Electronic Medical Record

Implementation Strategy

Lutfan Lazuardi
lutfan.lazuardi(at)ugm.ac.id
UGM.AC.ID Locally rooted. Globally
https://miro.com/app/board/uXjVNbD4ud8=/
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The new era?

• Well-informed patient
• Consumer-driven healthcare
• Patient-centered healthcare
• Big data and artificial intelligence era
• Precision medicine

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The future healthcare: building on shifting sands

The future healthcare The future workforce

From cure to prevention Blended, multidisciplinary
strategy and flexible

The future patient The future health tech

Equal partner Restoring the humanity

Linford Fernandes et al (2020) DOI: 10.7861/clinmed.2020-0030

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Reasons for EMR adoption

•Improves patient safety and quality

•Increases efficiency
•Reduces cost
•Emphasizes privacy, security and
confidentiality

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Top 10 reasons EMR implementations are failing

Ryan Walker (2010) EMR/EHR Implementation Failure: A Summary

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Critical success factor

HUMAN

Digital health
successfulness

TECHNO ORGANI
LOGY ZATION

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 Clinical
competency ?

Siswa STOVIA mengikuti kelas praktik tentang kesehatan di Weltevreden (Sumber: Wikimedia Commons)
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 clinical + digital
competencies ?

SUMBER FOTO © ANTARA 2022

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 digital technologies -
shaping the future of
global health

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digital competencies for doctor (CPME, 2020)
Technical digital skills
General digital skills Technical digital skills Patient-doctor relationship
● Data protection and ICT ● Telemedicine
Telemedicine
● ● Health
digital competencies for doctor
safety (CPME,
● Digital 2020)
apps & smart
communication
Health apps & smart
● devices
● Digital communication
● problem solving with ICT ● Digital collaboration
● AIdevices
& CDSS Digital collaboration
tools & software ● ● Promoting digital health
● legal & ethical ● Data&literacy/analytics
● AI CDSS
Promoting digital health
● literacy
● &Data literacy/analytics
bioinformatics
consideration of health literacy
& bioinformatics
● Virtual & augmented
data & of using digital Virtual & augmented
● reality
tools reality
● Robotics
● Robotics

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 Value of the Electronic Medical Record for Hospital Care:
Update From the Literature
• EHRs improve the quality, accuracy, and timeliness of patient
information at the point of care
• EHRs promote quality of care, reduce costs, support patient mobility,
increase reliability of information, and provide access to patient
information to multiple health care providers
• EHRs provide insights into health care costs, utilization, and outcomes
• Analyses from EHR data can highlight areas of concern and health
services delivery

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How do we start?

A. be ACTIVE
B. BENCHMARK
C. Be CHAMPION, COLLABORATE &
COMMIT
D. just DO IT
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Benchmark: EMRAM (EMR adoption model)

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Meaningful use (MU) of medical record
Meaningful Use (MU) is the utilization of a certified EHR system to
improve quality, safety, efficiency, and reduce health disparities,
improve care coordination, improve population and public health,
engage patients and their families in their own health care, and
ensuring that patient privacy and security is maintained
US: HIPAA Law (1996)
The Health Insurance Portability and Accountability Act
of 1996 (HIPAA) is a federal law that required the creation
of national standards to protect sensitive patient health
information from being disclosed without the patient's
consent or knowledge.
US: HITECH Act (2009)

Health Information Technology for

Economic and Clinical Health Act
The HITECH Act was created to motivate the implementation of electronic health
records (EHR) and supporting technology in the United States.
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UGM.AC.ID Locally rooted. Globally
 Start it now !

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