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

Section Introduction
The implementation of electronic medical records systems is a complex process requiring
consistent oversight. Successful system implementation must take into account the way the process
is managed from planning to roll out, and through ongoing operation. This section offers best
practice guidelines on the implementation, operation and maintenance of electronic medical record
(EMR) systems.
The section targets program managers who are implementing and managing EMR systems.
Implementation Planning
Requirements
1. A comprehensive implementation and management plan covering all phases of EMR
implementation shall be developed in conjunction with all relevant stakeholders.
2. EMR implementers shall identify a team at the facility-level, representing all EMR
stakeholders, to guide the implementation process.
3. A phased approach to EMR rollout will be adopted to minimize service interruptions.
4. The implementation team should plan for a post-implementation review within two
weeks of EMR rollout.
Implementation Guidance
EMR system implementation is a complex and costly affair that should be well planned and
managed. An implementation plan (Annex A) should be developed to guide the process. This plan
will serve to guide the process from preparation through post-implementation and should contain
the following information:
· Preparatory phase: Address budgetary and specification issues surrounding hardware and
software purchases, governance structures for implementation, and identification of staff,
their roles and training needs in line with defined competencies as listed in Chapter 5
Human Resource Requirements.
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