Design of a cost-effective customized Electronic Health Record system to handle patient management during Covid-19 pandemic

Ahmed, Tanjeeb; Sharif, Shafkat; Joy, Tony; Chowdhury, Monidipa; Imam, Mohamed

doi:10.53799/ajse.v20i1.143

Cited by 4 publications

(3 citation statements)

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“…However, mEHR tablet devices cost significantly less than laptops and can be mounted and secured to rolling carts if desired. In fact, an entry level laptop is significantly more expensive than either a tablet or a desktop computer (23). Tablet devices offer more mobility and as such may be less disruptive to the patient encounter.…”

Section: Discussionmentioning

confidence: 99%

A comparison of use of the mobile electronic health record by medical providers based on clinical setting

Stover,

Hayes,

Barrera

et al. 2023

J Emerg Invest

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Technology can help streamline processes and improve communication between healthcare providers and patients. The electronic health record (EHR), along with its mobile application, have demonstrated the ability to improve the efficiency and accuracy of health care delivery. Given these capabilities, further research in technology adoption and utilization is warranted to determine best strategies for usage and deployment. By usage analysis one can ascertain if certain groups find mobile EHR (mEHR) tools more usable and useful than other groups. To determine if medical providers in different work settings at an academic pediatric hospital have similar or dissimilar frequencies of mEHR use, we categorized providers as inpatient, ambulatory, critical care, or emergency medicine according to their EHR profile departments. This study included data from 874 health care providers over a 12-month period regarding their usage of mobile phone (EPIC® Haiku) and tablet (EPIC® Canto) mEHR. Tablet mEHR use was relatively low compared to mobile phone EHR access, accounting for only 8% of total mEHR logins. Furthermore, ambulatory and inpatient care providers had the greatest usage levels over the 12-month period. Critical care providers do not utilize mEHR tools nearly as much as ambulatory or inpatient providers, likely due to workflow differences. Since clinical setting does affect usage levels of the mEHR, understanding of provider workflow can be helpful in maximizing the potential of these digital tools. Awareness of workflow allows for optimization of mEHR design and implementation, which should increase mEHR adoption and usage, leading to better health outcomes for patients.

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Section: Discussionmentioning

confidence: 99%

A comparison of use of the mobile electronic health record by medical providers based on clinical setting

Stover,

Hayes,

Barrera

et al. 2023

J Emerg Invest

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show abstract

“…Notably, lack of customization has been cited in research literature as barrier in acceptance of EHR 48 . In this regard, open-source EHR customization services are assumed to ensure End-User satisfaction primarily and assist the End-User in interface design, making clinical work-flow templates based on personal preferences, documentation to meet the need of specific patient population 49 . In general, our subject systems are flexible enough to customize the EHR utilizing technical knowledge and documentation.…”

Section: Customization Support In Ehrsmentioning

confidence: 99%

Open-source electronic health record systems: A systematic review of most recent advances

Shaikh

Vayani²,

Akram

et al. 2022

Health Informatics J

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Open-source Electronic Health Records (OS-EHRs) are of pivotal importance in the management, operations, and administration of any healthcare organization. With the advancement of health informatics, researchers and healthcare practitioners have proposed various frameworks to assess the maturation of Open-source EHRs. The significance of OS-EHRs stems from the fact that vendor-based EHR implementations are becoming financially burdensome, with some vendors raking in more than $1 billion with one contract. Contrarily, the adoption of OS-EHRs suffers from a lack of systematic evaluation from the standpoint of a standard reference model. To this end, the Healthcare Information and Management Systems Society (HIMSS) has presented a strategic road map called EMR Adoption and Maturity (EMRAM). The HIMSS-EMRAM model proposes a stage-wise model approach that is globally recognized and can be essentially applied as a benchmark evaluation criteria for open-source EHRs. This paper offers an applied descriptive methodology over the frequently studied open-source EHRs currently operational worldwide or has the potential of adoption in healthcare settings. Besides, we also present profiling (User Support, Developer’ Support, Customization Support, Technical details, and Diagnostic help) of studied OS-EHRs from developer’s and user’s perspectives using updated standard metrics. We carried out multi-aspect objective analysis of studied systems covering EHR functions, software based features and implementation. This review portrays systematic aspects of electronic medical record standards for open-source software implementations. As we observed in the literature, prevalent research and working prototypes lack systematic review of the HIMSS-EMRAM model and do not present evolving software features. Therefore, after the application of our assessment measures, the results obtained indicate that OS-EHRs are yet to acquire standard compliance and implementation. The findings in this paper can be beneficial in the planning and implementation of OS-EHRs projects in the future.

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“…WebMD) also provide access to personal health records. 2 In recent years, with the mobile revolution, people can access EHRs through mobile apps. 3 With access to EHRs, patients can view past clinical notes, review lab test results and medications, use the messaging system to communicate with healthcare providers, and check bills of clinical visits.…”

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confidence: 99%

Frequent and diverse use of electronic health records in the United States: A trend analysis of national surveys

Zheng

Jiang

2022

DIGITAL HEALTH

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Objective Considering the increasing integration of electronic health records (EHRs) into medical practice by healthcare organizations, it is especially pertinent to understand its actual usage by the general public in recent years. This study aims to explore factors associated with the frequency and diversity of EHR usage in the United States over time. Methods We analyzed three iterations (2017, 2018, and 2019) of the Health Information National Trends Survey (HINTS). HINTS is a national cross-sectional survey conducted by the National Cancer Institute to document attitudes and perceptions about health information access and use among American adults. Results Both frequency and diversity of EHR usage have slightly increased across the years. However, its overall usage still remained low. Three technology-related enablers (access to digital devices, access to the Internet, and perceived usefulness of EHRs) were positively related to EHR usage in all three iterations. In addition, perceived health status was a constant and negative predictor of EHR usage over years. Doctor–patient communication was positively associated with the frequency of EHR usage in two survey waves. Conclusions More initiatives to increase EHR usage in the United States are needed. We advocate for providing affordable Internet access and smartphone to underserved populations; in medical encounters, doctors should have more patient-centered communication, introduce the benefits of EHRs to patients, and promote EHR adoption in terms of frequency and diversity.

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Design of a cost-effective customized Electronic Health Record system to handle patient management during Covid-19 pandemic

Cited by 4 publications

References 0 publications

A comparison of use of the mobile electronic health record by medical providers based on clinical setting

A comparison of use of the mobile electronic health record by medical providers based on clinical setting

Open-source electronic health record systems: A systematic review of most recent advances

Frequent and diverse use of electronic health records in the United States: A trend analysis of national surveys

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