Case Report
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Year 2023, Volume: 8 Issue: 1, 48 - 60, 30.04.2023
https://doi.org/10.33457/ijhsrp.1213984

Abstract

References

  • Kruse, C. S., & Beane, A.,“Health information technology continues to show a positive effect on medical outcomes: Systematic review”, Journal of Medical Internet Research, 20(2), 1–9, 2018. https://doi.org/10.2196/jmir.8793
  • Heath, M., & Porter, T. H. “Change management overlooked: physician perspectives on EHR implementation”, American Journal of Business, 34(1), 19–36, 2019.
  • Rumball-Smith, J., Ross, K., & Bates, D. W., “Late adopters of the electronic health record should move now”, BMJ Quality and Safety, 29(3), 238–240, 2020. https://doi.org/10.1136/bmjqs-2019-010002
  • World Health Organization., “Electronic Health Records”, 2022. https://www.who.int/gho/goe/electronic_health_records/en/
  • Afrizal, S. H., Hidayanto, A. N., Handayani, P. W., Budiharsana, M., & Eryando, T. “Narrative review for exploring barriers to readiness of electronic health record implementation in primary health care”, Healthcare Informatics Research, 25(3), 141– 152, 2019. https://doi.org/10.4258/hir.2019.25.3.141
  • Al-Rawajfah, O., & Tubaishat, A., “Barriers and facilitators to using electronic healthcare records in Jordanian hospitals from the nurses’ perspective: A national survey”, Informatics for Health and Social Care, 44(1), 1–11, 2019. https://doi.org/10.1080/17538157.2017.1353998
  • Janett, R. S., & Yeracaris, P. P., “Electronic medical records in the American health system: challenges and lessons learned”, Ciencia e Saude Coletiva, 25(4), 1293–1304, 2020. https://doi.org/10.1590/1413-81232020254.28922019
  • Neamah, A. F., bin Ahmad, A., Alomari, E. S., Nuiaa, R. R., & UTeM, F, “The e-health state in Middle East countries: an overview” The Turkish Online Journal of Design, Art, and Communication, 2, 2974-2990, 2018.
  • Sunil, R. A., Vishwanath, L., Naveen, T., Pallad, S., Mandal, S. K., Pasha, T., & Raj, S., “Implementation of the electronic medical record system in the radiation oncology department of a government health-care facility: A single-center experience Introduction”, Cancer Research, Statistics, and Treatment, 3, 748–754, 2021.
  • Klaib, A. F., & Nuser, M. S., “Evaluating EHR and health care in Jordan according to the international health metrics network (HMN) framework and standards: A case study of Hakeem” IEEE Access, 7, 51457–51465, 2019. https://doi.org/10.1109/ACCESS.2019.2911684
  • Jalghoum, Y., Tahtamouni, A., Khasawneh, S., & Al-Madadha, A., “Challenges to healthcare information systems development: The case of Jordan”, International Journal of Healthcare Management, 14(2), 447-455, 2021.
  • Tubaishat, A., & AL-Rawajfah, O. M., “The use of electronic medical records in Jordanian hospitals: A nationwide survey”, CIN - Computers Informatics Nursing, 35(10), 538–545, 2017. https://doi.org/10.1097/CIN.0000000000000343
  • Rasmi, M., Alazzam, M. B., Alsmadi, M. K., Almarashdeh, I. A., Alkhasawneh, R. A., & Alsmadi, S., “Healthcare professionals’ acceptance electronic health records system: critical literature review (Jordan case study)”, The International Journal of Healthcare Management, 2(1), 1–13, 2018. https://doi.org/10.1080/20479700.2017.1420609
  • Electronic Health Solutions. (2022). Hakeem program. ehs.com.jo/hakeem-program
  • AlSobeh, A. M. R., Klaib, A. F., & Yahya, A. Al., “A national framework for e-health data collection in Jordan with current practices”, International Journal of Computer Applications in Technology, 59(1), 64–73, 2019. https://doi.org/10.1504/IJCAT.2019.097118
  • Kegler, M. C., Raskind, I. G., Comeau, D. L., Griffith, D. M., Cooper, H. L. F., & Shelton, R. C., “Study design and use of inquiry frameworks in qualitative research”, Health Education and Behavior, 46(1), 24–31, 2019. https://doi.org/10.1177/1090198118795018
  • Creswell, J. W., & Poth, C. N, Qualitative inquiry and research design: Choosing among five approaches, Sage Publications, 2018.
