Dissertations / Theses: 'Management of medical records'

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Mathebeni-, Bokwe Pyrene. "Management of medical records for healthcare service delivery at the Victoria Public Hospital in the Eastern Cape Province :South Africa." Thesis, University of Fort Hare, 2015. http://hdl.handle.net/10353/6517.

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The study sought to investigate the management of medical records for healthcare service at the Victoria Public Hospital in the Eastern Cape Province. The objectives of the study were to describe the present records management practices in Victoria Hospital; find out the existing infrastructure for the management of patient medical records at the Victoria Hospital; determine the compliance of patient medical records management in Victoria Hospital with relevant national legislative and regulatory framework; find out the security of patient medical records at the Victoria Hospital. Quantitative and qualitative approaches were employed. The sample was drawn from the service providers and from the healthcare service users. Questionnaires, interviews and observation were used to collect data. The findings showed that Victoria Hospital uses manual records management system in the creation, maintenance and usage of records. In the findings, there were challenges related to misfiling and missing patient folders which sometimes lead to the creation of new patient folders. Also, the study discovered that the time spent in the retrieval of patient folders could negatively affect the timely delivery of healthcare services. The study recommended the adoption of electronic records management system as most public healthcare institutions in the country are rapidly shifting to electronic records management system. The use of electronic records management system is believed to be efficiently and effectively promoting easy accessibility, retrieval of patient medical records and allows easy communication amongst the healthcare service institutions and healthcare practitioners.

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Sonico, Eric A. "Implementation and utilization of electronic medical records| An analysis." Thesis, California State University, Long Beach, 2013. http://pqdtopen.proquest.com/#viewpdf?dispub=1522655.

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This master's thesis will present a literature review and analysis ofthe implementation and use of Electronic Medical Records (EMR). The literature review will discuss reasons that support implementation of EMRs, factors that are necessary for successful implementation and barriers that impede implementation. Also, real-world examples of implementation for medical billing in healthcare organizations will be discussed, as well as the disparity in implementation rates between larger and smaller healthcare organizations.

The analysis portion of this thesis will include data from the 2009 National Ambulatory Medical Survey (NAMCS) EMR Supplement and, through the application of the Chi-Square statistical test using SPSS, will assess whether size of the medical practice in terms of number of physicians is significantly associated with EMR implementation and functionality, the latter of which includes clinical reminders and prescription ordering. It will be shown that physician size is indeed significantly associated with implementation and functionality.

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Nchinda, Nchinda. "MedRec : patient centered medical records using a distributed permission management system." Thesis, Massachusetts Institute of Technology, 2018. https://hdl.handle.net/1721.1/121600.

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Thesis: M. Eng., Massachusetts Institute of Technology, Department of Electrical Engineering and Computer Science, 2018
Cataloged from PDF version of thesis.
Includes bibliographical references (pages 48-51).
MedRec is a simple, distributed system for personal control of identity and distribution of personal information. The work is done in the context of a medical information distribution system where patients retain control over who can access their data. We create a network of trusted data repositories, the access to which are determined by a set of 'smart contracts'. These contracts are stored on a distributed ledger maintained by those who generate data. The distributed nature of the system allows unified access from diverse sources in a single application with no intermediary. This increases patient control while retaining a measure of privacy of both data content and source. MedRec is amenable to extensions for decentralized messaging and distribution of information to third parties such as medical researchers, healthcare proxies, and other institutions. The system is based on a blockchain that contains smart contracts defining user identity and distribution specifics.
by Nchinda Nchinda.
M. Eng.
M.Eng. Massachusetts Institute of Technology, Department of Electrical Engineering and Computer Science

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Jacobs, Ellen Mueller Keith J. "In search of a message to promote personal health information management." Click here for access, 2009. http://www.csm.edu/Academics/Library/Institutional_Repository.

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Thesis (Ph. D.)--University of Nebraska -- Omaha, 2009.
Presented to the faculty of the Graduate College in the University of Nebraska in partial fulfillment of the requirements for the degree of Doctor of Philosophy. Medical Sciences Interdepartmental Area Health Services Research and Administration. Under the supervision of Professor Keith J. Mueller. Includes bibliographical references.

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Long, Trisha L. "Medication Information Management Practices of Older Americans." Master's thesis, School of Information and Library Science, 2007. http://hdl.handle.net/1901/391.

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This paper presents the results of a survey of 30 adults aged 55 and older, who had taken multiple prescription medications in the past two years. The purpose of the study was to determine how older adults manage their medication information currently, what information they save and share, and how they wish to manage medication information in an electronic environment, such as a personal health record. Adults in the survey shared information most frequently with their doctors, and with friends and family. They usually shared basic information about a medication, including its name, dose, and the frequency with which it is taken. Nearly half used an artifact, such as a list, to keep track of and share their information. Nearly a third of participants desired to keep an electronic record, suggesting that a percentage of the older adult population would be open to using electronic records to manage medication information.

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Adeyeye, Adebisi. "Health care professionals' perceptions of the use of electronic medical records." Thesis, University of Phoenix, 2016. http://pqdtopen.proquest.com/#viewpdf?dispub=10011612.

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ABSTRACT Electronic medical record (EMR) use has improved significantly in health care organizations. However, many barriers and factors influence the success of EMR implementation and adoption. The purpose of the descriptive qualitative single-case study was to explore health care professionals? perceptions of the use of EMRs at a hospital division of a major medical center. The study findings highlighted the challenges in transitioning from paper records to EMR despite the many benefits and potential improvement in health care. A description of the 16 health care professionals? perceptions of EMR use emerged by adopting the unified theory of acceptance and use of technology (UTAUT) model and NVivo 10 computer software to aid with the analysis of semi-structured, recorded, and transcribed interviews. Themes emerging from the analysis were in five categories: (a) Experience of health care professionals with a subtheme of workflow, (b) Challenges in transition from paper to EMR, (c) Barriers to EMR acceptance, with a subtheme of privacy, confidentiality, and security, (d) Leadership support, and (d) Success of EMR. The findings of the case study may inform health care industry decision makers of additional social and behavioral factors needed for successful EMR strategic planning, implementation, and maintenance.

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Underwood, Gary Lloyd. "Diabetes Aid a system for the diagnosis and management of diabetes using a Palm Pilot /." [Gainesville, Fla.] : University of Florida, 2001. http://purl.fcla.edu/fcla/etd/UFE0000361.

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Thesis (M.S.)--University of Florida, 2001.
Title from title page of source document. Document formatted into pages; contains ix, 52 p.; also contains graphics. Includes vita. Includes bibliographical references.

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Chipfumbu, Colletor Tendeukai. "Engendering the meaningful use of electronic medical records: a South African perspective." Thesis, Nelson Mandela Metropolitan University, 2016. http://hdl.handle.net/10948/18420.

