Developing a Common Health Information Exchange Platform to Implement a Nationwide Health Information Network in South Korea

ObjectivesThe objective of the study was to create a roadmap for the adoption of Electronic Health Record (EHR) in India based an analysis of the strategies of other countries and national scenarios of ICT use in India.MethodsThe strategies for adoption of EHR in other countries were analyzed to find the crucial steps taken. Apart from reports collected from stakeholders in the country, the study relied on the experience of the author in handling several e-health projects.ResultsIt was found that there are four major areas where the countries considered have made substantial efforts: ICT infrastructure, Policy & regulations, Standards & interoperability, and Research, development & education. A set of crucial activities were identified in each area. Based on the analysis, a roadmap is suggested. It includes the creation of a secure health network; health information exchange; and the use of open-source software, a national health policy, privacy laws, an agency for health IT standards, R&D, human resource development, etc.ConclusionsAlthough some steps have been initiated, several new steps need to be taken up for the successful adoption of EHR. It requires a coordinated effort from all the stakeholders.

Section: Resultsmentioning

confidence: 99%

Adoption of Electronic Health Records: A Roadmap for India

Srivastava

2016

“…Identifying related factors is important because actual benefits from the systems would occur through hospitals' adoption of health ICT systems, their use, and healthcare information exchanges with other organizations. Using information derived from this study, they may design more effective and efficient strategies or roadmaps to achieve their IT diffusion policy goals [ 15 16 17 ].…”

Section: Discussionmentioning

confidence: 99%

Current Status of Electronic Medical Record Systems in Hospitals and Clinics in Korea

Park

Han

2017

ObjectivesMany healthcare organizations and professionals have had interests in healthcare information and communication technology (ICT). The objective of this study was to investigate the current status of overall healthcare ICT, especially focusing on Electronic Medical Record (EMR) systems in Korea.MethodsThis study used a part of the nationwide survey collected for the OECD benchmarking ICT study. The Health Insurance Review and Assessment Service conducted the survey from November 19, 2013 to January 10, 2014. This study followed the methodological guidelines of the OECD. A total of 2,093 hospitals and clinics, including long-term care hospitals, participated in the survey. Among them, 554 hospitals and 906 clinics were included in this study for the generalization of the results.ResultsThe adoption rates of EMR systems were 96.3% in hospitals and 95.7% in clinics. Most of the hospitals and clinics had high rates of healthcare information exchange (HIE) within the organization; however, there were extremely low HIE rates among external organizations. Most of the hospitals and clinics had EMR systems with clinical-decision-supporting functionalities. Ninety-six percent of the EMR systems of the hospitals and 89.2% of the clinic systems had checking functions, such as alerts or reminders, on contraindications of drug-drug and drug-age interaction.ConclusionsKorea has maintained a high healthcare ICT status compared to countries in the European Union. The EMR systems of hospitals and clinics in Korea had sophisticated functionalities; however, their HIE status was extremely low, which indicates the need for healthcare ICT standardization.

“…In the HIE system, the HL7 Consolidated CDA (C-CDA) was adopted, and referral notes, medical examination documents, and care record summaries (CRSs) were defined as the standard documents. To improve the information fidelity, we defined the values that are required and should be included if available [ 14 ]. The consent for online HIE was individual consent per event because of the medical act.…”

Section: Methodsmentioning

confidence: 99%

Technology and Policy Challenges in the Adoption and Operation of Health Information Exchange Systems

Yoo

Heo

et al. 2017

Self Cite

ObjectivesThis study aimed to identify problems and issues that arise with the implementation of online health information exchange (HIE) systems in a medical environment and to identify solutions to facilitate the successful operation of future HIE systems in primary care clinics and hospitals.MethodsIn this study, the issues that arose during the establishment and operation of an HIE system in a hospital were identified so that they could be addressed to enable the successful establishment and operation of a standard-based HIE system. After the issues were identified, they were reviewed and categorized by a group of experts that included medical information system experts, doctors, medical information standard experts, and HIE researchers. Then, solutions for the identified problems were derived based on the system development, operation, and improvement carried out during this work.ResultsTwenty-one issues were identified during the implementation and operation of an online HIE system. These issues were then divided into four categories: system architecture and standards, documents and data items, consent of HIE, and usability. We offer technical and policy recommendations for various stakeholders based on the experiences of operating and improving the online HIE system in the medical field.ConclusionsThe issues and solutions identified in this study regarding the implementation and operate of an online HIE system can provide valuable insight for planners to enable them to successfully design and operate such systems at a national level in the future. In addition, policy support from governments is needed.