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

down these alerts on a notification sheet for the clinicians’ attention.
Type of Implementation
Workflow Processes
Hardware requirements
Other Infrastructural requirements
Human Resource requirements
(recommended personnel required
and roles).
Operational requirements
Dual networked computer system installation
Receptionist registers new clients into the EMR and retrieves
records of existing clients. 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.
1. 2 Computers complete with CPUs, monitors, mouse and
keyboards
2. 2 Printers
3. 2 UPS
4. Network Interface Cards (NIC) on each computer.
1. Reliable power supply.
2. Network infrastructure to connect the reception computer
to the data clerks computer. This can be a simple peer-topeer
connection with one of the computers acting as a host
for the EMR.
1. Receptionist
2. 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. Data backup daily using an automated backup procedure.
3. SLA agreement for support or support available for call.
Case Scenario 3: Retrospective multi-point EMR access
An EMR installation in a high volume facility with a patient load of 3000 patients per month is expected to
have multiple service points, namely:
· 1 Patient scheduling and registration point
· 3 data entry computers
· 1 pharmacy dispensing point with a pharmacy dispensing tool
· 1 laboratory data entry point with a pharmacy information system
The facility management would like to have patient information available at every service point. Data entry
will be retrospective.
Workflow processes
A receptionist registers all new patients into the EMR and retrieves
details of already existing patients. Additionally, the receptionist
prints, on a daily basis, a listing of all clients expected to attend the
clinic on a particular day. She checks off on this list every time a
patient comes in for their clinic.
Clinicians collect patient information on predefined forms. 3 full
time data clerks working in a separate room collect the forms for
data entry into the EMR.
Laboratory tests are requested on pre-defined forms, a copy of
Standards and Guidelines for Electronic Medical Records Systems in Kenya 79