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Theoretically, the use of Electronic Medical Records (EMRs) holds promise of numerous benefits in healthcare provision, including improvement in continuity of care, quality of care and safety. However, in practice, there is evidence that the adoption of electronic medical records has been slow and where adopted, often lacks meaningful use. Thus there is a clear dichotomy between the ambitions for EMR use and the reality of EMR implementation. In the USA, a legislative approach was taken to turn around the situation. Other countries such as Canada and European countries have followed suit (in their own way) to address the adoption and meaningful use of electronic medical records. The South African e-Health strategy and the National Health Normative Standards Framework for Interoperability in eHealth in South Africa documents both recommend the adoption of EMRs. Much work has been done to establish a baseline for standards to ensure interoperability and data portability of healthcare applications and data. However, even with the increased focus on e-Health, South Africa remains excessively reliant on paper-based medical records. Where health information technologies have been adopted, there is lack of coordination between and within provinces, leading to a multitude of systems and vendors. Thus there is a lack of systematic adoption and meaningful use of EMRs in South Africa. The main objective of this research is to develop the components required to engender meaningful use of electronic medical records in the South African healthcare context. The main contributors are identified as EMR certification and consistent, proper use of certified EMRs. Literature review, a Delphi study and logical argumentation are used to develop the relevant components for the South African healthcare context. The benefits of EMRs can only be realized through systematic adoption and meaningful use of EMRs, thus this research contributes to providing a road map for engendering the meaningful use of EMRs with the ultimate aim of improving healthcare in the South African healthcare landscape.

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Harmse, Magda Susanna. "Physicians' perspectives on personal health records: a descriptive study." Thesis, Nelson Mandela Metropolitan University, 2016. http://hdl.handle.net/10948/6876.

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A Personal Health Record (PHR) is an electronic record of a patient’s health-related information that is managed by the patient. The patient can give access to other parties, such as healthcare providers and family members, as they see fit. These parties can use the information in emergency situations, in order to help improve the patient’s healthcare. PHRs have an important role to play in ensuring that a patient’s complete health history is available to his healthcare providers at the point of care. This is especially true in South Africa, where the majority of healthcare organizations still rely on paper-based methods of record-keeping. Research indicates that physicians play an important role in encouraging the adoption of PHRs amongst patients. Whilst various studies have focused on the perceptions of South African citizens towards PHRs, to date no research has focused on the perceptions of South African physicians. Considering the importance of physicians in encouraging the adoption of PHRs, the problem being addressed by this research project thus relates to the lack of information relating to the perceptions of South African physicians of PHRs. Physicians with private practices at private hospitals in Port Elizabeth, South Africa were surveyed in order to determine their perceptions towards PHRs. Results indicate perceptions regarding benefits to the physician and the patient, as well as concerns to the physician and the patient. The levels of trust in various potential PHR providers and the potential uses of a PHR for the physician were also explored. The results of the survey were compared with the results of relevant international literature in order to describe the perceptions of physicians towards PHRs.

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Adjei, Emmanuel. "The management of medical records in government hospitals in Ghana : an agenda for reform." Thesis, University College London (University of London), 2000. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.341449.

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Luthuli, Lungile Precious. "Medical records management practices in public and private hospitals in Umhlathuze area, South Africa." Thesis, University of Zululand, 2017. http://hdl.handle.net/10530/1625.

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A dissertation submitted to the Faculty of Arts in fulfilment of the requirements for the Degree of Masters (Information Science) in the Department of Library and Information Studies at the University of Zululand, 2017
This study investigates the different medical records management regimes within public and private hospitals in the Umhlathuze Area, KwaZulu-Natal Province, South Africa. The study made a comparison and examined whether the current management practices support service delivery in the context of the Batho Pele principles. In doing this, the study reviewed extensive literature on records management standards and theories, legislative framework of medical records in order to establish the extent of the level of compliance to the set regulatory framework in the management of medical records in South Africa. It also assessed the depth of the integration of ICTs in the management of medical records in South Africa. The targeted study sample in both the public and private hospital was 193. Of these, only 180 responded and this represented a respondent‟s rate of 93.5%. The study was largely a quantitative research. The study adopted a survey research design and used multiple forms of data collection techniques such as structured questionnaires, observations and document review. Quantitative data collected was analysed to obtain some descriptive statistics while qualitative data was analysed using content analysis to derive particular themes pertinent to the study. The two sets of results were compared and contrasted to produce a single interpretation and then conclusions were drawn. The study findings established that the records management practices in both hospitals were not well entrenched thus undermining quality health service delivery. This was evidenced by lack of awareness and existence of the records management policies and procedures manual; lack of adherence records management standard; lack of security measures, with rampant cases of missing files, folios and torn folders; delays in access and use of records; lack of an elaborate electronic records management programme and low levels of skill and training opportunities in records management. The use of paper records is still dominant in the public hospital; while the electronic medical record system was in place in the private hospital with some degree of success even though implementation challenges continue to exist. The integration of ICTs in the management of medical records was more evident in the private hospital while the public hospital continues to be underfunded undermining the current capacity for effective medical records management. The role of accurate, reliable and trustworthy medical records in the ii | P a g e context of quality health service delivery in accordance with Batho Pele principle in both hospitals remains problematic. In order to enhance the role of medical records for quality service delivery, the study recommended that a regulatory framework for records management should be developed and implemented in both hospitals. It is also recommended that more technical and human resource capacity is required in the public hospital to help speed up the services to its user while the private hospitals need to entrench their evolving capabilities in medical records management. The study further recommends that training around records management should be provided to all staff that deal with medical records management in both hospitals.

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Benjamin, Jennifer Claudette. "Incorporating ADA Best Practice Guidelines in Electronic Medical Records to Improve Glycemic Management in Hospitals." ScholarWorks, 2015. https://scholarworks.waldenu.edu/dissertations/318.

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Aggressive management of diabetes using American Diabetes Association (ADA) best practice guidelines in hospitalized patients reduces morbidity and mortality. Inpatient electronic medical records systems improve care in chronic diseases by identifying care needs and improving the data available for decision making and disease management. The purpose of this quality improvement project was to evaluate the impact of ADA best practice guidelines of glycemic management once they have been entered into the electronic medical record (EMR) of hospitalized diabetics. Kotter's organizational change process guided the project. The project question investigated whether nurses' use of ADA Best Practice Guidelines incorporated into the EMR improves glycemic management in hospitalized patients. A quality improvement project pretest-posttest design evaluated the intervention to assess whether the program goals were met. A convenience sample of 8 nurses practicing in a subacute health care facility participated in the program with data obtained from a convenience sampling of diabetic patients admitted to the facility (n = 50). A1C, diabetes types, and hypo/hyperglycemic treatment event data were compared 30 days pre- and post-intervention. Outcome data calculated using descriptive statistics revealed improved documentation for A1C results (4% to 96%), the different types of diabetes (from 100% documented as Type 1 to 28 % documented as Type2), and increased corrective measures for abnormal glycemic events (increased 16% to 44%). EMR alerts and reminders provided timely information to health care practitioners, resulting in better management for the diabetic patient, thus affecting social change of diabetes care.

