Standards and Guidelines for Electronic Medical Record Systems in ...

Functional
areas
Attributes
Components to be
evaluated
Measurements
methods
Indicators
to register a patient?
Did the providers use the
EMR as decision support
for patient’s health?
Staff survey
Observation
% of providers who use the EMR (num = #
of providers who use EMR; denom = total
# of providers surveyed)
Usefulness
Did the EMR help providers
know when to start patient
on ART?
Did the EMR identify
adherence issues (e.g., fill
counts etc)?
Did patients get referred to
services as needed?
% providers use the EMR for deciding
when to initiate ART (num = # of providers
who use EMR for ART decision making;
denom = total # of providers surveyed)
% of providers who feel EMR assisted with
adherence (num = # of providers who
state EMR assisted with adherence;
denom = total # of providers surveyed)
Patient Visit
Simplicity
Do clinicians this the EMR
is easy to use?
Do clinicians think the EMR
improves patient care?
Staff Survey
% of clinicians who think EMR is easy to
use (num = # of clinicians who state EMR
is easy to use; denom = total # of clinicians
surveyed)
% of clinicians who think EMR improves
patient care (num = # of clinicians who
state EMR improves patient care; denom =
total # of clinicians surveyed)
Flexibility
Are the data collection
tools modifiable?
EMR
Data collection tools are modifiable
Is patient information
entered correctly?
Data validation
Percent of fields entered correctly
when compared to the paper system
(num=# of fields entered correctly; denomtotal
# of fields)
Data Quality
% of visit records without errors (num=#
of vist records without errors;
denom=total # of visit records)
Percent of missing fields when
compared to the paper system (num = #
of missing fields; denom = total # of fields)
Acceptability
Do providers feel the
EMR system is useful to
them?
Staff survey
% of providers who feel the system makes
their job easier to do (num = # of
providers who state ‘system makes their
job easier’; denom = total # of providers
Standards and Guidelines for Electronic Medical Records Systems in Kenya 109