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

Sample EMR System Implementation Models
Different implementation models can be adopted for EMR systems’ implementation. Human
resource, infrastructural and operational requirements will vary depending on the models selected.
The following are examples of models that may be used for implementation. These examples are
not conclusive, and therefore, a facility or implementer may choose to use a different novel model.
These examples give an indication of minimum requirements for the implementation of each model.
Additional resources may be allocated depending on availability and complexity of implementation.
Case Scenario 1: Retrospective stand-alone EMR system
A facility with a volume of 100 clients per day wishes to implement an EMR to improve their data collection.
The facility manager would like to have a single computer running the EMR and used for retrospective data
entry by the data clerk.
Type of Implementation
Standalone data entry point EMR
Workflow Processes
Clinicians enter data manually into patient encounter forms. The
data clerk collects all forms and transcribes the data into the
computer. Reports are generated from the computer.
Hardware Requirements
1. A single computer complete with CPU, monitor, mouse and
keyboard
2. Printer
3. UPS
Other Infrastructural requirements 1. Reliable power supply
Human Resource Requirements
(recommended personnel required
and roles).
Operational requirements
1. Data Entry Clerk
The data clerk should additionally possess the competencies to
do data quality checks, data cleaning, and minimum data
analysis for decision-making.
1. Secured physical environment of IT infrastructure
2. Daily-automated backups. Data clerk to verify the success
and integrity of backups daily.
3. SLA agreement for support or support available on call.
Case Scenario 2: Retrospective dual point EMR access
A facility wishes to implement an EMR model having the receptionist registering and retrieving client files for
the clinicians and the data entered retrospectively from paper records into a computer by the data entry clerk.
The receptionist needs to have a computer with access to the patients’ demographic details in the EMR.
When a patient visits the clinic, they give the receptionist their patient card showing their names and patient
ID. The receptionist keys in the patient ID into the EMR system. The system retrieves the patient’s
demographics and displays them for confirmation. The system also generates alerts for laboratory tests that
are due and care plans that are due based on the integrated decision support features. The receptionist writes
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