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Wong, Sze-nga, and 王絲雅. "The impact of electronic health record on diabetes management : a systematic review." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 2013. http://hdl.handle.net/10722/193850.

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Objectives: To investigate the impact of electronic health record (EHR) on diabetes management through examination of the effectiveness of implementation of EHR and to improve the quality of care and the cost-effectiveness on the use of EHR. Methods: Three databases, PubMed, Ovid Medline and Google Scholar, were searched with specific combination keywords including electronic medical record and electronic health record, and diabetes. Quality appraisal and extraction of data were conducted on literature that met with the inclusion criteria. Results: 10 literature studies, a total of 204,251 participants with diabetes, were included in this study. All subjects, with similar demographic and clinical characteristics, were from clinic and primary care setting with the use of EHR. Different outcome measures were compared and to evaluate the effectiveness of EHR on quality of care and cost-effectiveness. Discussion: The impact of EHR on effectiveness of diabetes management, potential factors of barrier for adoption and the limitation for implementation of EHR were discussed. These suggested that further research is needed to have stronger evidence to widespread the use of EHR in Hong Kong as a future direction on public health issue. Conclusion: In this systematic review, EHR showed potential benefit in improving the quality of care and reduce the health care expenditure for long term running. Patient safety and efficiency are yet to be covered in the studies. Further research is needed on the acceptability and applicability of the use of EHR in Hong Kong.
published_or_final_version
Public Health
Master
Master of Public Health

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Swanson, Abby Jo. "Electronic Medical Records in Acute Care Hospitals: Correlates, Efficiency, and Quality." VCU Scholars Compass, 2006. https://scholarscompass.vcu.edu/etd/871.

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The purpose of this dissertation is to examine the organizational and environmental correlates of hospital EMR use and to examine the relationship between hospital EMR use and performance. Using a theoretical framework that combines resource dependence theory with Donabedian's structure, process, outcome model, a conceptual model is created. To test the hypotheses of this model, logistic regression and Data Envelopment Analysis (DEA) are used. The data included in this analysis come from the AHA, HIMSS, CMS, ARF, and HQA. In the analysis of hospitals correlates of EMR use, three hypotheses were supported, and one was partially supported. Hospital system affiliation, bed size, and environmental uncertainty were found to be positively associated with hospital EMR use. Hospital rurality was found to be associated with EMR use for all categories except one; at every other level of rurality, as the hospital moves on a continuum from least rural to most urban, the likelihood of hospital EMR use also increases. Hospital EMR use was not found to be associated with teaching status, environmental munificence, competition, operating margin, ownership, or public payer mix. In the hospital performance analyses, one hypothesis was supported, and one was partially supported. Regarding quality, hospitals with EMRs were found to provide higher quality than those without EMRs. In efficiency performance, only small hospitals with EMRs were found to be more efficient than hospitals without EMRs. No support was found that hospitals with EMRs improve their efficiency over time more than hospitals without EMRs. Hospital EMR use does vary by certain organizational and environmental characteristics. For this reason, hospitals and policy makers must take action that enables and encourages all hospitals to implement and use EMRs because some hospitals do not have the motivation or resources to begin using EMRs on their own. Hospital EMR use is positively associated with high quality care, thus justifying the practice. Hospital efficiency was not found to be associated with EMR use in medium or large hospitals, but it was found to be associated with EMR use in small hospitals. Interestingly, larger hospitals are more likely to use EMRs than small hospitals. It is possible that the efficiency gains of EMR use in hospitals will not be realized until a standardized, fully interoperable system is developed, allowing health care provides to quickly and easily share the medical charts of their patients.

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Adu, Ebenezer Siaw. "Organizational Complexity and Hospitals' Adoption of Electronic Medical Records for Closed-loop Medication Therapy Management." ScholarWorks, 2017. https://scholarworks.waldenu.edu/dissertations/3652.

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Over 700,000 adverse drug events (ADEs) result in emergency hospital visits annually, and many of these ADEs are preventable through the use of health information technology in hospitals. However, only 12.6% of U.S. hospitals have developed the capacity to adopt closed-loop electronic medical records (EMR). Organizational complexity may be a major factor influencing hospitals' adoption of closed-loop EMR. This quantitative study explored how organizational complexity influenced hospitals' adoption of closed-loop EMR. Diffusion of innovation theory was the foundation for this study. Logistic regression was used to establish possible relationships between organizational complexity and hospitals' adoption of EMR for closed-loop medication therapy management. Secondary data from Health Information and Management Systems Society were examined to explore the relationship between organization complexity and hospitals' adoption of EMR for closed-loop medication therapy. The research questions explored whether vendor selection strategy, structural complexity, and management structure influence hospitals' adoption of EMR for closed-loop medication therapy management. The results indicated that all three variables, vendor selection strategy, structural complexity, and management structure, are statistically significant predictors of hospitals' adoption of EMR for closed-loop medication therapy management. Results from this study may promote positive social change by enhancing hospitals' adoption of EMR for closed-loop medication therapy management, which may therefore help improve the quality, efficiency, and safety of health care delivery in U.S. hospitals.

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Liu, Hanjun. "Financial incentives and the type of specialty practices impact on the physician use of electronic medical records." Thesis, California State University, Long Beach, 2014. http://pqdtopen.proquest.com/#viewpdf?dispub=1527725.

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Electronic Medical Records (EMRs) are increasingly being used in healthcare organizations. However, there are few factors influencing the physician adoption rate of EMRs. The purpose of this paper is to investigate the meaningful use incentives, and the type of specialty practices in relationship to the physician use of EMRs. Data from the National Ambulatory Medical Care Survey (NAMCS) were analyzed to how meaningful use incentives and the type of physician practices affect the physician use of EMRs. The Chi-Square test and ANOVA test have been use to examine the hypothesis, and the association was found to be statistically significant.

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Chava, Nalini. "Administrative reporting for a hospital document scanning system." Virtual Press, 1996. http://liblink.bsu.edu/uhtbin/catkey/1014839.

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This thesis will examine the manual hospital document retrieval system and electronic document scanning system. From this examination, requirements will be listed for the Administrative Reporting for the Hospital Document Scanning System which will provide better service and reliability than the previous systems. To assure that the requirements can be met, this will be developed into a working system which is named as the Administrative Reporting for the Hospital Document Scanning System(ARHDSS).
Department of Computer Science

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Thayer, Jenny P. "Evaluation of the Inland Counties trauma patient data collection, management, and analysis." CSUSB ScholarWorks, 1986. https://scholarworks.lib.csusb.edu/etd-project/378.

