Electronic health records implementation in Morocco: Challenges of silo efforts and recommendations for improvements

Parks, Rachida; Wigand, Rolf T.; Othmani, Mohamed Bennani; Serhier, Zineb; Bouhaddou, Omar

doi:10.1016/j.ijmedinf.2019.05.026

Cited by 27 publications

(20 citation statements)

References 12 publications

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“…Silo-focused employees [83], silo-based budgeting [84], silos approaches to risk management and risk assessment, silos as pillars [85], and siloed strategy [86] have been found to mean ways or characteristics according to which compartmentalization may affect other operational areas. Furthermore, it was possible to classify the domains in which silos represented conceptual or applied instances of inquiry.…”

Section: Discussionmentioning

confidence: 99%

Organizational Silos: A Scoping Review Informed by a Behavioral Perspective on Systems and Networks

2020

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In recent years, several organizations have implemented interventions aimed at integrating work processes and bridging network clusters. These are often permeated by different assumptions regarding clusters in organizational settings. There are concerns about the formation of silos and structural barriers to communication across the formal and informal network structures. Conversely, network clusters are regarded as spaces of local social reinforcement from which innovation ideas may emerge. Although terminologically and functionally different, they share some common features insofar as organizational behavior is concerned and the production of artifacts that fulfill organizational goals. The present scoping review presents an analysis of the literature on organizational silos while investigating attempts to bridge network clusters. Based on the search results, 40 studies were included in the analysis of the findings; of these, 20 were empirical studies and were included in a further quantitative analysis of methods and findings. We identified patterns of definitions of silos and variation in terms of aims, variables, and methods used to evaluate interventions among the heterogeneous studies. Special attention was dedicated to the role of consequences of siloed organizational behavior. We conclude that silos comprise barriers to achieving organizational goals insofar as they pose a threat to internal cooperation.

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Section: Discussionmentioning

confidence: 99%

Organizational Silos: A Scoping Review Informed by a Behavioral Perspective on Systems and Networks

2020

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“…Information flows, in particular, AP can be optimized and simplified through the use of hospital information systems, which have a decisive effect on information availability and reliability (Benamirouche, 2015). The use of information systems allows the collection, sharing and use of patient data for better health care delivery (Parks, Wigand, Bennani Othmani, Serhier & Bouhaddou, 2019).…”

Section: Hospital Logistics and Its Interaction With Qc And Psmentioning

confidence: 99%

Modeling the impact of hospital logistics on quality of care and patient satisfaction: Results of a survey in three public healthcare facilities in Fez, Morocco

Frichi¹,

Jawab²,

Boutahari³

2020

JIEM

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Purpose: The objective of this research is to examine the role of hospital logistics in improving quality of care and patient satisfaction. Thus, the paper focuses on modeling and evaluating the relationship between these three constructs.Design/methodology/approach: In the present study, hospital logistics was specified as a second-order construct composed of five first-order constructs: physical accessibility, waiting time, consultation time, hospital hotel services, and administrative procedures. A questionnaire was developed and administered face-to-face to 384 hospitalized patients in three public healthcare facilities in Fez-Morocco. Collected data were processed and analyzed deploying the PLS-SEM method and using SmartPLS3 software. Data analysis was carried out by considering two types of patient circuits according to the admission modes in the healthcare facility: Urgent Patients Circuit and Scheduled Patients Circuit. Thus, two PLS-SEM models were evaluated and validated.Findings: Results highlighted the significant impact of hospital logistics on quality and satisfaction. In particular, the results of the two models showed that the most preponderant hospital logistics component is physical accessibility which consists of the availability and accessibility of ambulances, medical and nursing staff, support and guidance staff, technical facilities and equipment, etc. Thus, hospital managers and health system stakeholders should pay particular attention to hospital logistics activities in general and specifically to the physical accessibility to improve the quality of care and patient satisfaction.Research limitations/implications: This study only included patients from three public healthcare facilities in Fez-Morocco. Also, the model variables of hospital logistics construct are restricted and were applied in a specific context. Besides, the sample size was relatively reduced. Thus, results generalization might be limited. Further studies including more patients from other territories and including other logistics components are needed for large-scale validation of the proposed model. Originality/value: The results of this study contribute to the scientific literature on hospital logistics and its role as a lever for quality of care and patient satisfaction.

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“…This is understandable, because the use of health information systems in the case study hospital is relatively new. In addition, cost constraints are also affecting the implementation of health information systems [28][29][30][31].…”

Section: The Case Study Findingmentioning

confidence: 99%

Improving clinical records: their role in decision-making and healthcare management – COVID-19 perspectives

Tasri¹,

Tasri

2020

International Journal of Healthcare Management

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Background: The ability of healthcare system to face the COVID-19 pandemic requires a professional competency in maintaining medical records to increase information and healthcare services quality. This study analyses the competency influence to medical record and health information management on planning and decision-making of healthcare services. A case study was conducted to explore this phenomenon. The COVID-19 has impacted to the clinical records is also discussed. Methods: The study uses a quantitative method to analyse correlation between medical record professional competencies, the quality and decision-making of healthcare services. Data analysis was used the structural equation model. The data were collected through purposive sampling of 49 respondents in case study hospital in Padang, Indonesia. Results: The medical record competency construct has a less significant effect on the decisionmaking construct, although the latter is positively related to competency. The quality construct is positively related to and has a significant effect on the decision-making construct. Conclusion: In the case study hospital revealed the competent medical record professional had a small influence on decision-making. In the COVID-19 pandemic situation, the new tools or systems such as telehealth or telemedicine might be an alternative by the healthcare service provider to improve their clinical record management information systems.

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Electronic health records implementation in Morocco: Challenges of silo efforts and recommendations for improvements

Cited by 27 publications

References 12 publications

Organizational Silos: A Scoping Review Informed by a Behavioral Perspective on Systems and Networks

Organizational Silos: A Scoping Review Informed by a Behavioral Perspective on Systems and Networks

Modeling the impact of hospital logistics on quality of care and patient satisfaction: Results of a survey in three public healthcare facilities in Fez, Morocco

Improving clinical records: their role in decision-making and healthcare management – COVID-19 perspectives

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