22nd JUNE 2020

The Urgency of Electronic Medical Record (EMR)

Implementation During the Covid-19 Pandemic.
Nik Azliza Nik Ariffin
Senior Lecturer
Faculty of Information Management
Universiti Teknologi MARA (UiTM)
Outline
1 INTRODUCTION

2 ELECTRONIC MEDICAL RECORDS

THE NEED OF EMR IMPLEMENTATION

3 DURING COVID 19 PANDEMIC

34 BENEFITS OF EMR

5 CHALLENGES IN EMR IMPLEMENTATION

6 CONCLUSION
 Insight
“Paper records are increasingly becoming obsolete and
inadequate. They limit the flow of information,
insufficiently document patient care, impede the
integration of health care delivery, create barriers
to research, and limit the information available for
administration and decision making.”
(Roy Romanow, 2002)
 THE INTRODUCTION
At a glance
Brought significant
IMPACT positives impact to
daily human task.
Education
NEW TECHNOLOGY
Business
DISCOVERY IN IT DISCIPLINE Healthcare
S
Retail industry
Manufacturing
Most government declared to
improve hospital services,
facilities and infrastructures
OBJECTIV
To strengthen the
E
integration of (ICT)
INITIATIV systems
E
Massive health care system disruptions caused
by the coronavirus pandemic leads to the need
The ongoing pandemic is putting healthcare systems of electronic medical records (EMRs) and
under strain worldwide and forcing hospitals and patient data.
other medical facilities to scramble to make sure data
can be shared effectively.
TRADITIONAL PAPER RECOR
DS KEEPING
 TRADITIONAL PAPER RECORDS KEEPING

The cost of physical space, Doctors’ access to medical

staffs, infrastructure, paper records is limited by
files makes the method more location and office hours
costly in the longer period.

CONCEPT COST STORAGE ACCESS SECURITY

The conventional method Store paper medical Paper records susceptible to natural
of keeping patient’s data records in physical disaster, theft, loss or misplacement. An
in paper-based files and warehouse. unauthorized person can access to
registers. sensitive patient data by breaking into
storage unit.
 EMR integrates patients’ records, clinical data, decision support application programs
and billing processes within a hospital.

All of the clinical data and patients’ record that took place in a hospital are integrated
together using a systematic computerized program.

It is basically a computer-based paper record which are develop for easy keeping,
organized, and easy recovering of information with regard to any particular patient
of the hospital.

EMR is design to keep tract of patient’s full name, complete updated address, gender,
date of birth, insurance details, next of kin to notify in case of emergency, past and current
medications history, immunization history, known allergies, radiological and laboratory results;
medical and surgical history including past hospitalization.

It also includes documentation of the current admission on patient’s progress assessment, vital signs,
plan of care by physicians or other health care related profession and education given to patient that
can be retrieved from multiple location within the same hospital but governs by security ensuring
patient privacy and confidentiality (Sh. M. Syed Mohamed And Mohd. H, 2005)
EMR
Electronic Medical Records

• The environment of • EMR applications

EMR is complex and can be used in EMR is one of
clinical
sophisticated component to
documentation and
environment where its computerized build EHR
foundation is the provider order
clinical data entry (CPOE) for
repository (CDR) that physician and SUCCESS OF
pharmacy
process database of
management (Garrets EHR
patient clinical and Davis, 2006). It

D
ep
information for helps in improving

en
ds
practitioners (Garrets patient safety and

on
and Davis, 2006). reduce medical
errors.