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Baron, Karen. "Incorporating Personal Health Records into the Disease Management of Rural Heart Failure Patients." NSUWorks, 2012. http://nsuworks.nova.edu/gscis_etd/85.

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Personal Health Records (PHRs) allow patients to access and in some cases manage their own health records. Their potential benefits include access to health information, enhanced asynchronous communication between patients and clinicians, and convenience of online appointment scheduling and prescription refills. Potential barriers to PHR use include lack of computer and internet access, poor computer or health literacy, security concerns, and provider disengagement. PHRs may help those living in rural areas and those with chronic conditions such as heart failure, monitor and manage their disease, communicate with their health care team and adhere to clinical recommendations. To provide some much needed actual research, a descriptive mixed methods study of the usability, usefulness, and disease management potential of PHRs for rural heart failure patients was conducted. Fifteen participants were enrolled. Usability issues fell into three categories: screen layout; applying consistent, standard formatting; and providing concise, clear instructions. Participants used PHR features that were more convenient than other methods or that had some additional benefit to them. There was no difference between rural and urban participants. A heart failure nurse promoted recording daily heart failure symptoms in the PHR. Most participants did so at least once, but many found it cumbersome. Reasons for recording included the comfort of having clinical staff monitor the data. Participants who were stable did not find recording as useful as did those who were newly diagnosed or unstable. Participants used asynchronous communication to send messages to the heart failure nurse that they would not otherwise have communicated. The study expands the knowledge of PHR use by addressing useful functionality and disease management tools among rural patients with heart failure. The patients were able to complete tasks they found useful. The increased communication and disease management tools were useful to some.

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Kyazze, Michael. "A hybrid model for managing personal health records in South Africa." Thesis, Nelson Mandela Metropolitan University, 2014. http://hdl.handle.net/10948/3145.

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Doctors can experience difficulty in accessing medical information of new patients. One reason for this is that the management of medical records is mostly institution-centred. The lack of access to medical information may negatively affect patients in several ways. These include new medical tests that may need to be carried out at a cost to the patient and doctors prescribing drugs to which the patient is allergic. This research investigates how patients can play an active role in sharing their personal health records (PHRs) with doctors located in geographically separate areas. In order to achieve the goal of this research, existing literature concerning medical health records and standards was reviewed. A literature review of techniques that can be used to ensure privacy of health information was also undertaken. Interview studies were carried out with three medical practices in Port Elizabeth with the aim of contextualising the findings from the literature study. The Design Science Research methodology was used for this research. A Hybrid Model for Managing Personal Health Records in South Africa is proposed. This model allows patients to view their PHRs on their mobile phones and medical practitioners to manage the patients’ PHRs using a web-based application. The patients’ PHR information is stored both on a cloud server and on mobile devices hence the hybrid nature. Two prototypes were developed as a proof of concept; a mobile application for the patients and a web-based application for the medical practitioners. A field study was carried out with the NMMU health services department and 12 participants over a period of two weeks. The results of the field study were highly positive. The successful evaluation of the prototypes provides empirical evidence that the proposed model brings us closer to the realisation of ubiquitous access to PHRS in South Africa.

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Bantom, Simlindile Abongile. "Accessibility to patients’ own health information: a case in rural Eastern Cape, South Africa." Thesis, Cape Peninsula University of Technology, 2016. http://hdl.handle.net/20.500.11838/2411.

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Thesis (MTech (Information Technology))--Cape Peninsula University of Technology, 2016.
Access to healthcare is regarded as a basic and essential human right. It is widely known that ICT solutions have potential to improve access to healthcare, reduce healthcare cost, reduce medical errors, and bridge the digital divide between rural and urban healthcare centres. The access to personal healthcare records is, however, an astounding challenge for both patients and healthcare professionals alike, particularly within resource-restricted environments (such as rural communities). Most rural healthcare institutions have limited or non-existent access to electronic patient healthcare records. This study explored the accessibility of personal healthcare records by patients and healthcare professionals within a rural community hospital in the Eastern Cape Province of South Africa. The case study was conducted at the St. Barnabas Hospital with the support and permission from the Faculty of Informatics and Design, Cape Peninsula University of Technology and the Eastern Cape Department of Health. Semi-structured interviews, observations, and interactive co-design sessions and focus groups served as the main data collection methods used to determine the accessibility of personal healthcare records by the relevant stakeholders. The data was qualitatively interpreted using thematic analysis. The study highlighted the various challenges experienced by healthcare professionals and patients, including time-consuming manual processes, lack of infrastructure, illegible hand-written records, missing records and illiteracy. A number of recommendations for improved access to personal healthcare records are discussed. The significance of the study articulates the imperative need for seamless and secure access to personal healthcare records, not only within rural areas but within all communities.

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Drill, Valerie Gerene. "A Multisite Hospital's Transition to an Interoperable Electronic Health Records System." ScholarWorks, 2016. https://scholarworks.waldenu.edu/dissertations/3293.

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The health care industry is transforming into an industry that requires health information technology, yet many health care organizations are reluctant to implement new technology. The purpose of this case study was to explore strategies that led to a successful transition from an older electronic health record (EHR) system to a compliant EHR system at a multisite hospital system (MHS). The study included face-to-face and phone interviews with 12 managers who worked on the transition of an MHS's EHR system in the Pacific Northwest region of the United States. The technology acceptance model was used to frame the study. Audio recordings with these managers were transcribed and analyzed along with interview notes and publicly available documents to identify themes regarding strategies used by managers to successfully upgrade to a compliant EHR system at an MHS. Three major themes emerged: hybrid implementation strategy, training strategy, and social pressure strategy. Results may be used to facilitate the adoption of information technology systems in any industry. Results may directly benefit other MHSs by facilitating successful EHR system transitions. Implications for social change include improved care coordination, reductions in duplicated medical procedures, and more timely and relevant tests for patients through the full use of EHRs.

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Chen, Rong. "Towards interoperable and knowledge-based electronic health records using archetype methodology /." Linköping : Department of Biomedical Engineering, Linköpings universitet, 2009. http://www.bibl.liu.se/liupubl/disp/disp2009/tek1280s.htm.

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English, Thomas MacAndrew. "Impact of an electronic medical record on adherence to current diabetes guidelines in a family medical center." Thesis, Birmingham, Ala. : University of Alabama at Birmingham, 2008. https://www.mhsl.uab.edu/dt/2008p/english.pdf.

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Turchi, Paola. "The influence of physician payor mix in Electronic Health Records adoption and the effects of Medicare and Medicaid incentives." Thesis, California State University, Long Beach, 2014. http://pqdtopen.proquest.com/#viewpdf?dispub=1526965.