  • Yin, R. K., Case study research and applications: Design and method, Sage publications, 2017.
  • Rashid, Y., Rashid, A., Warraich, M. A., Sabir, S. S., & Waseem, A., “Case study method: A step-by-step guide for business researchers”, International Journal of Qualitative Methods, 18, 1–13, 2019. https://doi.org/10.1177/1609406919862424
  • Etikan, I., & Bala, K. , “Sampling and sampling methods”, Biometrics & Biostatistics International Journal, 5(6), 215–217, 2017.
  • Maher, C., Hadfield, M., Hutchings, M., & de Eyto, A., “Ensuring rigor in qualitative data analysis: a design research approach to coding combining NVIVO with traditional material methods”, International Journal of Qualitative Methods, 17(1), 1–13, 2018. https://doi.org/10.1177/1609406918786362
  • Alam, M.K. , “A Systematic qualitative case study: Questions, data collection, NVivo 119 Analysis and saturation”, Qualitative Research in Organizations and Management, 16(1), 1- 31, 2020. https://doi.org/10.1108/QROM-09-2019-1825
  • Fusch, P., Fusch, G. E., & Ness, L. R., “Denzin’s paradigm shift: Revisiting triangulation in qualitative research”, Journal of Social Change, 10(1), 19–32, 2015. https://doi.org/10.5590/josc.2018.10.1.02
  • Braun, V., & Clarke, V., “Using thematic analysis in psychology”, Qualitative research in psychology, 3(2), 77-101, 2006.
  • NVivo 12. Review of references in a node. Help-nv.qsrinternational.com/12/win/v12.1.110-d3ea61/Content/nodes/review-references-in-a-node.htm. 2022
  • NVivo 12. Word frequency query. help-nv.qsrinternational.com/12/win/v12.1.110- d3ea61/Content/queries/word-frequency-query.htm. 2022
  • Graber, M. L., Byrne, C., & Johnston, D., “The impact of electronic health records on diagnosis”, Diagnosis, 4(4), 211–223, 2017. https://doi.org/10.1515/dx-2017-0012
  • Stanhope, V., & Matthews, E. B., “Delivering person-centered care with an electronic health record”, BMC Medical Informatics and Decision Making, 19(1), 1–10, 2019. https://doi.org/10.1186/s12911-019-0897-6
  • Vainiomäki, S., Heponiemi, T., Vänskä, J., & Hyppönen, H., “Tailoring EHRs for specific working environments improves work well-being of physicians”, International Journal of Environmental Research and Public Health, 17(13), 1–10, 2020. https://doi.org/10.3390/ijerph17134715
  • Fennelly O, Cunningham C, Grogan L, Cronin H, O’Shea C, Roche M, Lawlor F, & O’Hare N., “Successfully implementing a national electronic health record: a rapid umbrella review”, International Journal of Medical Informatics, 1(144), 104281, 2021. https://doi.org/10.1016/j.ijmedinf.2020.104281
  • Wikfeldt, E. S., “Case study inference: Four generalization methods and how they may be integrated”, 2017 [Online]. Available: https://libraryguides.vu.edu.au/ieeereferencing/webbaseddocument 1–11.
  • Takahashi, A. R. W., & Araujo, L., “Case study research: opening up research opportunities”, RAUSP Management Journal, 55(1), 100–111, 2020. https://doi.org/10.1108/RAUSP-05-2019-0109
  • Daniel, B. K., “What constitutes a good qualitative research study? Fundamental dimensions and indicators of rigor in qualitative research: The TACT framework”, Proceedings of the European Conference of Research Methods for Business & Management Studies, 101-108., 2019.
  • Fragidis, L. L., & Chatzoglou, P. D., “Implementation of a nationwide electronic health record (EHR): The international experience in 13 countries”, International Journal of Health Care Quality Assurance, 31(2), 116–130, 2018. https://doi.org/10.1108/IJHCQA-09- 2016-0136
  • Ayaad, O., Alloubani, A., ALhajaa, E. A., Farhan, M., Abuseif, S., Al Hroub, A., & Akhu-Zaheya, L., “The role of electronic medical records in improving the quality of health care services: Comparative study”, International Journal of Medical Informatics, 127(1), 63– 120, 2019. https://doi.org/10.1016/j.ijmedinf.2019.04.014
  • Nordo, A. H., Levaux, H. P., Becnel, L. B., Galvez, J., Rao, P., Stem, K., Prakash, E., & Kush, R. D., “Use of EHRs data for clinical research: Historical progress and current applications”, Learning Health Systems, 3(1), 1–10, 2019. https://doi.org/10.1002/lrh2.10076