EMR
 EMR
Electronic Medical Records
INDIVIDUAL HEALTH
PRIVACY, CONFIDENTIAL & SECURITY
INFORMATION
As a computerized medical record Electronic health records are sets of
that can be accessed with health information of an individual,
concerned of patient privacy, which focuses on the total health of
confidential and security from the patient. It goes beyond the
multiple integrated system at any
point of care within the healthcare
standard clinical data collection and
organization (Wagner, 2004) includes a broader view of patient’s
EMR IS EVOLVING care (Garett & Seidman, 2011).
The word of EMR is evolving, begin
with computer stored medical
records followed by computerized
patient record (CPR), computerized medical
record (CMR),
computer-based DIGITAL IN NATURE
patient record system (CBPR),
electronic health record (EHR) and Electronic medical records are
automated medical record (AMR). versions of paper charts belonging
(Fisher, 1999) to patients, which are in
digital forms.
EMR
Electronic Medical Records Pharmacy Medication Lists

Government Agencies

Public health research Lab Test

Results

Hospitalization
Summaries
Payers/ financial PATIENT
systems

Doctors and other clinicians notes

and orders
Home Health
Monitoring Devices Medical
Imaging Results
 BREADTH

DEPTH Patient is Central

May differ
BENEFITS OF EMR
Electronic Medical Records Provide
Provide long
long term
term planning
planning of
of healthcare
healthcare and
and health
health resource
resource allocation
allocation
Improve
Improve quality
quality of
of documentation
documentation
(Noraziani et.al,2013)
Can improve record keeping and reduces possibility of lost
records thus reduce misplaced of the documents due to
human error and it support paperless environment.(Noraziani et.al,2013)
Can
Can linked
linked the
the physician
physician to
to the
the protocols,
protocols, care
care plans,
plans, pharmaceutical
pharmaceutical
information
information and database of healthcare knowledge, which help
and database of healthcare knowledge, which help inin clinical
clinical decision-
decision-
making.
making. (Noraziani et.al,2013)

Can help in reducing Productivity EMR can help to remove

medical error. communication barrier.
(Noraziani et.al,2013)
Improves the services provided to the
patient. – reduce waiting time, smooth EMR
EMR allows
allows the
the physician
physician to
to
workflow see the whole picture
see the whole picture ofof
EMR can easy create reports, organize clinical patient
patient and
and make
make proper
proper
information and record filing, managing claim and planning of treatment.
planning of treatment.
ordering process going smoothly, reduce
time for billing processes and importantly can serve
a good customer service (Haslina and Sharifah, 2005)

Quality of health services can be improved and reduce complaint from

community.
Information needed
Information needed by by EMR
EMR can
can enhanced
enhanced the
the communication
communication
the physician
the physician is
is readily
readily between
between patient provider (Al-Nassar
patient provider (Al-Nassar et.al,
et.al,
retrievable
retrievable (Andrews, 2003) 2009).
2009). The
The data
data are
are available
available online
online
CHALLENGES IN EMR IMPLEMENTATION
The implementation of electronic
medical records is not an easy
delegation as it involves a system,
which is complex .
(Brooke and Grotz, 2010)
. Digitization - high cost,
poor quality
Introduction of electronic medical records will
C caused a major backlog in incorporating
H older paper medical records via electronic
A mode.
L
Accessing electronic medical record (EMR) data
L
for patients with coronavirus disease 2019
E (COVID-19 is limited. Systems do not
N communicate with one another and data is stored
G in a variety of structured and
E unstructured formats - Interoperability
Training is important to healthcare
S
professionals, other allied health
professional and health administrators
E
M
R The safety of the information exchanged - issues
on privacy, confidentiality & security
CONCLUSION

Electronic medical The implementation of

records significantly EMR will not only be
bring advantages beneficial for the
During this pandemic, and affect positively healthcare professionals, The risks
accurate and complete towards the nurses, other allied and
data is essential for healthcare settings health professionals, issues
efficient and effective administrators and within
decision-making. providers but for the the
patients who may be at implementation
ease during the also need to
process of receiving be
treatment and Strengthened and
consultation. optimizing the best
care for the patient.
G
oo
d
su n
pp t io
or
ts e ra
ys oop
te C
m

Ad m
eq y ste
u s
at
et d ly
ra ie n
in
in r-fr
e
g Us

Communication

SUCCESSFUL EMR
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ELECTRONIC MEDICAL RECORDS
THANK
YOU!