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This study analyzes the effect of payor mix in the adoption of Electronic Health Records (EHR) among physicians in the United States and whether or not this adoption has been incentivized by the Medicare and Medicaid incentive programs. The study predicted that payor mix influenced adoption and that practices with higher percentage of patient care revenue coming from Medicare and Medicaid would present higher levels of adoption. It also predicted that physicians planning to apply for Medicare and Medicaid incentive programs are more likely to adopt this technology. The Statistical Package for Social Services was utilized to analyze the 2010 National Ambulatory Medical Care Survey data using Chi Square statistics. The results of this study showed a significant relationship between payor mix and EHR adoption and incentive payments and EHR adoption. The findings of this study are valuable for medical practices, EHR vendors, hospitals and government entities to strategize on additional incentives and financial assistance programs that foster meaningful adoption and improve healthcare outcomes.

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Al-Kuwari, Wasmiya Dalhem M. D. "Information management within the Nursing Department at Hamad Medical Corporation (HMC), Qatar." Thesis, Loughborough University, 2005. https://dspace.lboro.ac.uk/2134/7811.

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Hamad Medical Corporation, the main healthcare provider in the state of Qatar, sponsored this study to investigate the use of electronic records management as the basis for a novel information management system in its Nursing Department. To assess the viability of an electronic records management system a questionnaire survey of a representative sample of the staff and interviews with key post holders were under taken. Results obtained indicated a wide spread dissatisfaction with the existing manual system. However, introduction of any computer-based technology requires great care. To assist with identifying any issues with this technological change, Soft System Methodology (SSM) was employed to discern what changes could be made to improve the current problematic situation found in the Nursing Department. In fact the change archetypes uncovered (procedural, attitudinal, structural and cultural) formed an innovative input into obtaining a roadmap for development of the electronic staff records system. This roadmap was facilitated by the use of Nominal Group Technique (NGT) and Interpretive Structural Modelling (ISM): In fact the roadmap was an ISM intent structure. The roadmap suggested that change could be affected by having written policy documents and the top goal to be achieved reflected an improvement in manpower placing and budgetary forecasts. The use of a multi-methods approach meant that as well as this study's main objectives being reached, the process encompassed some methodological innovations. This study is the first to use the output of SSM to facilitate the NGT and ISM interactions. Equally, it is the first study of its sort to be applied to the Nursing Department at HMC, Qatar, which is an example of a cross-cultural eastern philosophical tradition. The methods used here revealed some significant findings, and have helped in the development of an electronic records management system for use at HMC, Qatar.

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Hardy, Jennifer Lynette. "Healthcare providers communication mechanisms using a case management model of care implications for information systems development, implementation & evaluation /." Access electronically, 2006. http://www.library.uow.edu.au/adt-NWU/public/adt-NWU20060731.120940/index.html.

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May, Joy L. "The study of Electronic Medical Record adoption in a Medicare certified home health agency using a grounded theory approach." Thesis, Capella University, 2014. http://pqdtopen.proquest.com/#viewpdf?dispub=3605534.

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The purpose of this qualitative grounded theory study was to examine the experiences of clinicians in the adoption of Electronic Medical Records in a Medicare certified Home Health Agency. An additional goal for this study was to triangulate qualitative research between describing, explaining, and exploring technology acceptance. The experiences were studied through an anonymous survey using a third party vendor. The data revealed that in spite of Internet and connectivity issues, clinicians at XYZ Home Care overlooked these issues because of the benefits in utilizing an electronic medical record system. These benefits include quick access to patient medical records and saving time. The data allowed for triangulation between describing, explaining, and exploring technology acceptance.

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Kam, Yuen-ching. "Medical Nurses' knowledge, attitudes and barriers in pain management /." View the Table of Contents & Abstract, 2007. http://sunzi.lib.hku.hk/hkuto/record/B38295830.

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Long, Li. "Why do people use or not use an information technology: an interpretive investigation on the adoption and use of an electronic medical records system." VCU Scholars Compass, 2008. http://scholarscompass.vcu.edu/etd/1745.

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In the literature of information technology acceptance, much empirical evidence exists that is inconsistent with Technology Acceptance (TA) Models. The purpose of this study is to find out why the extant TA models fail to predict in reality as they purport to in theory. This research argues that the extant literature has not been able to explain how individuals actually form their perceptions about using an information technology. Since past research attempting to do this has been unsuccessful or empirically refuted, this research uses an interpretive case study to investigate the experiences of professionals’ adoption and use of an information technology. In particular, this study focuses on the adoption of an Electronic Medical Records System in a healthcare setting. The results of this interpretive investigation show that the interpretive understanding by the traditional TA models researchers is based on the faulty presumption that the people in the organizations are “monolithic users” or “rational decision makers”. This research provides a new interpretive understanding on the adoption and use of an information technology. The adoption and use of an information technology is an emergent phenomenon resulting from the interaction between the technology and the social actors’ different roles. Based on the interpretive understanding, a new positivist understanding is suggested.

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Mozie, David Ikechukwu. "Job-Related Stressors as Perceived by the Directors and Full-Time Faculty of Accredited Educational Programs in Medical Record Administration and Medical Record Technology in the United States and Their Strategies for Coping with Them." Thesis, University of North Texas, 1993. https://digital.library.unt.edu/ark:/67531/metadc279268/.

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The purpose of this study was to: (1) identify the sources of job-related stress which create excessive pressures for the directors and faculty of medical record administration and medical record technology programs; (2) identify the strategies that the directors and faculty of medical record administration and medical record technology programs find most helpful in coping with stress; (3) determine the relationship among demographic variables and job-related stressors as perceived by the directors and faculty of medical record administration and medical record technology programs; and (4) determine the difference among the means of five stress factors as perceived by the directors of medical record administration, faculty of medical record administration, directors of medical record technology and faculty of medical record technology programs. Questionnaires were mailed to 403 respondents. The response rate was 81.3%. Within the limitations of this study, the results revealed that "Having insufficient time to keep abreast of current developments in my field"was the highest stressor. The top stress coping strategy was "Social interaction." The relationship between demographic variables and five stress factors of reward and recognition, time constraint, departmental influence, professional identity and student interaction revealed a positive correlation between degree and professional identity factor, and a negative correlation between degree and student interaction factor. The results also indicated a positive correlation between type of program and the factors-time constraint, professional identity and student interaction; a positive correlation between academic rank and the factors--time constraint and student interaction; a positive correlation between teaching responsibilities and time constraint factor; and a positive correlation between marital status and professional identity factor. The directors and faculty of medical record administration perception of time constraint and professional identity factors differed from that of the directors and faculty of medical record technology programs.

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Shankar, Jay Eriah. "Providers choices in web-medical records: An analysis of trade-offs made by physicians in San Bernardino County." CSUSB ScholarWorks, 2002. https://scholarworks.lib.csusb.edu/etd-project/2210.

