WEEK 2 UNIT

I.DEVELOP AN

TASKS
ASSESSMENT CHECKLIST CONTAINING THE FOLLOWING MAJOR CRITERIA IN
ASSESSMENT OF ELECTRONIC HEALTH RECORD THAT WILL BE APPLICABLE IN
SIMPLE COMPUTER APPLICATIONS OF HOSPITALS IN THE PHILIPPINES

MANAGEMENT

YES NO
1. The use of computers, tablets or any mobile computing device are
utilized.
2. The administration supports the modernization of the institution by
using EHR.
3. Policies and procedures are in place to ensure accurate patient
identification when preparing for, during and after downtimes.
4. Policies and procedures can describe how to stop and restart the
exchange of data across the interface in an orderly manner.
5. Staffs are trained and tested on downtime and recovery procedures.
6. An electric generator and sufficient fuel can be available to support
the EHR during an extended power outage.
7. Paper forms can be available in replacing main EHR functions
during downtimes.
8. There is a comprehensive testing and monitoring strategy in place
to prevent and manage EHR downtimes.
9. Help desk, support personnel, and other aids function properly.

FUNCTIONALITY

1. The system can protect electronic health information created or

maintained by the certified EHR technology through the
implementation of appropriate technical capabilities.
2. The system can support and use standardized protocols for
exchanging data with other systems.
3. The system can accommodate (and potentially improve) the staff’s
workflow.
4. The system can support creation of medication, laboratory, and
radiology orders using Computerized Provider Order Entry.
5. The staff can create a summary of care record and electronically
transmit it to a receiving provider for transition of care and referral.
6. The system can offer a variety of data entry options, e.g., dictation,
voice recognition, structured notes.
7. The staff can access clinical information such as previous labs or
progress notes from a patient’s “electronic chart” while charting.
8. The system allows to forward patient information to staff, other
physicians, etc. via email, electronic faxing, messaging, etc.
9. The prescriptions can be queried for a drug formulary and
transmitted electronically using an EHR.
10. The system can complete a prescription within a few clicks.
 11. The system can accurately identify drug condition warnings, e.g.,
pregnancy.
12. The system can send prescriptions electronically to pharmacies.
13. The system can send and receive lab orders electronically to
laboratories, hospitals, etc.
14. The system can generate lists of patients by specific condition to
use for quality improvement, reduction of disparities, and outreach.
15. The system can track patients for follow-up and send out reminders.
16. The staff can look up a patient by a number of different criteria,
e.g., name, MRN, SSN.
17. The system can provide a summary view of a patient’s health
status.
18. The system can allow patients to view, download, and transmit their
personal health information to a third party via a patient portal.
19. The system can support submission of syndromic surveillance data
to a public health agency.

TECHNOLOGY

1. The system has established and up-to-date versions of operating

system, virus, malware protection, application software, and
interface protocols used.
2. System-to-system interfaces are properly configured to ensure that
both coded and free-text data elements are transmitted without loss
or changes to information content.
3. The system has hardware and software environment for interface
testing that is physically separated from the live environment.
4. Patient data and software application configuration critical to the
organization’s operation can be backed up.
5. Users are trained on ransomware prevention strategies including
how to identify malicious hardware.
6. Interfaces between applications move data correctly and
completely.
7. EHR works with all forms of human computer interface devices
and modalities being used
8. Security procedures are established for managing and monitoring
key designated aspects of interfaces and data exchange.

VALUE

1. Does the use of EHR yield profit for the institution’s expenses?
2. Will the institution include additional charges to the patients’ bills
as they start to implement the EHR system?

II. HOW CAN PHILIPPINES HEALTH CARE INSTITUTIONS COMPLY WITH THE
STANDARDS OF EHR?
Healthcare institutions in the Philippines strive to provide quality medical services to every
Filipinos. In the continuous growth of technology, innovations toward the healthcare systems
became available to integrate the medical services offered by healthcare institutions. With the
 increasing population in the Philippines, it is vital for the healthcare field to switch from manual
processes of healthcare delivery to digitizing medical records that will ease the organization of the
patient’s medical data. Electronic health records allow the health care workers to freely exchange
electronic data minimizing laborious processes.
In order to comply with the standards of Electronic Health Records, the Philippine healthcare
institutions must understand the complexity of having strings of technological systems needed to
support the EHR. The institution must have a strategic planning on technical designs and
architecture for a much better execution of having an EHR system. The management should
require appropriate orientation on their medical staff about the importance of technology to support
their strategic initiatives. Curricular review with the objective of integrating technologies in the
medical practice should be instituted in higher education sector. There must be a concrete return of
the invested budget in the implementation of EHR. Technology should at least be improved in the
Philippines in order to sustain a digitized system. Lastly, constructive cooperation among the
healthcare industry stakeholders should be implemented to capitalize on the benefits of electronic
medical records towards a sustainable and better health services delivery should be promoted.

III. DOWNLOAD A NURSING RESEARCH ARTICLE FROM SCIENCEDIRECT

AUTHORED BY A RESEARCHER FROM ONE OF THE NICHOLAS E. DAVIS
EXCELLENCE AWARDEES AND WRITE A 200-300 WORD ESSAY AS REFLECTION
ELECTRONIC MEDICAL RECORD SUPPORT FOR PUBLIC HEALTH (ESP):
AUTOMATED DETECTION AND REPORTING OF STATUTORY NOTIFIABLE
DISEASES TO PUBLIC HEALTH AUTHORITIES
[ CITATION Mic07 \l 13321 ]

As we all know, during times when a pandemic hits the world, it is vital for everyone to stay
vigilant and informed with what might be the implications brought by these disasters. Back then, it
is very difficult to track where a disease came from due to the lack of technological tools used for
tracing its origin. Because of the continuous innovation of our technology, we are lucky enough
that it is easier for us now to control the spread of diseases than before.

A notifiable disease is any disease required by the law to be reported to the government
authorities to monitor the disease and provide early warning for possible outbreaks. This article
which was co-authored by Francis X. Campion and Benjamin A. Kruskal of Harvard Vanguard
Medical Associates (2000 Nicholas E. Davies Awardee) reports on the deployment of Electronic
medical record Support for Public health (ESP), a system created to screen electronic medical
record (EMR) systems automatically for evidence of reportable diseases, to transmit disease reports
securely to health authorities, and to respond to queries from health departments for clinical details
about laboratory detected cases. The ESP is designed to secure confidential patient information by
retaining all data behind the patient’s electronic firewall until a message is sent to the health
department. The data sent to ESP include patient demographics, diagnostic codes, laboratory test
results, vital signs, and medication prescriptions.

For me, the ESP system is a very beneficial advancement in digitizing the medical records
because it is more efficient, not only for the clinicians, but also for the patient and the government.
This provides early detection and containment of the source of disease and a more organized
management of the patient’s data for medical use.
Source:
Michael Klompas, R. L. (2007). Electronic Medical Record Support for Public Health (ESP): Automated
Detection and. Advances in Disease Surveillance, 5.