Evaluation of the Implementation of Outpatient Electronic Medical Records
Abstract
The implementation of Electronic Medical Records (EMR) in X hospital has been running since 2022 but its use is still not optimal, especially in outpatient installations. This study aims to evaluate the implementation of outpatient EMR at X Hospital based on the HOT-FIT (Human, Organisation, Technology, and Net Benefit) framework. The research method with descriptive qualitative, uses a cross sectional approach. The research subjects were the head of medical records, head of outpatient polyclinic, head of outpatient registration, head of pharmacy, head of laboratory, doctor, head of cashier and head of IT team. The object of research was the implementation of outpatient EMR. Data collection through interviews and observations. The results showed that in the human aspect, there were still doctors who could not use EMR due to age. In the organization aspect, the standard operating procedures (SOPs) regarding EMR are still in draft form, have not been approved by the hospital director and have not been socialized. In the technology aspect, EMR system features that are not in accordance with user needs cause the output of health data information to be incomplete. The net-benefit aspect of RME, the use of EMR is more time efficient in health services and paperless. Conclusion, that the development of EMR at Hospital X is still ongoing, starting from improving the competence of medical personnel, organizational commitment, and improving the EMR system coding.
Downloads
References
Portoghese, M. Galletta, R. C. Coppola, G. Finco, and M. Campagna, “Burnout and Workload Among Health Care Workers: The Moderating Role of Job Control,” Saf. Health Work, vol. 5, no. 3, pp. 152–157, 2014, doi: 10.1016/j.shaw.2014.05.004.
C. Consiglio, “Interpersonal Strain at Work: A New Burnout Facet Relevant for the Health of Hospital Staff,” Burn. Res., vol. 1, no. 2, pp. 69–75, Sep. 2014, doi: 10.1016/j.burn.2014.07.002.
R. L. Gardner et al., “Physician Stress and Burnout: The Impact of Health Information Technology,” J. Am. Med. Inform. Assoc., vol. 26, no. 2, pp. 106–114, 2019, doi: 10.1093/jamia/ocy145.
R. Rosita, R. M. Wulandari, P. H. M. Putri, and S. A. A. Wani, “Fatigue Determines Work Motivation,” Int. Conf. Heal. Sci. Technol., pp. 37–39, 2019.
M. Panagioti et al., “Association Between Physician Burnout and Patient Safety, Professionalism, and Patient Satisfaction: A Systematic Review and Meta-analysis,” JAMA Intern. Med., vol. 178, no. 10, pp. 1317–1330, 2018, doi: 10.1001/jamainternmed.2018.3713.
N. Rieke et al., “The Future of Digital Health with Federated Learning,” NPJ Digit. Med., vol. 3, no. 1, pp. 1–7, 2020, doi: 10.1038/s41746-020-00323-1.
Nelson et al., “Authentic Leadership and Psychological Well-Being at Work of Nurses: The Mediating Role of Work Climate at the Individual Level of Analysis,” Burn. Res., vol. 1, no. 2, pp. 90–101, Sep. 2014, doi: 10.1016/j.burn.2014.08.001.
R. Wong and E. H. Bradley, “Developing Patient Registration and Medical Records Management System in Ethiopia,” Int. J. Qual. Health Care, vol. 21, no. 4, pp. 253–258, 2009, doi: 10.1093/intqhc/mzp026.
R. I. Sudra, S. Putra, and I. Hartini, “Legal Protection of the Patient’s Right to Access Medical Records in Indonesia,” South East. Eur. J. Public Health, vol. 2022, no. Special Issue 2, pp. 1–9, 2022, doi: 10.11576/seejph-5325.
Sugiarti, “Legal Protection of Patient Rights to Completeness and Confidentiality in Management of Medical Record Documents,” 2nd Bakti Tunas Husada-Health Sci. Int. Conf. (BTH-HSIC 2019) Leg., vol. 26, no. 129, pp. 179–191, 2020, doi: 10.2991/ahsr.k.200523.045.
R. Rosita, A. Pinta, K. Rizky, and R. N. Salsabila, “Guarantee the Confidentiality of Medical Data for Covid-19 Patients,” J. Prot. Kesehat., vol. 12, no. 2, pp. 108–113, 2023.
V. M. Dang et al., “Medical Record-Keeping and Patient Perception of Hospital Care Quality,” Int. J. Health Care Qual. Assur., vol. 27, no. 6, pp. 531–543, 2014, doi: 10.1108/IJHCQA-06-2013-0072.
C. Lidd, M. Wiens, and W. Hogg, “Methods to Achieve High Interrater Reliability in Data Collection from Primary Care Medical Records,” Ann. Fam. Med., vol. 9, no. 1, pp. 57–62, 2011, doi: 10.1370/afm.1195.
B. Kaplan, “Revisiting Health Information Technology Ethical, Legal, and Social Issues and Evaluation: Telehealth/Telemedicine and Covid-19,” Int. J. Med. Inform., vol. 143, no. Jun., p. 104239, 2020, doi: 10.1016/j.ijmedinf.2020.104239.
F. Tentama, P. A. Rahmawati, and P. Muhopilah, “The Effect and Implications of Work Stress and Workload on Job Satisfaction,” Int. J. Sci. Technol. Res., vol. 8, no. 11, pp. 2498–2502, 2019.
M. Tominanto, E. Purwanto, and N. Yuliani, “Outpatient Electronic Medical Records,” in Int. Conf. Appl. Sci. Eng., 2018, pp. 143–146, doi: 10.2991/icase-18.2018.39.
M. Yang, J. Guo, Z. Zhao, T. Xu, and L. Bai, “Teenager Health Oriented Data Security and Privacy Protection Research for Smart Wearable Device,” Procedia Comput. Sci., vol. 174, no. 2019, pp. 333–339, 2020, doi: 10.1016/j.procs.2020.06.095.
M. Usman and U. Qamar, “Secure Electronic Medical Records Storage and Sharing Using Blockchain Technology,” Procedia Comput. Sci., vol. 174, pp. 321–327, 2020, doi: 10.1016/j.procs.2020.06.093.
Sugiarti, P. D. Iii, R. Poltekkes, and K. Tasikmalaya, “Legal Protection of Patient Rights to Completeness and Confidentiality in Management of Medical Record Documents,” 2020.
J. Bakken, A. M. S. Ariansen, G. P. Knudsen, K. I. Johansen, and S. E. Vollset, “The Norwegian Patient Registry and the Norwegian Registry for Primary Health Care: Research Potential of Two Nationwide Health-Care Registries,” Scand. J. Public Health, vol. 48, no. 1, pp. 49–55, 2020, doi: 10.1177/1403494819859737.
M. Haimi and A. Gesser-Edelsburg, “Application and Implementation of Telehealth Services Designed for the Elderly Population During the COVID-19 Pandemic: A Systematic Review,” Telemed. J. E. Health, vol. 28, no. 1, 2022, doi: 10.1177/14604582221075561.
D. Mahtta, M. Daher, M. T. Lee, S. Sayani, M. Shishehbor, and S. S. Virani, “Promise and Perils of Telehealth in the Current Era,” Curr. Cardiol. Rep., vol. 23, no. 9, pp. 1–6, 2021, doi: 10.1007/s11886-021-01544-w.
Copyright (c) 2024 Riska Rosita, Azzahra Mifta Risqika, Novita Yuliani, Ni Luh Putu Devhy
This work is licensed under a Creative Commons Attribution 4.0 International License.