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Bazile, Emmanuel Patrick. "Electronic Medical Records (EMR): An Empirical Testing of Factors Contributing to Healthcare Professionals’ Resistance to Use EMR Systems." NSUWorks, 2016. http://nsuworks.nova.edu/gscis_etd/964.

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The benefits of using electronic medical records (EMRs) have been well documented; however, despite numerous financial benefits and cost reductions being offered by the federal government, some healthcare professionals have been reluctant to implement EMR systems. In fact, prior research provides evidence of failed EMR implementations due to resistance on the part of physicians, nurses, and clinical administrators. In 2010, only 25% of office-based physicians have basic EMR systems and only 10% have fully functional systems. One of the hindrances believed to be responsible for the slow implementation rates of EMR systems is resistance from healthcare professionals not truly convinced that the system could be of substantive use to them. This study used quantitative methods to measure the relationships between six constructs, namely computer self-efficacy (CSE), perceived complexity (PC), attitude toward EMR (ATE), peer pressure (PP), anxiety (AXY), and resistance to use of technology (RES), are predominantly found in the literature with mixed results. Moreover, they may play a significant role in exposing the source of resistance that exists amongst American healthcare professionals when using Electronic Medical Records (EMR) Systems. This study also measured four covariates: age, role in healthcare, years in healthcare, gender, and years of computer use. This study used Structural Equation Modeling (SEM) and an analysis of covariance (ANCOVA) to address the research hypotheses proposed. The survey instrument was based on existing construct measures that have been previously validated in literature, however, not in a single model. Thus, construct validity and reliability was done with the help of subject matter experts (SMEs) using the Delphi method. Moreover, a pilot study of 20 participants was conducted before the full data collection was done, where some minor adjustments to the instrument were made. The analysis consisted of SEM using the R software and programming language. A Web-based survey instrument consisting of 45 items was used to assess the six constructs and demographics data. The data was collected from healthcare professionals across the United States. After data cleaning, 258 responses were found to be viable for further analysis. Resistance to EMR Systems amongst healthcare professionals was examined through the utilization of a quantitative methodology and a cross-sectional research measuring the self-report survey responses of medical professionals. The analysis found that the overall R2 after the SEM was performed, the model had an overall R2 of 0.78, which indicated that 78% variability in RES could be accounted by CSE, PC, ATE, PP, and AXY. The SEM analysis of AXY and RES illustrated a path that was highly significant (β= 0.87, p < .001), while the other constructs impact on RES were not significant. No covariates, besides years of computer use, were found to show any significance differences. This research study has numerous implications for practice and research. The identification of significant predictors of resistance can assist healthcare administrators and EMR system vendors to develop ways to improve the design of the system. This study results also help identify other aspects of EMR system implementation and use that will reduce resistance by healthcare professionals. From a research perspective, the identification of specific attitudinal, demographic, professional, or knowledge-related predictors of reference through the SEM and ANCOVA could provide future researchers with an indication of where to focus additional research attention in order to obtain more precise knowledge about the roots of physician resistance to using EMR systems.

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Ducrou, Amanda Joanne. "Complete interoperability in healthcare technical, semantic and process interoperability through ontology mapping and distributed enterprise integration techniques /." Access electronically, 2009. http://ro.uow.edu.au/theses/3048.

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Tannan, Ritu. "Acceptance and Usage of Electronic Health Record Systems in Small Medical Practices." ScholarWorks, 2011. https://scholarworks.waldenu.edu/dissertations/1028.

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One of the objectives of the U.S. government has been the development of a nationwide health information infrastructure, including adoption and use of an electronic health records (EHR) system. However, a 2008 survey conducted by the National Center for Health Statistics indicated a 41.5% usage of the EHR system by physicians in office-based practices. The purpose of this study was to explore opinions and beliefs on the barriers to the diffusion of an ERH system using Q-methodology. Specifically, the research questions examined the subjectivity in the patterns of perspectives at the preadoption stage of the nonusers and at the postadoption stage of the users of an EHR system to facilitate effective diffusion. Data were collected by self-referred rank ordering of opinions on such barriers and facilitators. The results suggested that the postadoption barriers of time, change in work processes, and organizational factors were critical. Although the time barrier was common, barriers of organizational culture and change in work processes differed among typologies of perspectives at the postadoption stage. Preadoption barriers of finance, organizational culture, time, technology, and autonomy were critical. The typologies of perspectives diverged on critical barriers at the preadoptive stage. A customized solution of an in-house system and training is recommended for perspectives dealing with technical and organizational concerns and a web-based system for perspectives concerned with barriers of finance, technology, and organization. The social impact of tailoring solutions to personal viewpoints would result in the increased sharing of quality medical information for meaningful decision making.

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Toth-Pal, Eva. "Computer decision support systems for opportunistic health screening and for chronic heart failure management in primary health care /." Stockholm, 2007. http://diss.kib.ki.se/2007/978-91-7357-435-8/.

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Ganju, Kartik Krishna. "The Unintended Consequences of the Adoption of Electronic Medical Record Systems on Healthcare Costs." Diss., Temple University Libraries, 2016. http://cdm16002.contentdm.oclc.org/cdm/ref/collection/p245801coll10/id/382515.

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Business Administration/Management Information Systems
Ph.D.
In my dissertation, I study unintended consequences of the adoption of EMR systems. In my three essays, I examine how the adoption of EMR systems affects neighboring hospitals (spillover effects), can be used by hospitals to further its objectives in an unconventional manner (“upcoding” of patient case mix data), and how EMR adoption may end in the eventual abandonment of the system along with corresponding negative effects. In my first essay, I examine if the adoption of EMR systems has effects beyond the adopting hospital to neighboring hospitals. I find that the adoption of these systems has “spillover” effects to neighboring hospitals and that although the adoption of EMR systems leads to an increase in the operating cost of the adopting hospital, spillover effects reduce the operational cost of neighboring hospitals. In the second essay of my dissertation, I examine if an unintended consequence of the adoption of EMR systems is that there could be an increase in “upcoding” activities by hospitals. Upcoding deals with patients being diagnosed in such a manner as to increase the reimbursement of hospitals by inappropriately increasing the patient’s case mix. Using the roll-out of an auditing program as a natural experiment, I find that there is evidence to suggest upcoding by hospitals, particularly by for-profit hospitals. Finally, in the third essay of my dissertation, I examine the phenomenon of abandonment of EMR systems and find that the abandonment of EMR system leads to an increase in the operational cost of hospitals. I also examine which hospitals are more likely to abandon their EMR systems both outside and during the HITECH Act. I argue that the adoption of EMR systems often has unanticipated and unintended consequences.
Temple University--Theses

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Koppenhaver, II Kenneth E. "Effects of an Integrated Electronic Health Record on an Academic Medical Center." ScholarWorks, 2016. https://scholarworks.waldenu.edu/dissertations/2666.

