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

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Functional<br />

areas<br />

Attributes<br />

Components to be<br />

evaluated<br />

Measurements<br />

methods<br />

Indicators<br />

surveyed)<br />

% of providers who use the system <strong>for</strong><br />

every patient (num = # of providers who<br />

say they use the system <strong>for</strong> every patient;<br />

denom = total # of providers who use the<br />

system)<br />

% of providers who feel the system is<br />

adaptable to all of their needs (num = # of<br />

providers who state system is adaptable;<br />

denom = total # of providers surveyed)<br />

Timel<strong>in</strong>ess<br />

How long was the patient<br />

visit?<br />

Time-flow<br />

analysis<br />

Average time of patient visit<br />

Stability /<br />

Availability<br />

Is there a back-up paper<br />

system <strong>in</strong> place?<br />

Staff Survey<br />

% of patients who have a back-up paper<br />

record (num = # of patients with back-up<br />

record; denom = total # of patients)<br />

Usefulness<br />

Did the EMR identify<br />

problems with data<br />

entered?<br />

Staff survey<br />

Observation of<br />

system<br />

Does the EMR have a system to detect<br />

data-entry errors?<br />

% of staff who feel that the <strong>in</strong>-built data<br />

edit checks are adequate (num = # of staff<br />

who state that edit checks are adequate;<br />

denom = total # of staff surveyed)<br />

Simplicity<br />

Do data clerks th<strong>in</strong>k that<br />

enter<strong>in</strong>g data is easy?<br />

What problems occur<br />

when enter<strong>in</strong>g data?<br />

Staff Survey<br />

% of data clerks who th<strong>in</strong>k that enter<strong>in</strong>g<br />

data is easy (num = # of data clerks who<br />

state data entry is easy; denom = total #<br />

of data clerks surveyed)<br />

Data Entry<br />

Can the system be<br />

modified while enter<strong>in</strong>g<br />

data?<br />

EMR<br />

System is modifiable<br />

Flexibility<br />

How well does the system<br />

h<strong>and</strong>le data errors (e.g.,<br />

does it freeze up)?<br />

Can the user override<br />

<strong>in</strong>correct system assigned<br />

values?<br />

Are data entered correctly?<br />

Data validation<br />

% of fields entered correctly<br />

Data Quality<br />

Is there a system <strong>for</strong><br />

control checks on data?<br />

Is the system accurate <strong>in</strong><br />

Staff Survey<br />

when compared to the paper system<br />

(num=# of fields entered correctly; denomtotal<br />

# of fields)<br />

<strong>St<strong>and</strong>ards</strong> <strong>and</strong> <strong>Guidel<strong>in</strong>es</strong> <strong>for</strong> <strong>Electronic</strong> <strong>Medical</strong> <strong>Record</strong>s <strong>Systems</strong> <strong>in</strong> Kenya 110

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