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Table of Contents
LETTERS TO EDITOR
Year : 2021  |  Volume : 4  |  Issue : 1  |  Page : 181-182

Roll out of electronic medical records in public health facilities and the way ahead


1 Hospital and Healthcare Management, Symbiosis Institute of Health Sciences, Symbiosis International (Deemed University), Pune, India
2 Healthcare Quality Consultant, Maharashtra, India

Date of Submission15-Jan-2021
Date of Decision07-Feb-2021
Date of Acceptance07-Feb-2021
Date of Web Publication26-Mar-2021

Correspondence Address:
Ankit Singh
Assistant Professor, Symbiosis Institute of Health Sciences, A Constituent of Symbiosis International (Deemed University), Pune, Maharashtra
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/crst.crst_8_21

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How to cite this article:
Singh A, Ravi P, Ahire N. Roll out of electronic medical records in public health facilities and the way ahead. Cancer Res Stat Treat 2021;4:181-2

How to cite this URL:
Singh A, Ravi P, Ahire N. Roll out of electronic medical records in public health facilities and the way ahead. Cancer Res Stat Treat [serial online] 2021 [cited 2021 Apr 23];4:181-2. Available from: https://www.crstonline.com/text.asp?2021/4/1/181/312122



The adoption of technology in health-care has increased over the last decade. However, most of the technological upgradation in terms of electronic health records and electronic medical records (EMRs) has taken place in the private institutions. Even though public health institutions need to upgrade their processes, the implementation of an EMR system in public health institutions has exponentially reduced the turnaround time for various processes and improved the perception of the quality of the service provider among the patients.[1] The recent study by Sunil et al.[2] highlighted the key members of the core team responsible for a successful transition from manual records to EMRs; these include a dedicated project leader, application specialist from the vendor, and a physician champion. We agree that the rollout or implementation is a very crucial stage that determines the success of and returns on the investment in the purchased EMR system. Therefore, it is essential to have a physician champion on the team; this not only improves the acceptance of the EMR system during the initial stages but also helps in identifying the customization required in the preliminary phase. Moreover, having a physician champion in the core team can significantly influence the attitudes of other physicians toward the system. Improving the utilization of the EMR system by the medical professionals in the long run remains a major issue in such initiatives;[3] however, this aspect has not been discussed in Sunil et al.'s study. The major barriers to the utilization of the EMR system by the medical professionals include high initial cost, uncertain financial benefits, difficult to use technology, inadequate support, inadequate data exchange, lack of incentive, and physicians' attitude toward the system.[4] Purchasing a reliable and user friendly software program, training the medical professionals to optimally use the system, and improving the attitude of medical professionals toward the system are some of the measures to overcome these barriers.[5] A common notion is that most of these software programs come with very little scope for customization as per the clinical specialty requirements. This misconception can be dealt with by the physician champion who can communicate the requirements of different specialties to the application specialist, and if required, can bring the physicians and the application specialist together to ensure the optimal customization. It is also important to select a vendor with previous experience in serving clients of similar size in terms of the scope and range of services and successful implementation stories. After-sales services for the software program are an important concern, as ambiguous terms and conditions and higher annual maintenance costs, can result in a conflict between the two parties leading to poor after-sales support.

Financial support and sponsorship

Nil.

Conflicts of interest

There are no conflicts of interest.



 
  References Top

1.
Finney Rutten LJ, Vieux SN, St Sauver JL, Arora NK, Moser RP, Beckjord EB, et al. Patient perceptions of electronic medical records use and ratings of care quality. Patient Relat Outcome Meas 2014;5:17-23.  Back to cited text no. 1
    
2.
Sunil R, Vishwanath L, Naveen T, Pallad S, Mandal S, Pasha T, et al. Implementation of the electronic medical record system in the radiation oncology department of a government health-care facility: A single-center experience. Cancer Res Stat Treat 2020;3:748-54.  Back to cited text no. 2
  [Full text]  
3.
Miller RH, Sim I. Physicians' use of electronic medical records: Barriers and solutions. Health Aff (Millwood) 2004;23:116-26.  Back to cited text no. 3
    
4.
Gagnon MP, Ouimet M, Godin G, Rousseau M, Labrecque M, Leduc Y, et al. Multi-level analysis of electronic health record adoption by health care professionals: A study protocol. Implement Sci 2010;5:30.  Back to cited text no. 4
    
5.
Singh A, Jadhav S, Roopashree MR. Factors to overcoming barriers affecting electronic medical record usage by physicians. Indian J Community Med 2020;45:168-71.  Back to cited text no. 5
  [Full text]  




 

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