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BENEFITS AND CHALLENGES TO THE
ADOPTION OF ELECTRONIC
MEDICAL RECORDS
USMAN MAARUF YAKUBU
MIDDLESEX UNIVERSITY
um088@live.mdx.ac.uk
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.
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
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).
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
Challenges to EMR Adoption
from 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
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.

Benefits of Electronic Medical
Records from data collected
Challenges to the Adoption of
EMR from data collected
Proposed solutions
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.
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.
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 196202. [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.
Ross, J. (2009). Electronic Medical Records: The Promises and Challenges, Journal of
PeriAnesthesia Nursing, vol. 24, issue 5, Pages 327-329. [Accessed 25th 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




Picture 1 – www.healthinformatics.wikispaces.com
Picture 2 – www.iamsodigital.me
Picture 3 -- www.digitalqatar-qa

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BENEFITS AND CHALLENGES TO THE ADOPTION OF ELECTRONIC MEDICAL RECORDS

  • 1. BENEFITS AND CHALLENGES TO THE ADOPTION OF ELECTRONIC MEDICAL RECORDS USMAN MAARUF YAKUBU MIDDLESEX UNIVERSITY um088@live.mdx.ac.uk
  • 2. 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.
  • 3. 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
  • 4. 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).
  • 5. 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
  • 6. Challenges to EMR Adoption from 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
  • 7. 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. 
  • 8. Benefits of Electronic Medical Records from data collected
  • 9. Challenges to the Adoption of EMR from data collected
  • 11. 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.
  • 12. 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.
  • 13. 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 196202. [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.
  • 14. Ross, J. (2009). Electronic Medical Records: The Promises and Challenges, Journal of PeriAnesthesia Nursing, vol. 24, issue 5, Pages 327-329. [Accessed 25th 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    Picture 1 – www.healthinformatics.wikispaces.com Picture 2 – www.iamsodigital.me Picture 3 -- www.digitalqatar-qa