STRATEGIES FOR IMPROVING THE IMPLEMENTATION OF ELECTRONIC HEALTH RECORDS- A SINGLE CASE STUDY

Year 2023, Volume: 8 Issue: 1, 48 - 60, 30.04.2023
https://doi.org/10.33457/ijhsrp.1213984

Abstract

Electronic health records are a healthcare quality improvement strategy. Healthcare organizations in middle-income countries face significant challenges in adopting and implementing electronic health records. In Jordan, implementation challenges delayed achieving the objective of a national initiative titled Hakeem. The initiative’s objective was to implement the Hakeem electronic health record system in all healthcare sectors by 2020. Lack of clear implementation guidelines may have hindered some healthcare organizations’ efforts to adopt and use the system in Jordan. A successful pioneering implementer of the Hakeem system in Jordan is the King Hussein Cancer Center, which fully used it in all departments. This study used a single case study design to explore and codify the center’s strategies for system implementation. Data sources included a review of organizational documents related to the Hakeem system implementation at the center and individual interviews with six healthcare leaders involved in the implementation process. Thematic data analysis included manual analysis and verification using NVivo 12, QRS International software. The emerging themes included (1) phased approach and continuous planning, (2) stakeholders’ active involvement, (3) collaboration with the vendor, (4) training and continuous support, (5) managing resistance, and (6) recommendations for other organizations. The findings of this study may lay the foundation to lead healthcare organizations into successful implementation and effective use of electronic health records.