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The debate about healthcare reform revolves around a triple aim of improving the health of populations, improving the patient experience, and reducing the cost of care. A major tool discussed in this debate has been the adoption of electronic health record (EHR) systems to record and guide care delivery. Due to low adoption rates and limited examples of success, the problem was a lack of understanding by healthcare organizations of how the EHR fundamentally changes an organization through the interactions of people, processes, and technology over time. The purpose of this case study was to explore the people, processes, and technology factors that change as a result of an EHR implementation. Complexity theory was used as the lens to evaluate the effects of the EHR on the holistic system of healthcare. Data were collected using semistructured interviews and observations of physicians, nurses, and administrators, as well as document reviews of organizational documents related to the EHR. Data were analyzed using open coding to identify themes and patterns of usage that redesign or restructure institutional resources. The results of this study demonstrated positive changes in the interactions of healthcare providers with increasing collaboration on process changes and reliance on EHR for communication. These findings may positively affect government policy and the organizational approach to adoption and ongoing use of EHRs to create organizational change beyond the implementation of such systems, thus benefiting both health care employees and patients.

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Miller, Shaunette. "Strategies Hospital Leaders Use in Implementing Electronic Medical Record Systems." ScholarWorks, 2017. https://scholarworks.waldenu.edu/dissertations/3311.

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Some hospital leaders lacked strategies for implementing electronic medical record (EMR) systems. The purpose of this case study was to explore successful strategies that hospital leaders used in implementing EMR systems. The target population consisted of hospital leaders who succeeded in implementing EMR systems in a single healthcare organization located in the Los Angeles, California region. The conceptual framework used was Kotter's (1996) eight-step process for leading change, and data were collected from face-to-face recorded interviews with 5 participants and from company documents related to EMR design and development. Data were analyzed through methodological triangulation of data types, and exploring codes exhibiting high frequencies to identify principal themes and subthemes. The data coding revealed three primary themes. The first theme related to strategies addressing training, technology, and catalyzing team effort. The second theme related to strategies focusing on employees' concerns, and the third theme related to strategies for designing, developing, and disseminating workflow. The findings affirmed the conceptual framework of Kotter (1996) inasmuch as they showed that participating hospital leaders used one or more steps in Kotter's eight-stage process of creating, implementing, and sustaining significant change. The findings could effect social change by improving the quality of healthcare services provided to patients, which can subsequently benefit patients' families and communities through reducing the costs of healthcare.

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Lui, Yan-yan Liza. "The knowledge and attitudes regarding pain management of the medical nursing staff in Hong Kong /." View the Table of Contents & Abstract, 2006. http://sunzi.lib.hku.hk/hkuto/record/B3639631X.

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Beckerman, Carina. ""The clinical eye" : constructing and computerizing an anesthesia patient record." Doctoral thesis, Stockholm : Economic Research Institute (EFI), Stockholm School of Economics, 2006. http://www2.hhs.se/EFI/summary/700.htm.

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Boucher, Duane Eric. "An information privacy model for primary health care facilities." Thesis, University of Fort Hare, 2013. http://hdl.handle.net/10353/d1007181.

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The revolutionary migration within the health care sector towards the digitisation of medical records for convenience or compliance touches on many concerns with respect to ensuring the security of patient personally identifiable information (PII). Foremost of these is that a patient’s right to privacy is not violated. To this end, it is necessary that health care practitioners have a clear understanding of the various constructs of privacy in order to ensure privacy compliance is maintained. This research project focuses on an investigation of privacy from a multidisciplinary philosophical perspective to highlight the constructs of information privacy. These constructs together with a discussion focused on the confidentiality and accessibility of medical records results in the development of an artefact represented in the format of a model. The formulation of the model is accomplished by making use of the Design Science research guidelines for artefact development. Part of the process required that the artefact be refined through the use of an Expert Review Process. This involved an iterative (three phase) process which required (seven) experts from the fields of privacy, information security, and health care to respond to semi-structured questions administered with an interview guide. The data analysis process utilised the ISO/IEC 29100:2011(E) standard on privacy as a means to assign thematic codes to the responses, which were then analysed. The proposed information privacy model was discussed in relation to the compliance requirements of the South African Protection of Personal Information (PoPI) Bill of 2009 and their application in a primary health care facility. The proposed information privacy model provides a holistic view of privacy management that can residually be used to increase awareness associated with the compliance requirements of using patient PII.

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Li, Cong. "A study on healthcare quality management in Guangzhou." Thesis, University of Macau, 2001. http://umaclib3.umac.mo/record=b1636657.

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Cheung, Suet-mui Lilian. "Public sector unions in Hong Kong a study of the reorganization of the Medical and Health Department /." Click to view the E-thesis via HKUTO, 1989. http://sunzi.lib.hku.hk/hkuto/record/B31975732.

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Lee, Cheuk-kiu Johnson. "A study of organizational effectiveness of medical social services under the new cluster management of the Hospital Authority." Click to view the E-thesis via HKUTO, 2004. http://sunzi.lib.hku.hk/hkuto/record/B42577342.

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Wu, Ka-yin Christina. "An analysis of severe acute respiratory syndrome (SARS) and the management of Hong Kong's healthcare system." Click to view the E-thesis via HKUTO, 2004. http://sunzi.lib.hku.hk/hkuto/record/B31967644.

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Ye, Mao. "Project management for quality control research of traditional Chinese medicine based on technological innovation." Thesis, University of Macau, 2008. http://umaclib3.umac.mo/record=b2159438.

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Ingabire, Paula. "Convergence of eco-system technologies : potential for hybrid electronic health record (EHR) systems combining distributed ledgers and the Internet of Medical Things towards delivering value-based Healthcare." Thesis, Massachusetts Institute of Technology, 2018. http://hdl.handle.net/1721.1/118548.

