EMR and proposed solutions. The benefits included improvements in safety, efficiency,

response times, management and overall quality of care

The challenges were primarily cost, systems integration, data entry and change management and lack of awareness and education.

Solutions include government funding, standardization of EMR systems, education, training, better planning and effective change management.

Page 12: BENEFITS AND CHALLENGES TO THE ADOPTION OF ELECTRONIC MEDICAL RECORDS

Limitations and Future Guidelines

Limitations include the research being localized to the U.A.E which is has stable power supply and reliable data networks. Hence challenges may differ for third world countries.

Proposed area for further research is challenges to the adoption of healthcare mobile applications by consumers.

Page 13: BENEFITS AND CHALLENGES TO THE ADOPTION OF ELECTRONIC MEDICAL RECORDS

References Caldeira, M. Serrano, A. Quaresma, R. Pedron, C. Romão, M. (2012). Information and communication technology adoption for business benefits: A case analysis of an integrated paperless system, International Journal of Information Management, vol. 32, issue 2, page 196-202. [Accessed 28th January 2013] Available: www.sciencedirect.com/science/article/pii/S0268401211001587

Chang, I. Yi-Chang, L. Teng-Yen W. David, C. (2012). Electronic medical record quality and its impact on user satisfaction - Healthcare providers' point of view, Government Information Quarterly, vol. 29, issue 2, pages 235-242, [Accessed 1st February 2013] Available:http://www.sciencedirect.com/science/article/pii/S0740624X12000068

Eysenbach, G. (2001), ‘What is e-health?. Journal of Medical Internet Research, vol. 3 no. 2, page 2. [Accessed 12 October 2012] URL: http://www.jmir.org/2001/2/e20/

Gans, D. Kralewski, J. Hammons, T. Dowd, B. (2005). Medical Groups' Adoption of Electronic Health Records and Information Systems, Health Affairs, vol. 24, no.5, page 1323-1333. [Accessed 10th January 2013] Available: http://content.healthaffairs.org/content/24/5/1323

Leonidas Jr., T 2009, 'EMR IS CALLING', Healthcare Design, vol. 9, no. 9, page 52-56, Business Source Complete, EBSCOhost, viewed 20 February 2013.

Page 14: BENEFITS AND CHALLENGES TO THE ADOPTION OF ELECTRONIC MEDICAL RECORDS

Ross, J. (2009). Electronic Medical Records: The Promises and Challenges, Journal of PeriAnesthesia Nursing, vol. 24, issue 5, Pages 327-329. [Accessed 25 th January 2013] Available:www.sciencedirect.com/science/article/pii/S1089947209003347

Shih, S. McCullough, C. Wang, J. Singer, J. Parsons, A. (2011). Health Information Systems in Small Practices: Improving the Delivery of Clinical Preventive Services, American Journal of Preventive Medicine, vol. 41, issue 6, pages 603-609. [Accessed 3rd February 20] Available:www.sciencedirect.com/science/article/pii/S074937971100609X

Kamran, M. Farooq, M. (2012). "An Information-Preserving Watermarking Scheme for Right Protection of EMR Systems," Knowledge and Data Engineering, IEEE Transactions, vol.24, no. 11, page 1950-1962. [Accessed 9th January 2013] Available: http://ieeexplore.ieee.org.ezproxy.mdx.ac.uk/stamp/stamp.jsp?tp=&arnumber=6051437&isnumber=6308678

Xue, Y. Liang, H. Wu, X. Gong, H. Li, B. Zhang, Y. (2012). Effects of electronic medical record in a Chinese hospital: A time series study, International Journal of Medical Informatics, vol. 81, issue 10, pages 683-689. [Accessed 25th January 2013]

Available: www.sciencedirect.com/science/article/pii/S1386505612001116

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