References

  • Kruse, C. S., & Beane, A.,“Health information technology continues to show a positive effect on medical outcomes: Systematic review”, Journal of Medical Internet Research, 20(2), 1–9, 2018. https://doi.org/10.2196/jmir.8793
  • Heath, M., & Porter, T. H. “Change management overlooked: physician perspectives on EHR implementation”, American Journal of Business, 34(1), 19–36, 2019.
  • Rumball-Smith, J., Ross, K., & Bates, D. W., “Late adopters of the electronic health record should move now”, BMJ Quality and Safety, 29(3), 238–240, 2020. https://doi.org/10.1136/bmjqs-2019-010002
  • World Health Organization., “Electronic Health Records”, 2022. https://www.who.int/gho/goe/electronic_health_records/en/
  • Afrizal, S. H., Hidayanto, A. N., Handayani, P. W., Budiharsana, M., & Eryando, T. “Narrative review for exploring barriers to readiness of electronic health record implementation in primary health care”, Healthcare Informatics Research, 25(3), 141– 152, 2019. https://doi.org/10.4258/hir.2019.25.3.141
  • Al-Rawajfah, O., & Tubaishat, A., “Barriers and facilitators to using electronic healthcare records in Jordanian hospitals from the nurses’ perspective: A national survey”, Informatics for Health and Social Care, 44(1), 1–11, 2019. https://doi.org/10.1080/17538157.2017.1353998
  • Janett, R. S., & Yeracaris, P. P., “Electronic medical records in the American health system: challenges and lessons learned”, Ciencia e Saude Coletiva, 25(4), 1293–1304, 2020. https://doi.org/10.1590/1413-81232020254.28922019
  • Neamah, A. F., bin Ahmad, A., Alomari, E. S., Nuiaa, R. R., & UTeM, F, “The e-health state in Middle East countries: an overview” The Turkish Online Journal of Design, Art, and Communication, 2, 2974-2990, 2018.
  • Sunil, R. A., Vishwanath, L., Naveen, T., Pallad, S., Mandal, S. K., Pasha, T., & Raj, S., “Implementation of the electronic medical record system in the radiation oncology department of a government health-care facility: A single-center experience Introduction”, Cancer Research, Statistics, and Treatment, 3, 748–754, 2021.
  • Klaib, A. F., & Nuser, M. S., “Evaluating EHR and health care in Jordan according to the international health metrics network (HMN) framework and standards: A case study of Hakeem” IEEE Access, 7, 51457–51465, 2019. https://doi.org/10.1109/ACCESS.2019.2911684
  • Jalghoum, Y., Tahtamouni, A., Khasawneh, S., & Al-Madadha, A., “Challenges to healthcare information systems development: The case of Jordan”, International Journal of Healthcare Management, 14(2), 447-455, 2021.
  • Tubaishat, A., & AL-Rawajfah, O. M., “The use of electronic medical records in Jordanian hospitals: A nationwide survey”, CIN - Computers Informatics Nursing, 35(10), 538–545, 2017. https://doi.org/10.1097/CIN.0000000000000343
  • Rasmi, M., Alazzam, M. B., Alsmadi, M. K., Almarashdeh, I. A., Alkhasawneh, R. A., & Alsmadi, S., “Healthcare professionals’ acceptance electronic health records system: critical literature review (Jordan case study)”, The International Journal of Healthcare Management, 2(1), 1–13, 2018. https://doi.org/10.1080/20479700.2017.1420609
  • Electronic Health Solutions. (2022). Hakeem program. ehs.com.jo/hakeem-program
  • AlSobeh, A. M. R., Klaib, A. F., & Yahya, A. Al., “A national framework for e-health data collection in Jordan with current practices”, International Journal of Computer Applications in Technology, 59(1), 64–73, 2019. https://doi.org/10.1504/IJCAT.2019.097118
  • Kegler, M. C., Raskind, I. G., Comeau, D. L., Griffith, D. M., Cooper, H. L. F., & Shelton, R. C., “Study design and use of inquiry frameworks in qualitative research”, Health Education and Behavior, 46(1), 24–31, 2019. https://doi.org/10.1177/1090198118795018
  • Creswell, J. W., & Poth, C. N, Qualitative inquiry and research design: Choosing among five approaches, Sage Publications, 2018.
  • Yin, R. K., Case study research and applications: Design and method, Sage publications, 2017.
  • Rashid, Y., Rashid, A., Warraich, M. A., Sabir, S. S., & Waseem, A., “Case study method: A step-by-step guide for business researchers”, International Journal of Qualitative Methods, 18, 1–13, 2019. https://doi.org/10.1177/1609406919862424
  • Etikan, I., & Bala, K. , “Sampling and sampling methods”, Biometrics & Biostatistics International Journal, 5(6), 215–217, 2017.