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Thesis: S.M. in Engineering and Management, Massachusetts Institute of Technology, System Design and Management Program, 2018.
Cataloged from PDF version of thesis.
Includes bibliographical references (pages 64-66).
The Healthcare industry, just like any industry, is constantly racing to stay abreast with pace of technological innovations, especially at such a time where the industry is experiencing a strain on the global healthcare infrastructure. Specifically, the evolution of record management systems in the healthcare system has taken a slow and gradual transformation with each stage of transformation carrying over certain aspects and functions of previous stages. A survey of record management practices reveals that record management begun with paper-based records that have since partially been replaced with centralized Electronic Health Records (EHR). With the advent of Electronic Health Records enabled by distributed ledgers, we continue to see the inclusion of traditional paper-based functions beyond centralized EHR functions. Electronic data sharing in the healthcare ecosystem is constrained by interoperability challenges with different providers choosing to implement systems that respond to increasing their productivity. Prioritizing a patient-focused strategy during implementation of EHRs forces providers to implement systems that are more interoperable. A system engineering approach was adopted to guide the development and valuation of candidate architectures from Stakeholder analysis to concept generation and enumeration. Nine (9) key design decisions were selected with their combinations yielding 512 feasible hybrid architectures. In this paper, we proposed a hybrid EHR solution combining distributed ledger technologies and Internet of Medical Things, which contributes towards providing value-based healthcare. Leveraging properties of distributed ledgers and IoMT, the hybrid solution interconnects various data sources for health records to provide real-time record creation and monitoring whilst enabling data sharing and management in a secure manner.
by Paula Ingabire.
S.M. in Engineering and Management

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Barros, Jacson Venancio de. "Sistemas de informação e avaliação de desempenho hospitalar: a integração e interoperabilidade entre fontes de dados hospitalares." Universidade de São Paulo, 2008. http://www.teses.usp.br/teses/disponiveis/5/5137/tde-19112008-170740/.

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Com o avanço tecnológico, a valorização da informação, o ritmo acelerado das mudanças e a globalização, características que fazem com que os hospitais (sejam eles, filantrópicos, governamentais ou privados), aliada às exigências cada vez maiores dos pacientes, aumentem a busca pela qualidade na prestação dos serviços. Sobre este pretexto, os hospitais integrantes do Sistema Único de Saúde (SUS), devem elaborar seus respectivos Censos Hospitalares e apresentar seus dados estatísticos ao Ministério da Saúde, baseado nas definições da Portaria no. 312 de 02 de maio de 2002. Estes indicadores não são os únicos necessários ou importantes para a gestão hospitalar, entretanto são considerados como informaçãoes básicas em uma instituição desta natureza. Contudo, a disponibilidade destas informações de forma contínua, sustentável e confiável não tem se mostrado uma tarefa trivial, principalmente devido alguns fatores: falta de registro, registro inadequado e incompleto, falta de padronização na aplicação do vocabulário médico e mudanças constantes nas rotinas administrativas. Em hospitais considerados de grande porte, este problema pode tomar uma extensão ainda maior. Por ser bastante complexo o Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo HCFMUSP, considerado o maior complexo hospitalar da América Latina, com aproximadamente 2.200 leitos e atendendo em média 6.000 pacientes ambulatoriais por dia, constitui um bom objeto para estudo de caso, pois permite que vários desafios em relação ao tratamento da informação, como por exemplo: compartilhamento, conectividade, interoperabilidade e integração, possam surgir de maneira mais acentuada a outros hospitais de menor complexidade. Segundo esta abordagem, o trabalho também pretende explorar o nível de contribuição dos diversos Sistemas de Informação Hospitalar utilizados pelo hospital na obtenção de variáveis, para a composição de informações que serão utilizadas como base para as ações administrativas e avaliação de desempenho. O alto grau de heterogeneidade presente nas soluções no domínio da saúde, distribuídos nos diferentes sistemas de informação, apontam para a v necessidade de compartilhar e troca informações entre ambientes heterogêneos. Neste contexto, a interoperabilidade tem um papel fundamental, pois permite a comunicação de forma transparente entre sistemas e ambientes heterogêneos, autônomos e distribuídos. Foram utilizados neste estudo documentos oficiais relativos aos sistemas de informação assistencial e sua gestão no HC-FMUSP, além de atas de Reuniões do Comitê de Tecnologia da Informação do hospital (CTI). Para a coleta de dados foi aplicada a técnica de entrevista semi-estruturada aos sujeitos responsáveis pelo Serviço de Arquivo Médico SAME de áreas estratégicas do hospital e do Núcleo de Informação em Saúde NIS. A crescente complexidade da assistência à saúde torna premente a necessidade de integração dos sistemas corporativos, bem como a adoção de padrões de registro e procedimentos, porém, não basta resolver as questões somente do ponto de vista tecnológico, o desafio é trabalhar estes problemas considerando toda a sua complexidade e articulando diferentes áreas, em busca de resultados efetivos
With the technological advance, the valuation of the information, the sped up rhythm of the changes and the globalization, characteristics that make with that the hospitals (they are they, philanthropy, governmental or private), allied to the bigger requirements each time of the patients, increase the search for the quality in the installment of the services. On this excuse, the integrant hospitals of the Only System of Health (SUS), must elaborate its respective Hospital Censuses and present its statistical data to the Health department, based on the definitions of governmental decree no. 312 of 02 of May of 2002. These pointers are not only the necessary ones or important for the hospital management, however they are considered as basic information in an institution of this nature. However, the availability of these information of continuous, sustainable and trustworthy form if has not shown a trivial task, mainly had some factors: lack of register, inadequate and incomplete register, constant lack of standardization in the application of the medical vocabulary and changes in the administrative routines. In considered hospitals of great transport, this problem can take an extension still bigger. Of to be sufficiently complex the Hospital of the Clinics of the College of Medicine of the University of Sao Paulo - HCFMUSP, considered the hospital complex greater of Latin America, with approximately 2,200 stream beds and taking care of in average 6,000 patients per day in the ambulatory, constitutes a good object for case study, therefore it allows that some challenges in relation to the treatment of the information, as for example: sharing, connectivity, interoperability and integration, can appear more of accented way to other hospitals of lesser complexity. According to this boarding, the work also intends to explore the level of contribution of the diverse systems of hospital information used by the hospital in the attainment of the variables, for the composition of information that will be used as base for the administrative cases and evaluation of performance. The high degree of present heterogeneity in the solutions in the domain of health distributed in the different systems of information, points with respect to the necessity to share and changes information between heterogeneous environments. In this vii context, the interoperability has a basic paper, therefore it allows to the communication of transparent form between systems and heterogeneous, independent and distributed environments. Official documents to the systems of health care information and its management in the HCFMUSP had been used in this study relative, beyond acts of meetings of the Committee of Technology of the Information of the hospital (CTI). For the collection of data the technique of interview half-structuralized to the responsible citizens for the Service of Medical Archive was applied - SAME of strategical areas of the hospital and the Nucleus of Information in Health - NIS. The increasing complexity of the health care becomes pressing the necessity of integration of the corporative systems, as well as the adoption of register standards and procedures, however, are not enough to only decide the questions of the technological point of view, the challenge are to work these problems considering all its complexity and articulating different areas, in search of effective results

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Ling, Meng-Chun. "Senior health care system." CSUSB ScholarWorks, 2005. https://scholarworks.lib.csusb.edu/etd-project/2785.

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Senior Health Care System (SHCS) is created for users to enter participants' conditions and store information in a central database. When users are ready for quarterly assessments the system generates a simple summary that can be reviewed, modified, and saved as part of the summary assessments, which are required by Federal and California law.

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Dissertations / Theses on the topic 'Management of medical records'

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