  • Maher, C., Hadfield, M., Hutchings, M., & de Eyto, A., “Ensuring rigor in qualitative data analysis: a design research approach to coding combining NVIVO with traditional material methods”, International Journal of Qualitative Methods, 17(1), 1–13, 2018. https://doi.org/10.1177/1609406918786362
  • Alam, M.K. , “A Systematic qualitative case study: Questions, data collection, NVivo 119 Analysis and saturation”, Qualitative Research in Organizations and Management, 16(1), 1- 31, 2020. https://doi.org/10.1108/QROM-09-2019-1825
  • Fusch, P., Fusch, G. E., & Ness, L. R., “Denzin’s paradigm shift: Revisiting triangulation in qualitative research”, Journal of Social Change, 10(1), 19–32, 2015. https://doi.org/10.5590/josc.2018.10.1.02
  • Braun, V., & Clarke, V., “Using thematic analysis in psychology”, Qualitative research in psychology, 3(2), 77-101, 2006.
  • NVivo 12. Review of references in a node. Help-nv.qsrinternational.com/12/win/v12.1.110-d3ea61/Content/nodes/review-references-in-a-node.htm. 2022
  • NVivo 12. Word frequency query. help-nv.qsrinternational.com/12/win/v12.1.110- d3ea61/Content/queries/word-frequency-query.htm. 2022
  • Graber, M. L., Byrne, C., & Johnston, D., “The impact of electronic health records on diagnosis”, Diagnosis, 4(4), 211–223, 2017. https://doi.org/10.1515/dx-2017-0012
  • Stanhope, V., & Matthews, E. B., “Delivering person-centered care with an electronic health record”, BMC Medical Informatics and Decision Making, 19(1), 1–10, 2019. https://doi.org/10.1186/s12911-019-0897-6
  • Vainiomäki, S., Heponiemi, T., Vänskä, J., & Hyppönen, H., “Tailoring EHRs for specific working environments improves work well-being of physicians”, International Journal of Environmental Research and Public Health, 17(13), 1–10, 2020. https://doi.org/10.3390/ijerph17134715
  • Fennelly O, Cunningham C, Grogan L, Cronin H, O’Shea C, Roche M, Lawlor F, & O’Hare N., “Successfully implementing a national electronic health record: a rapid umbrella review”, International Journal of Medical Informatics, 1(144), 104281, 2021. https://doi.org/10.1016/j.ijmedinf.2020.104281
  • Wikfeldt, E. S., “Case study inference: Four generalization methods and how they may be integrated”, 2017 [Online]. Available: https://libraryguides.vu.edu.au/ieeereferencing/webbaseddocument 1–11.
  • Takahashi, A. R. W., & Araujo, L., “Case study research: opening up research opportunities”, RAUSP Management Journal, 55(1), 100–111, 2020. https://doi.org/10.1108/RAUSP-05-2019-0109
  • Daniel, B. K., “What constitutes a good qualitative research study? Fundamental dimensions and indicators of rigor in qualitative research: The TACT framework”, Proceedings of the European Conference of Research Methods for Business & Management Studies, 101-108., 2019.
  • Fragidis, L. L., & Chatzoglou, P. D., “Implementation of a nationwide electronic health record (EHR): The international experience in 13 countries”, International Journal of Health Care Quality Assurance, 31(2), 116–130, 2018. https://doi.org/10.1108/IJHCQA-09- 2016-0136
  • Ayaad, O., Alloubani, A., ALhajaa, E. A., Farhan, M., Abuseif, S., Al Hroub, A., & Akhu-Zaheya, L., “The role of electronic medical records in improving the quality of health care services: Comparative study”, International Journal of Medical Informatics, 127(1), 63– 120, 2019. https://doi.org/10.1016/j.ijmedinf.2019.04.014
  • Nordo, A. H., Levaux, H. P., Becnel, L. B., Galvez, J., Rao, P., Stem, K., Prakash, E., & Kush, R. D., “Use of EHRs data for clinical research: Historical progress and current applications”, Learning Health Systems, 3(1), 1–10, 2019. https://doi.org/10.1002/lrh2.10076
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Details

Primary Language English
Subjects Health Care Administration
Journal Section Case Report
Authors

Ansam Bizzari 0000-0003-4950-4982

Publication Date April 30, 2023
Submission Date December 3, 2022
Acceptance Date April 13, 2023
Published in Issue Year 2023 Volume: 8 Issue: 1

Cite

IEEE A. Bizzari, “STRATEGIES FOR IMPROVING THE IMPLEMENTATION OF ELECTRONIC HEALTH RECORDS- A SINGLE CASE STUDY”, IJHSRP, vol. 8, no. 1, pp. 48–60, 2023, doi: 10.33457/ijhsrp.1213984.

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